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Addiction Psychiatry EHR and AI Medical Billing Software

Addiction psychiatrists treat substance use alongside depression, anxiety and other conditions. XEHR protects these records and bills therapy and medication correctly.

Chart · Office visit
LF
Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial
Eligible
BP128/82
HR72
BMI26.4
Temp98.6
Progress noteAI Scribe draft
S

Alcohol use disorder with depression; wants to stop drinking.

O

A

F10.20 Alcohol dependence, uncomplicated

P

ReviewSign note
Diagnosis carried to the claimF10.20

What makes addiction psychiatry billing hard

01

Two conditions, one plan

Most patients have a substance use disorder and another psychiatric condition at the same time. Each has to be assessed, documented and coded, and the treatment plan has to show how the two are being handled together, or payers question the visit.

02

Records with stronger privacy

Substance use treatment records from federally assisted programs need specific written consent before most disclosures. A general release is not enough, and a record sent to the wrong place is a reportable problem.

03

Medication and therapy in one visit

A single appointment often combines medication management and psychotherapy. Therapy is paid by documented time, so the two parts have to be written and timed separately to be billed together.

How addiction psychiatry care is delivered and billed

Addiction psychiatrists work in outpatient practices, hospitals, treatment programs and by telehealth. Visits and psychotherapy are billed on the professional claim; some programs follow federal rules for substance use records.

What payers check on addiction psychiatry claims

  • Substance use records from federally assisted programs need specific consent.
  • Psychotherapy is billed by time.
  • Co-occurring disorders are coded separately.
  • Telehealth requires payer-specific codes.
  • Controlled substance prescribing follows state monitoring rules.
Common addiction psychiatry diagnoses ICD-10-CM
F10.20Alcohol dependence, uncomplicated
F11.20Opioid dependence, uncomplicated
F33.1Major depressive disorder, recurrent, moderate
F14.20Cocaine dependence, uncomplicated
F41.1Generalized anxiety disorder
F10.230Alcohol dependence with withdrawal, uncomplicated

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

An addiction psychiatry visit, start to payment

  1. 1

    Assess use and mood together

    Substance use history, mental status, risk and standardized scale scores are documented in one structured evaluation.

  2. 2

    Start medication and therapy

    Prescriptions go out electronically after the state monitoring check, and therapy goals are written into the plan.

  3. 3

    Protect what must be protected

    Consent for each recipient is recorded, so referrals and care coordination share only what the patient allowed.

  4. 4

    Bill by service and time

    Evaluation, medication management and timed psychotherapy go on one checked claim, in person or by telehealth.

How XEHR helps

From the addiction psychiatry visit to the payment

  • Both diagnoses in one planThe note records each disorder, its severity and the shared plan, and the claim carries every diagnosis the note supports.
  • Disclosure follows consentSubstance use records are limited by role, each disclosure checks the consent on file, and every view is recorded.
  • Therapy time capturedPsychotherapy time is recorded apart from medication management, so both parts can go on the claim when they qualify.
  • AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.
Claim · CMS-1500
Sample claimLastname, Firstname M. · DOS 03/04/2026
Scrub passed
  1. Scrubbed
  2. Submitted
  3. Accepted
  4. Paid
ServiceDxUnitsCharge
Office visitE11.91145.00
A1c testE11.9128.00
Total173.00
ERA postedPayment applied, no re-keying
Agentic AI for addiction psychiatry

AI medical billing for addiction psychiatry practices

XEHR is an agentic EHR: AI agents do the administrative work around every addiction psychiatry visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

  • Substance use records from federally assisted programs need specific consent.
  • Psychotherapy is billed by time.
  • Co-occurring disorders are coded separately.
  • Telehealth requires payer-specific codes.
Around the visit

Agents run on their own

  • Coverage checked before each addiction psychiatry visit
  • The visit note drafted for the provider to sign
  • Insurance payments matched and posted
  • Open claims tracked, denials read and appeals drafted
People decide

Your team stays in charge

  • Providers sign every note
  • Billers approve every claim and appeal
  • Staff submit prior authorizations
  • Any check can be overridden, with a reason

Questions to ask before you choose an addiction psychiatry EHR

Ask every vendor, including us. The answers show whether a system was built for addiction psychiatry work or only adapted to it.

Ask us on a demo
  1. Do disclosures follow consent?
  2. Is therapy time recorded?
  3. Are co-occurring disorders coded?
  4. Can telehealth be billed?
  5. Is prescription monitoring checked?

Addiction Psychiatry practices ask us

Does XEHR support addiction psychiatry?

Yes. Medication, therapy and protected records are handled.

Can XEHR protect substance use records?

Yes. Access is limited and disclosures follow consent.

Can telehealth be used?

Yes. Telehealth visits are documented and billed.

Does XEHR record therapy time?

Yes. Time is recorded for each session.

Does XEHR support intensive outpatient programs?

Yes. Sessions are documented and billed.

Can group therapy be documented?

Yes. Group sessions are recorded.

Can lab results be tracked?

Yes. Results are recorded in the chart.

How much does XEHR cost for an addiction psychiatry practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an addiction psychiatry practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for addiction psychiatry

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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