I’m Shehzad Waseem, an independent biller with 2+ years of experience. I handle claims, denials and A/R for psychiatric nurse practitioners, and you work with me directly.
No long contract up front. We start by looking at your real claims, then prove it works with a pilot.
1
Free claims review
Send a few de-identified claims or a denial summary. I’ll show you where money may be slipping through.
Free · no obligation
2
30-day pilot
We check payer contracts allow offshore access, sign a BAA, and I start working your claims.
Starts after your free review
3
Ongoing billing
Claims, denials, A/R and prior auths handled every week, with a simple report every month.
Same biller, every time
PMHNP billing specialistSW
04 About me
A biller who focuses on psychiatry.
I’ve been an independent biller for 2+ years, working with US providers on claims, denials and A/R. I’ve worked in Kareo/Tebra, SimplePractice and TherapyNotes, and sent claims through Availity and Jopari. If your practice uses something else, I’ll learn it.
I focus on psychiatry because the coding is specific enough that general billing misses things.
When you message me, you get me, the same person every time.
Shehzad Waseem · Founder, WaseemRCM
05 Working with someone in Pakistan
Offshore, but on your clock.
I’ll say it upfront: I’m in Pakistan, and I work US hours so you’re not waiting a day for a reply.
Before we start, we’ll check your payer contracts to make sure offshore access is allowed. Some payers restrict it, and I’d rather find that out in week one than in month three.
Karachi, Pakistan--:--
US Eastern--:--
I sign a BAA before I see anything.
I only access what billing needs.
I use my own login, never a shared one.
I don’t keep patient data anywhere else.
06 Monthly report
One clear summary. No confusing dashboards.
Every month you’ll see exactly where your money is, and I’m happy to walk you through it on a call.
What was billed
What was paid
What was denied, and why
What’s still sitting in A/R
Monthly summaryExample practice · one month
Sample data
Billed142 claims
Paid121
Denied → being worked9
Still in A/R12
Repeat denials are flagged with the cause, so they stop happening.
07 FAQ
Questions practices ask me
Still have a question?
Email me and you’ll get a reply from me, during US hours.
01What does a psychiatric billing service actually do?
I take care of the money side of your practice: submitting claims, posting payments, following up on denials and unpaid claims, and checking eligibility. You focus on patients, and I make sure the claims behind those visits get paid correctly.
02Which CPT codes do you work with?
Mainly the psychiatric codes: 90791 and 90792 for evaluations, E/M codes for medication management, and the psychotherapy add-ons (90833, 90836, 90838). I also handle telehealth claims. If your coding has a question I’m not sure about, I’ll flag it rather than guess.
03Do you bill for PMHNPs?
Yes, that’s my main focus. NPs run into their own issues with enrollment, credentialing and payer rules, and I keep those in mind when I check claims.
04How do you handle prior authorizations?
I check whether a service needs authorization before the visit, send the request, follow up with the payer and track the approval so nothing expires unnoticed.
05Can you bill telehealth sessions?
Yes. I check each payer’s current rules for modifiers and place of service, since these differ by payer and change often, before the claim goes out.
06What happens when a claim is denied?
I find the reason, correct the error and resubmit or appeal. If the same denial keeps coming up, I tell you what’s causing it so it stops happening.
07Will outsourcing save me money compared to hiring in-house?
Often it can, because you skip salary, training and software costs for a biller. Whether it makes sense for you depends on your volume and payer mix. After a free review I’ll give you an honest view, even if the answer is that it isn’t worth it yet.
08Do you work with practices that already have billing software?
Yes. I’ve worked in Kareo/Tebra, SimplePractice and TherapyNotes, and have sent claims through Availity and Jopari. If you use something else, I’ll learn it.
09How do you protect patient information?
I sign a BAA before I see any patient information. I only access what billing needs, and I use my own login (never a shared one). I don’t keep patient data anywhere else.
10How quickly can we start?
It depends on how quickly I get access to your system and what your current setup looks like. We start with a free review, then a 30-day pilot if it makes sense.
11Do you handle credentialing?
Credentialing isn’t my main service, but I can help when it’s part of what you need. That can include gathering the required information, preparing and submitting payer enrollment applications, and following up on their status. Since enrollment affects how and when your claims get paid, I’m happy to make sure it’s set up correctly. Tell me what you need during the free review and we’ll go from there.
12What reports will I get?
A simple monthly summary: what was billed, what was paid, what was denied, and what’s still sitting in A/R. No confusing dashboards, and I’m happy to walk you through it on a call.
08 Get in touch
Find out where your money is slipping through.
Send me a few de-identified claims and I’ll tell you where money may be slipping through. It’s free and there’s no obligation.
Where payments are held upDenial patterns, coding issues and aging A/R.
What’s fixable, and howClear next steps, not a sales pitch.
An honest viewEven if the answer is that outsourcing isn’t worth it yet.
Clean, accurate claims sent on time, with payments posted as they come in.
What I do
Submit claims and post payments
Check every E/M + add-on pair before it goes out
Code evaluations the way each payer expects
Check each payer’s current modifier and place-of-service rules before the claim goes out
Systems: Kareo/Tebra, SimplePractice and TherapyNotes, with claims sent through Availity and Jopari. If your practice uses something else, I’ll learn it.
I find out why a claim was denied, fix the issue and resubmit or appeal.
What I do
Find the reason, correct the error and resubmit or appeal
Appeal add-ons that were paid wrong
Correct and resubmit rejected evaluations
If the same denial keeps coming up, I tell you what’s causing it so it stops happening.
I follow up with payers on older unpaid claims so money doesn’t sit stuck.
What I do
Follow up on unpaid A/R
Chase older claims that nobody followed up on
Show what’s still sitting in A/R in your monthly report
I check insurance before the visit and obtain authorization when it’s required.
What I do
Check whether a service needs authorization before the visit
Send the request and follow up with the payer
Track the approval so nothing expires unnoticed
Accurate billing for evaluations, E/M, psychotherapy add-ons and telehealth claims.
Codes I work with
90791Psychiatric diagnostic evaluation
90792Psychiatric diagnostic evaluation with medical services
90833Psychotherapy add-on, 30 min, with an E/M visit
90836Psychotherapy add-on, 45 min, with an E/M visit
90838Psychotherapy add-on, 60 min, with an E/M visit
If your coding has a question I’m not sure about, I’ll flag it rather than guess.
