Psychiatry Medical Billing Services

Psychiatric-Specific Medical Coding

Accurate CPT coding makes or breaks your reimbursement. We assign the correct codes every time, maximizing your earnings per visit.

Our coders are AAPC-certified and specialize in psychiatric codes, including:

We also handle evaluation and management (E/M) coding for psychiatrists who provide medical services beyond therapy. Every code gets checked against CMS guidelines and AMA coding updates before submission.

Insurance Verification and Benefits Check

You can't afford surprises after treatment. Our team verifies mental health coverage before every appointment, checking:

• • In-network and out-of-network benefits
• • Session limits and authorization requirements
• • Deductibles, co-pays, and coinsurance amounts
• • Telehealth coverage and restrictions
• • Carve-out plans and behavioral health-specific policies

Insurance verification for psychiatry isn't simple. Mental health benefits are often administered separately. We contact the right departments and get accurate information—so you know exactly what patients owe before they walk through your door.

Claims Submission and Processing

Clean claims get paid faster. Our submission process ensures accuracy from day one.

Streamlined claims processing includes:

• • Electronic claim submission to all major payers
• • Real-time eligibility checks
• • Scrubbing for errors before submission
• • Documentation attachment when required
• • Timely filing monitoring and alerts

We submit claims within 24-48 hours of receiving encounter data. That speed matters. The sooner claims are submitted, the sooner you receive payment.

Denial Management and Appeals

Claim denials happen—even to the best billers. What separates mediocre billing from excellent billing is how quickly denials get resolved.

Our denial management services include:

• • Root cause analysis for every denial
• • Immediate resubmission for correctable errors
• • Appeals with supporting documentation
• • Pattern tracking to prevent future denials
• • Direct payer contact for complex cases

We don't just fix denials. We determine why they occurred and adjust our process to prevent them from happening again.

Payment Posting and Reconciliation

Accurate payment posting keeps your books clean and your accounts receivable in good standing.

We post every payment within 24 hours, tracking:

• • Insurance payments and adjustments
• • Patient payments and balances
• • Denials and pending claims
• • Write-offs and contractual adjustments

You'll always know exactly where your money is and what's still outstanding.

Accounts Receivable Management

Outstanding A/R is money you've already earned but haven't collected. Our team follows up relentlessly until every dollar is accounted for.

A/R follow-up strategies include:

• • Weekly aging report reviews
• • Proactive payer outreach for claims over 30 days
• • Patient statement generation and follow-up
• • Payment plan setup for large balances
• • Write-off recommendations for uncollectible accounts

We typically reduce accounts receivable (A/R) aging by 40-60% within the first 90 days.

Credentialing and Payer Enrollment

Can't bill if you're not credentialed. Credentialing and payer enrollment take months—unless you have experts handling it.

Sparc Care manages:

• • Initial credentialing with all significant insurance panels
• • CAQH profile setup and maintenance
• • Re-credentialing before expiration dates
• • Medicare and Medicaid enrollment
• • Payer contract review and negotiation support

We track all credentialing deadlines so you never lose payer access due to expired credentials.