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Specialty Medical Billing Services

Specialty-Specific Billing Expertise for Every Practice

Radius Global RCM provides tailored revenue cycle solutions for hospitals, clinics, and specialty practices with coding, payer, and denial management expertise built around each specialty.

Featured Specialty

Psychiatry & Behavioral Health

Billing Challenges

High claim denial rates due to complex psychiatric coding including E&M codes, psychotherapy add-ons (90833, 90836), and interactive complexity codes that are frequently miscoded or bundled incorrectly.

Payer-specific limitations on session length, frequency of visits, and medical necessity documentation make psychiatric billing uniquely prone to underpayment and prior authorization denials.

Mental health parity compliance is inconsistently enforced by payers practices often receive lower reimbursements for behavioral health services than equivalent medical services, requiring aggressive appeal strategies.

Our Approach

Radius Global deploys a dedicated psychiatric billing team with deep expertise in behavioral health coding, parity laws, and payer-specific rules. We ensure that every psychotherapy session, evaluation, medication management visit, and group therapy encounter is coded with the correct time-based codes, add-on codes, and modifiers maximizing reimbursement on every claim.

Our denial management specialists actively track psychiatric claim trends and proactively appeal all mental health parity violations and medical necessity denials. We maintain a real-time prior authorization tracker so no session is billed without the required approval eliminating retroactive denial risk entirely.

Common CPT / ICD-10 Codes

CodeDescription
90791Psychiatric Diagnostic Evaluation
90832Psychotherapy, 30 minutes
90834Psychotherapy, 45 minutes
90837Psychotherapy, 60 minutes
90833Psychotherapy add-on to E&M (30 min)
99213Office Visit Established Patient, Low Complexity
99214Office Visit Established Patient, Moderate Complexity
F32.1Major Depressive Disorder, single episode, moderate
F41.1Generalized Anxiety Disorder
F20.9Schizophrenia, unspecified

Payer Mix Expertise

MedicareMedicaidBlue Cross Blue ShieldAetnaUnitedHealthcareCignaTricareHumana

Case Study

Allen Psychiatry Hospital, Texas - denial rate reduced by 62% and revenue increased 34% in six months.

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