Best Medical Billing Companies for Psychiatry

Authored by Sara Williams on November 4, 2026 · 9 minutes read

Best Medical Billing Companies for Psychiatry

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Key Takeaways

Psychiatry billing differs from therapy billing Prescribers bill E/M with psychotherapy add-ons and use CPT 90792 (with medical services) rather than CPT 90791 for diagnostic evaluations.
Avoid add-on code denials Psychotherapy add-on codes cannot be billed alone and cannot be paired with CPT 90791 or 90792 on the same day.
Broad provider credentialing is essential Your psychiatric billing company must handle credentialing for every prescriber type you employ (MDs, DOs, PMHNPs, PAs).
Compliance requires a BAA HIPAA compliant billing requires a signed Business Associate Agreement (BAA) for any vendor managing protected health information (PHI).
Evaluate full-service value Outsourced psychiatry billing fees are typically structured as a percentage of collections, so compare included services rather than focusing solely on the rate.

Choosing a billing partner for a psychiatric practice requires looking beyond general mental health billing. While therapy practices rely primarily on basic time-based psychotherapy codes, psychiatric practices handle complex medical evaluations, Evaluation and Management (E/M) services, medication management, and mid-level provider billing.

Quick answer: The top mental health billing companies providing dedicated psychiatry medical billing services are GreenSense Billing, Practolytics, MedCare MSO, OmniMD, and PGM Billing. The best billing company for psychiatrists depends on your requirements and whether the company is enabled to fulfill your practice's specific needs.

Table 1: Quick comparison
Company	Best For	Psychiatry Scope	Services Included	EHR/PM Compatibility	Pricing Model
GreenSense Billing	Best Overall	Med-management E/M, add-ons (90833–90838), 90792, telehealth psychiatry billing, PMHNP/PA billing	Eligibility, prior auth, coding, denial management, AR recovery, credentialing	Web-based EHR/PM integration	Percentage of collections
Practolytics	Best for AdvancedMD & Groups	E/M + add-on codes, 90792, PMHNP billing, specialized meds (Spravato/Ketamine)	Eligibility, prior auth, coding, claims, denial management, AR follow-up, credentialing	Deep integration with AdvancedMD and major PM systems	Percentage of collections
MedCare MSO	Best for Multi-Provider Clinics	E/M + psychotherapy, 90792, PMHNP/PA, social worker billing	Credentialing, pre-authorizations, audits, claims management, A/R follow-up	Works with existing practice systems	Custom percentage of collections
OmniMD	Best for Integrated Software & RCM	Med-management, E/M coding, behavioral health billing	AI claim scrubbing, prior auth, claims processing, denial recovery	Proprietary cloud platform + external EHR connections	Percentage of collections / platform fee
PGM Billing	Best for Comprehensive Behavioral Health	Psychiatric evaluations, medication management billing, add-on codes, IOP billing	Verification, charge entry, claim submission, denial management, payment posting	Broad PM system compatibility	Percentage of collections

Why psychiatry billing needs a specialist billing team

Psychiatry claims face high denial rates when handled by general billers accustomed solely to standalone psychotherapy.

Diagnostic evaluation coding split

Table 2: Diagnostic evaluation coding split
Code	Use
CPT 90791 (Without Medical Services)	Used by Therapists / LCSWs. CANNOT pair with add-on codes.
CPT 90792 (With Medical Services)	Used by Psychiatrists / PMHNPs. CANNOT pair with add-on codes.

E/M plus add-on coding structure

When providing medication management alongside psychotherapy during a single visit, prescribers bill an Evaluation and Management (E/M) code paired with a time-based psychotherapy add-on code:

CPT 90833: Psychotherapy, 16–37 minutes with E/M
CPT 90836: Psychotherapy, 38–52 minutes with E/M
CPT 90838: Psychotherapy, 53+ minutes with E/M

Per CMS Billing and Coding Article A57520, psychotherapy services lasting under 16 minutes cannot be reported with an add-on code.

Diagnostic coding & therapists' codes

A common coding error involves diagnostic evaluations. Prescribers who perform physical health assessments or manage medications must bill CPT 90792 rather than CPT 90791. Understanding how to bill CPT 90791 is vital for therapy staff, but prescribers who incorrectly submit 90791 face lower reimbursement and documentation audits.

Similarly, general practices often default to billing CPT 90837 / 90834 for standalone therapy sessions. However, prescribers conducting med-management visits need specialized psychiatry billing services to properly combine E/M codes with add-ons. Proper mapping of mental health ICD-10 coding alongside these procedural codes is required to establish medical necessity. See our wider ICD-10 codes for mental health disorders guide.

Modern practice models

Specialized teams also manage advanced billing structures, such as collaborative care model billing (CPT 99492–99494) for primary care integration and telehealth psychiatry billing using correct place of service (POS) codes and telehealth modifiers (e.g., Modifier 95 or GT).

