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Psychiatrists and psychiatric nurse practitioners

Psychiatry Billing Services for Private Practices

Medtransic bills insurance and handles credentialing for psychiatrists and psychiatric nurse practitioners (PMHNPs) in private practice. We bill evaluations, medication management visits and therapy added to those visits, in person or by telehealth, inside the software you already use. Billing is 4-8% of what we collect for you. Credentialing is $150 per application, per provider, and usually takes 60 to 90 days with each payer. There is no long-term contract.

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One visit, two services

Illustrative

Same-day visit, prescriber

Medication visit
Level by medical decision making
Added therapy
Its own time only
Note
Shows the two as separate
Seen
In person or telehealth
Before it goes out
Both checked
A medication visit with therapy added the same day, and what the note must show for each.
Billing
4-8%
of what we collect for you
Credentialing
$150
per application, per provider
Contract
None
no long-term contract
Software
SimplePractice
or the system you already use

Where psychiatry practices lose money

One psychiatric visit can mix medical and therapy billing, and each payer treats that mix differently.

Therapy added to a medication visit goes unpaid

Medicare requires the note to keep the two clearly separate, and therapy time cannot include the medical visit. If the note blurs them, the therapy is usually dropped.

Nurse practitioner claims billed the wrong way

Medicare pays a nurse practitioner billing under their own number 85% of the physician rate. "Incident to" pays the physician rate, but only when strict supervision and billing rules are met.

Telehealth billed to the wrong rules

Each payer sets its own telehealth rules, and Medicare treats mental health differently from other care. A claim missing the details a payer wants comes back denied or paid low.

New patients seen before credentialing is finished

Until a payer confirms your effective date, you are not in its network. Credentialing usually takes 60 to 90 days per payer, so start before the schedule fills.

What we run, and what stays with you

Medtransic runs

  • Insurance verification before new patient visits
  • Claims for evaluations, medication management and added therapy time
  • Payment posting, checked against what the payer should have paid
  • Denials and appeals, worked to a cause so they stop repeating
  • A/R follow-up before filing and appeal deadlines pass
  • Credentialing and re-credentialing for psychiatrists and PMHNPs

Your practice keeps

  • Clinical care, notes and prescribing decisions
  • Your EHR and your patient relationships
  • Approving write-offs and patient balance policies
  • Signing payer contracts (we prepare and track them)

Medicare rules psychiatry practices should know in 2026

Current as of October 2026. Telehealth and prescribing rules have end dates, so we re-check them before they change.

  1. 01

    Mental health telehealth at home

    Where it stands
    Permanent, anywhere in the U.S.
    Date to watch
    Home rules for most other services end after December 31, 2027
  2. 02

    In-person visit rule

    Where it stands
    Delayed
    Date to watch
    Starts January 1, 2028, then one in-person visit every 12 months
  3. 03

    Audio-only visits

    Where it stands
    Allowed
    Date to watch
    Through December 31, 2027; after that, behavioral health at home when the patient cannot or will not use video
  4. 04

    Supervision by live video

    Where it stands
    Counts as direct supervision; audio-only does not
    Date to watch
    Since January 1, 2026
  5. 05

    Controlled medications after telehealth

    Where it stands
    No prior in-person visit needed
    Date to watch
    Through December 31, 2026; DEA is working on a permanent rule
  6. 06

    2026 fee schedule cut

    Where it stands
    The 2.5% adjustment excluded time-based services, including behavioral health
    Date to watch
    2026

Getting each prescriber in network

We assemble the file once and track each application until you have an effective date.

License, DEA and NPI in order

An active state license, your NPI, and a DEA registration in each state where you practice if you prescribe controlled medications.

CAQH profile complete and attested

Most commercial payers read your CAQH Provider Data Portal profile; we complete it, upload documents and re-attest every 120 days.

Medicare enrollment in PECOS

If you take Medicare, we file your PECOS enrollment alongside the commercial applications, since it is a separate process.

Applications filed and followed up

We follow each application until approval and record the effective date in your client portal.

Payers set their own timelines; Evernorth, for example, says joining its behavioral health network can take up to 90 calendar days.

Payer notes for psychiatry

Where claims and credentialing go, and what each payer type expects.

Payer notes for psychiatry
PayerWhat to knowWhat we do
Behavioral health networksMany plans hand mental health to a separate network. The card may name one company while claims and credentialing go to another.Check which one applies before the first visit
MedicarePays for psychiatric evaluations, medication management and psychotherapy. Part D plans must cover protected classes, including antipsychotics, antidepressants and anticonvulsants.File Medicare enrollment in PECOS alongside commercial applications
MedicaidRules vary by state and managed care plan, including which providers can enroll and what needs approval first.Check the plan, not just the state

Your client portal, included

Your EHR shows what you billed. Your portal shows what we are doing about it.

Your EHR or practice management system runs your practice, but it does not show you our work. The Medtransic HIPAA Compliant Portal does: every claim and its current stage, the denials we are working, your A/R by age, each payer application and its in-network date, and the documents we still need from you. It is the same record our team works from, and it comes with every client account.

Did that claim get paid?
Every claim with its stage and amount, the denials we're working, and your receivables by age.
Where is my application with Aetna?
Each payer application shows its stage, its history, and the date you can start seeing that payer's patients.
What do you still need from me?
One list of the documents we're waiting on. Upload once, and it reaches every payer that asked for it.
See the client portal →
The billing screen in the Medtransic client portal: totals billed, paid, adjusted and outstanding, a twelve-month chart and A/R by age.
The billing screen. Shown with sample data. It works in any browser, on your desk or your phone. iPhone and Android apps are coming soon.

When we are not the right fit

  • If you are cash-pay only and do not plan to take insurance, you do not need a billing company. You may want credentialing later, if you join panels.
  • If a platform like Headway or Alma bills for you and the rates work, staying can be simpler. We help when you want your own contracts.

Questions psychiatry practices ask us

How much does psychiatry billing cost with Medtransic?

Billing is 4-8% of what we collect for you, with no long-term contract. Credentialing is $150 per application, per provider. The consultation before you sign is free.

Do you credential psychiatric nurse practitioners?

Yes, with Medicare, Medicaid and commercial payers. With each payer we set up whether claims go under the nurse practitioner's own number or incident to a psychiatrist, based on that payer's rules.

Can you bill a medication visit and therapy on the same day?

Yes, when the note shows both as separate services and the therapy time does not include the medical visit time. We check that both are supported before the claim goes out.

Does Medicare still pay for telepsychiatry at home?

Yes. Medicare's coverage of mental health telehealth in the patient's home is permanent. An in-person visit rule starts on January 1, 2028, as of October 2026.

Which systems do you work in?

We work inside your existing software, including SimplePractice, TherapyNotes, AdvancedMD, athenahealth, Tebra and DrChrono, so you do not change systems.

Keep reading

+ Sources: 10 checked 2026-10-03

Book a free consultation

We look at a sample of your actual claims and show you, line by line, where money is going uncollected. No commitment follows it.

(888) 777-0860Book a Free Consultation
HIPAA Compliant & SecureDedicated Account ManagerNo Long-Term Contract