Psychiatrists and Psychiatric Nurse Practitioners face unique documentation hurdles: balancing medical decision making (MDM) with add-on psychotherapy (90833/90836) without triggering payer bundling rejections. We ensure every clinical minute is compensated.
Most billing companies fail to unbundle psychiatric psychotherapy from medical management. We train your staff on clinical documentation that satisfies both commercial and Medicare audit standards.
Psychiatric evaluations with medical services (90792) require clear documentation of physical exams, laboratory reviews, and prescription decision-making. General billers miscode this as a therapist evaluation (90791), losing $50+ per encounter.
When you conduct medication management and spend at least 16 minutes on therapeutic intervention, you are entitled to bill 90833 alongside your E/M code (99213/99214). We establish modifier linking so both codes are paid in full.
Administering Spravato or operating TMS suites requires rigorous pre-certification, Buy-and-Bill inventory management, and observation documentation. We manage the entire prior authorization pipeline.
| Clinical Feature | Typical General Biller | Emrys Behavioral Health |
|---|---|---|
| E/M + Psychotherapy 90833 | Denied as bundled or never billed | 100% Correct Modifier Linkage & Paid |
| Time Tracking Protocol | No start/stop times; high audit exposure | Audit-proof start/stop EHR checklists |
| Days in A/R (Aging) | 45 to 65 days | Under 18 days average |
| Pre-Authorization Management | Left to practice front desk | Dedicated behavioral auth tracking team |
Discover how many unbilled psychotherapy add-ons and delayed claims can be recovered for your practice.
Complete this confidential inquiry and our senior behavioral health billing director will follow up with your customized analysis.