Psychiatry EHR and AI Medical Billing Software

Psychiatry combines medication management, therapy, telehealth and strict confidentiality. XEHR supports all four in one record.

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Includes Addiction Psychiatry Child and Adolescent Psychiatry Forensic Psychiatry Geriatric Psychiatry

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Medication follow-up; sleep improving.

F33.1 Major depression, recurrent, moderate

ReviewSign note

Diagnosis carried to the claimF33.1

THE HARD PARTS

What makes psychiatry billing hard

Therapy time with a medication visit

Psychotherapy added to a medication visit is billed by time, and the note must show it.

Controlled-substance prescribing

Stimulants and other controlled drugs need secure e-prescribing.

Records that need extra protection

Mental health and substance use records carry stricter disclosure rules.

WHERE THE WORK HAPPENS

How psychiatry care is delivered and billed

Psychiatrists work in outpatient practices, hospitals, community mental health centers and, increasingly, by telehealth. Visits combine medication management and psychotherapy, billed by service and time on the professional claim. Psychotherapy notes and substance use treatment records carry stronger privacy protection than the rest of the chart, and mental health parity laws govern how plans can limit coverage.

What payers check on psychiatry claims

Psychotherapy is billed by time, and the start and stop times or total time must be documented.
Psychotherapy added to a medication visit is billed separately only when its time is documented separately.
Psychotherapy notes kept separately have extra privacy protection under HIPAA.
Substance use disorder treatment records from federally assisted programs carry additional consent rules.
Behavioral health telehealth has its own place of service and modifier rules by payer.

Common psychiatry diagnoses ICD-10-CM

F33.1	Major depressive disorder, recurrent, moderate
F41.1	Generalized anxiety disorder
F43.10	Post-traumatic stress disorder, unspecified
F31.9	Bipolar disorder, unspecified
F90.2	Attention-deficit hyperactivity disorder, combined type
F20.9	Schizophrenia, unspecified

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.

A VISIT ON XEHR

A psychiatry visit, start to payment

1
Evaluate

The psychiatric evaluation records history, mental status and risk, with standard scales where used.
2
Medication and therapy

Medication management and any psychotherapy are documented separately, with therapy time recorded.
3
Protect the notes

Psychotherapy notes are kept apart from the medical record and shared only with consent.
4
Bill by service and time

Evaluation, management and therapy go out on one checked claim, in person or by telehealth.

How XEHR helps

From the psychiatry visit to the payment

Time documented for billingTherapy time recorded in the note carries onto the claim.
EPCS e-prescribingControlled substances are prescribed electronically, enabled per practice.
Access controlled and recordedAccess follows each role, and every access is recorded.
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

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for psychiatry

AI medical billing for psychiatry practices

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

Before the claim leaves

The claim-check agent looks for

Psychotherapy is billed by time, and the start and stop times or total time must be documented.
Psychotherapy added to a medication visit is billed separately only when its time is documented separately.
Psychotherapy notes kept separately have extra privacy protection under HIPAA.
Substance use disorder treatment records from federally assisted programs carry additional consent rules.

Around the visit

Agents run on their own

Coverage checked before each 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

BUYER'S GUIDE

Questions to ask before you choose a psychiatry EHR

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

Ask us on a demo

Is psychotherapy time recorded separately from medication management?
Are psychotherapy notes kept apart with stronger protection?
Do substance use records follow consent rules?
Can telehealth be billed with each payer’s codes?
Are standardized scales recorded with scores?

QUESTIONS

Psychiatry practices ask us

Does XEHR support EPCS for psychiatry?

Yes. Controlled-substance e-prescribing runs through a certified partner and is enabled per practice.

Is telehealth built in for psychiatry?

Yes. Video visits run inside XEHR with the note and claim.

Does XEHR protect psychotherapy notes?

Yes. Psychotherapy notes are kept separate and access is limited and recorded.

Can psychiatrists see patients by telehealth in XEHR?

Yes. Telehealth visits are documented and billed with the payer’s required codes.

Does XEHR support group practices with therapists?

Yes. Therapists and psychiatrists document and bill under their own credentials.

Can psychiatrists prescribe from XEHR?

Yes. Prescriptions are sent electronically to the patient’s pharmacy and recorded in the chart.

How much does XEHR cost for a 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 a 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.

SUBSPECIALTIES

Psychiatry subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for psychiatry

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

Book a demo See pricing