Psychiatry billing support for Alberta physicians

Assessment types, therapy session billing, and time-based modifiers — reviewed against Alberta SOMB rules.

ABPhysCode helps Alberta psychiatrists review billing for initial and follow-up assessments, therapy sessions, and time-based encounters with structured code suggestions and modifier checks.

Why psychiatry billing has specific complexity

Psychiatric billing in Alberta involves distinct assessment categories, time-dependent session codes, and modifiers that differ from most other specialties. The distinction between initial and follow-up psychiatric assessments, individual vs. group therapy coding, and time-based billing thresholds creates opportunities for both underbilling and documentation risk.

What ABPhysCode does for psychiatry

• Reviews encounter context to suggest appropriate assessment level codes
• Checks therapy session coding against time thresholds and session types
• Flags time-based modifier applicability for extended encounters
• Surfaces documentation requirements specific to psychiatric assessments
• Identifies after-hours and hospital modifier opportunities

Common psychiatry billing gaps

• Billing a follow-up assessment when the encounter qualifies as a comprehensive initial
• Missing time-based add-on codes for extended therapy sessions
• Not applying eligible after-hours modifiers to evening or weekend sessions
• Insufficient documentation to defend assessment-level coding

Safety framing

ABPhysCode is assistive billing decision support — not a claims submission service. Final billing decisions and verification remain with the physician. Always confirm against current official SOMB references.