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Psychiatry Billing

Medication management and E/M visits, billed separately from therapy time.

Overview

Psychiatric billing runs on a different code set than therapy billing - E/M visit levels plus medication management, rather than time-based therapy codes - and often involves tighter prior authorization requirements around controlled substances. AspireMedX bills the two correctly and keeps them from being confused with each other.

Who this service supports

Psychiatry billing focuses on psychiatric evaluation, medication management, and any separately documented psychotherapy services. Review time, provider type, and payer rules before combining services on a claim.

Where claims usually go wrong

A common denial pattern is billing a med management visit with a therapy code instead of the correct E/M plus add-on combination, which most payers reject outright. We code medication management and therapy time separately so neither claim gets bundled incorrectly.

What we handle

  • ✓E/M coding for medication management visits, including add-on psychotherapy codes
  • ✓Prior authorization tracking for controlled substances and specialty medications
  • ✓Telepsychiatry billing with correct place-of-service coding
  • ✓Coordination with therapy claims for patients seeing both a psychiatrist and therapist
  • ✓Initial psychiatric evaluation and diagnostic interview billing

Talk to us about psychiatry billing

info@aspiremedx.com · +1 (716) 242-2898

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