Psychiatric Care: Prevent Claim Denials

In 2023, the improper payment rate for outpatient psychiatry services was 13.5 percent with a projected improper payment amount of $186.1 million (see 2023 Medicare Fee-for-Service Supplemental Improper Payment Data (PDF)). Learn how to bill correctly for these services. Review the Outpatient Psychiatric Care provider compliance tip for more information, including:

  • Billing codes
  • Denial reasons and how to prevent them
  • Covered and non-covered services
  • Service frequency and duration
  • Resources

Source: CMS MLN Connects May 22, 2025

Last Updated May 29 , 2025