Top 5 medical billing companies for psychiatry

Best medical billing companies for psychiatry: GreenSense Billing, Practolytics, MedCare MSO, OmniMD, PGM Billing | GreenSense Billing

1. GreenSense Billing

Best for: Best Overall for private practices and group psychiatric clinics seeking comprehensive outsourced psychiatry billing
Psychiatry billing scope: Full med-management E/M coding, time-based psychotherapy add-ons (90833, 90836, 90838), diagnostic evaluations (90792), collaborative care model billing, and mid-level PMHNP/PA billing
EHR/PM compatibility: Integrates with major web-based EHRs without forcing system migration
Services included: Insurance eligibility verification, medication prior authorization tracking, charge entry, proactive denial management, A/R recovery, and credentialing
Pricing model: Percentage of monthly net collections
HIPAA / BAA: Delivers HIPAA compliant billing with a signed Business Associate Agreement (BAA)

Why it made the list: GreenSense Billing provides specialized revenue cycle management designed explicitly for psychiatric practices, handling complex prescriber billing across all psychiatric specialties.

2. Practolytics

Best for: Practices using AdvancedMD or those offering specialized interventional treatments
Psychiatry billing scope: E/M with psychotherapy add-on codes, 90792 evaluations, PMHNP billing, and specialty drug billing like Spravato and Ketamine
EHR/PM compatibility: Deep integration with AdvancedMD alongside support for other prominent systems
Services included: Insurance verification, prior authorizations, coding, claim submission, denial management, and credentialing
Pricing model: Percentage of collections
HIPAA / BAA: Fully HIPAA compliant with standard BAA execution

Why it made the list: Practolytics brings over 20 years of RCM experience and offers dedicated psychiatry medical billing services for behavioral health practices.

3. MedCare MSO

Best for: Multi-provider group practices employing psychiatrists, nurse practitioners, and therapists under one roof
Psychiatry billing scope: Billed E/M services, psychotherapy add-on codes, medication management billing, and multi-specialty behavioral health claims
EHR/PM compatibility: Compatible with most industry-standard practice management platforms
Services included: Payer credentialing, prior authorizations, claim scrubbing, audits, and A/R recovery
Pricing model: Customized percentage of collections
HIPAA / BAA: Maintains strict HIPAA compliance standards and executes BAAs

Why it made the list: MedCare MSO offers tailored medical billing and credentialing services designed for psychiatric providers and group practices.

4. OmniMD

Best for: Practices seeking an all-in-one software and billing service combination
Psychiatry billing scope: Med-management E/M codes, psychiatric diagnostic evaluations, precise mental health ICD-10 coding, and telehealth psychiatry billing
EHR/PM compatibility: Fully integrated with OmniMD EHR/PM, with interface options for external systems
Services included: AI claim scrubbing, prior authorization management, denial tracking, and collections
Pricing model: Percentage of collections or tiered software plus RCM fees
HIPAA / BAA: Full HIPAA compliance with standard BAAs provided

Why it made the list: OmniMD combines cloud-based billing software with RCM services to streamline psychiatric practice revenue.

5. PGM Billing

Best for: Behavioral health practices needing robust payer negotiation and compliance oversight
Psychiatry billing scope: Diagnostic evaluations, medication management billing, add-on codes, and higher levels of care (IOP/PHP)
EHR/PM compatibility: Integrates with a wide array of commercial PM systems
Services included: Eligibility verification, charge entry, claim submission, denial management, and payment posting
Pricing model: Percentage of monthly collections
HIPAA / BAA: Fully compliant with HIPAA requirements and BAA execution

Why it made the list: PGM Billing is an established psychiatric billing company offering tailored solutions for behavioral health providers.

How to choose a billing partner for your practice

Verify E/M + Add-On Expertise: Confirm that the billing team routinely handles combinations like 99214 + 90833 and understands distinct time documentation requirements.
Ensure Prescriber Credentialing Support: Make sure the billing company for psychiatrists understands how to credential PMHNPs and PAs across commercial payers and MBHOs.
Evaluate Medication Prior Authorization Handling: Ask if the company manages prior authorizations for psychiatric medications or if that burden falls on clinical staff.
Confirm EHR Integration: Determine whether the billing company can work directly inside your existing PM system to prevent data migration issues.
Demand Fee Transparency & BAA Execution: Compare percentage rates alongside included services, and ensure the vendor provides HIPAA compliant billing with a signed Business Associate Agreement.

Billing support

For practices that need help beyond this guide, GreenSense Billing covers medical billing services, medical coding services, and revenue cycle management.

Conclusion: Partnering with a specialized billing provider helps maintain accurate coding, reduces denied claims, and protects practice revenue. Explore our specialized mental health billing services to see how GreenSense Billing can support your psychiatric practice.

Sources

Frequently Asked Questions (FAQs)

Can a billing company work inside my existing psychiatry EHR?

Yes, most top billing companies can operate directly within your current EHR/PM system, avoiding data migration issues.

Will the billing company sign a BAA?

Yes. Under HIPAA rules, any medical billing vendor handling protected health information must sign a Business Associate Agreement to maintain HIPAA compliant billing.

Do I need a separate credentialing company for my PMHNPs?

Not necessarily. Many specialized mental health billing companies include PMHNP and PA credentialing as part of their comprehensive RCM services.

What causes the most denials in psychiatry billing?

The most frequent causes include improper pairing of E/M codes with psychotherapy add-ons, unfulfilled prior authorizations for medications, missing distinct time documentation, and incorrect mental health ICD-10 coding.

Is a mental health billing company the same as a psychiatry billing company?

No. General mental health companies often focus on therapy services like billing CPT 90837 / 90834 or how to bill CPT 90791. A dedicated psychiatric billing company specializes in prescriber coding, E/M with psychotherapy, CPT 90792, medication management billing, and mid-level provider billing.

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