Get psychology billing support built around the way psychologists and behavioral health practices work to help manage unpaid claims, reduce day-to-day billing burdens and keep reimbursements flowing with less of a strain on your clinical team's administrative workload.
Psychology billing has a number of details that can adversely impact reimbursements. Psychotherapy, psychological tests, behavioral health benefits, authorization, and telehealth and payer requirements are some of the aspects that must fit together on a claim Tennessee Medical Billing provides psychology billing services for independent psychologists, psychology groups, testing practices, and behavioral health clinics that want consistent billing support without putting more work on providers.
Our services cover the financial end of the patient care cycle, from claim review and submission to payment posting and follow-up. Practices offering psychotherapy, evaluation and testing, or a blend of services can rely on Tennessee Medical Billing to design a claim management process around the services provided by the practice’s therapists and psychologists.
Psychology claims may look simple until different services, units, time requirements, and insurance benefits come into play. A psychotherapy visit does not bill the same way as a psychological testing. Testing services may involve professional time, administration, scoring, multiple units. Telepsychology can also bring in payer-specific requirements, while some health plans manage behavioral health benefits separately.
Our psychology medical billing services account for these differences before claims are submitted. Rather than looking at each case individually, we look at the service, diagnosis, units of time or units of work, any applicable modifiers, authorization information, insurance benefits and payer requirements. This allows us to provide your practice billing support that is specific to psychology and not make you fit the generic mold.
Our psychology billing services cover the essential revenue cycle steps needed to take claims from the patient encounter through reimbursement.
We review psychotherapy services, psychological evaluations and testing, diagnosis reporting, units of service, applicable modifiers and supplemental claim information prior to submission.
Eligibility for benefits, patient responsibility, visit limitations, testing benefits, network status and other pertinent plan details impacting payment are verified.
When authorization is required we assist in tracking the necessary approval details, services, dates, and visit or testing limits to avoid payment delays. Processing of denied/unpaid psychology claims is prioritized on a case by case basis based on response from payer, claim age, balance due, reason of denial and appropriate course of action towards reimbursement.
Posting of payments, adjustments, patient responsibility and balances due to keep your practice informed of collections and unpaid revenue.
The billable items in psychology are psychotherapy codes, psychological tests, behavioral health diagnoses, modifiers, billing units, and payer adjustment codes. Our expert team will review the claim based on the service rendered instead of using the same billing codes for each visit.
| Type | Code | Common Use |
|---|---|---|
| CPT | 90791 | Psychiatric diagnostic evaluation |
| CPT | 90792 | Diagnostic evaluation with medical services |
| CPT | 90832 / 90834 / 90837 | Individual psychotherapy based on documented time |
| CPT | 90833 / 90836 / 90838 | Psychotherapy add-on with eligible E/M service |
| CPT | 90846 / 90847 | Family psychotherapy |
| CPT | 90853 | Group psychotherapy |
| CPT | 96130 / 96131 | Psychological testing evaluation services |
| CPT | 96136 / 96137 | Test administration and scoring by qualified professional |
| ICD-10-CM | F32.- / F33.- | Depressive disorders |
| ICD-10-CM | F41.- | Anxiety disorders |
| ICD-10-CM | F43.- | Trauma and stress-related disorders |
| ICD-10-CM | F31.- | Bipolar disorders |
| ICD-10-CM | F90.- | ADHD |
| HCPCS | G2214 | Initial psychiatric collaborative care management |
| Modifier | 95 | Telehealth reporting when required |
| Modifier | 25 | Separately identifiable E/M when requirements are met |
| CARC | 16 | Missing or incomplete claim information |
| CARC | 197 | Required authorization or precertification absent |
Our psychology billing service covers services provided by a practice that offers psychological evaluations, individual psychotherapy, family therapy, group psychotherapy, psychological testing, behavioral assessments, telepsychology, and related behavioral health services.
A psychotherapy claim might be based on the number of minutes of a session that was actually billed. Psychological testing can have multiple elements and units of measurement that span across the administration and scoring of the tests plus their interpretation and evaluation by a professional. Telepsychology may require additional claim details to the specifications of each individual payer. Our job is to ensure that billing accurately reflects the services rendered by the psychologist rather than requiring every interaction to go through the same claim process.
Tennessee Medical Billing provides flexible billing services for psychologists across Tennessee, supporting different practice sizes, service models, and patient volumes.
Affordable billing support for psychologists that need to reduce the time spent dealing with insurance billing.
Revenue cycle support for group practices that manage multiple psychologists, increasing claim volumes and payer variety.
Billing assistance for practices that provide psychological assessments, testing, administering, scoring and other professional services.
Support for remote psychology services where telehealth requirements, modifiers, benefits, and payer policies need careful attention.
Our behavioral health billing services support multidisciplinary clinics where psychologists work alongside therapists, counselors, and other mental health providers.
Flexible billing support for practices adding providers, locations, payer contracts, testing services, or new behavioral health programs.
The claims for psychological services may not always be approved for payment. Revenue cycle interruptions may occur due to the claim's approval, benefit limitations, testing units, underpayments, missing information in the submitted claim, and request from payers that have not been fulfilled. Our follow-up service focuses on the specific open account that requires resolution. The analysis of the payer responses and denials, aging, payment activity, previous actions are undertaken to avoid your balance aging instead of leaving it aging.
This provides psychology practices with a more reliable way to manage insurance receivables and resolve issues before they become long-term A/R. Outsourcing your psychology medical billing also provides you with dedicated follow-up without the cost and day-to-day management of expanding your internal billing department.
Your billing partner should understand psychology claims without requiring your providers to repeatedly explain how their services are delivered.
Our billing approach reflects psychotherapy, psychological evaluations, testing services, telehealth, behavioral health benefits, billing units, and payer requirements.
Billing does not end when a claim is submitted. Unpaid, rejected, and denied claims continue to receive attention based on the issue holding up payment.
Get experienced revenue cycle assistance without the added cost of hiring, training, and managing additional in-house billing staff.
Our services can be tailored to fit independent psychologists, psychology groups, testing practices, telepsychology providers, and multidisciplinary behavioral health clinics.
We help your practice understand what has been paid, what remains outstanding, and which claims still need action.
Services may include eligibility checks, coding review, claim submission, authorization support, payment posting, denial management, A/R follow-up, and revenue cycle reporting.
We can support eligible psychological testing claims, including applicable services, units, claim preparation, payer responses, and payment follow-up.
Yes. We support individual, family, group, and other eligible psychotherapy claims based on the services documented by your providers.
Yes. Our team can help review applicable payer requirements, modifiers, benefits, and claim-reporting details for eligible telepsychology services.
Yes. Our mental health billing services can support practices combining psychology, psychotherapy, testing, and other related behavioral health services.
If psychology claims are aging, denials keep coming up, or your team spends too much time handling insurance follow-ups, then it's time to take a closer look at your billing process. Let us take a look at your claims, receivables, coding issues, denials, and payment processes at Tennessee Medical Billing to see where reimbursements might be lagging. See how professional psychology billing services in Tennessee can give your practice a more manageable revenue cycle.