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Documenting Medical Necessity for Psychotherapists

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Health Insurance (including billing)

medicare and telehealth coverage demonstration

March 2, 2025

Medicare and Telehealth Coverage: Clearing Up the Confusion

Life before telehealth is a dim memory. You may have given up your office during the pandemic, saw all your clients virtually and now prefer to keep it that way. Or you have a hybrid practice of in-person and virtual services. So, like me, you may have panicked when you heard that Medicare providers … [Read more...] about Medicare and Telehealth Coverage: Clearing Up the Confusion

Health Insurance (including billing) billing,  coverage,  medicare,  reimbursement,  telehealth

how to opt of of medicare as a mental health therapist and still see medicare clients and get paid

October 31, 2023

How to Opt-Out of Medicare and Still Get Paid

Your Guide to Opting Out of Medicare as a Mental Health Provider: and How Medicare Clients Can Get Reimbursed Yes, it is possible to see a Medicare client, get your full fee, and for the client to not have to pay for your service. The process isn’t even that difficult. Unlike most things … [Read more...] about How to Opt-Out of Medicare and Still Get Paid

Health Insurance (including billing) billing,  medicare,  opt-out,  private pay,  reimbursement

clinical mental health documentation workman's comp

March 23, 2023

Mental Health Documentation for Worker’s Compensation

Mental Health Documentation for Worker’s Compensation A therapist recently asked me how to document for a Worker’s Compensation claim.  Some companies will accept a summary of treatment.  Most will want the client’s full record.  That will include the Diagnostic Assessment, Treatment … [Read more...] about Mental Health Documentation for Worker’s Compensation

Health Insurance (including billing) documentation,  records request,  summaries,  workers' compensation

No Surprise Act

January 10, 2022

No Surprise Act May Be a Surprise

No Surprises Act May Be a Surprise Happy New Year! I hope you had a wonderful holiday celebration and got some time to relax and recharge. Because change is here. Effective January 1, 2022, the new NO SURPRISE ACT (NSA) is an unwelcome surprise for many therapists! Very briefly, the … [Read more...] about No Surprise Act May Be a Surprise

Health Insurance (including billing) Good Faith Estimate,  No Surprises Act,  NSA,  private practice

clinical documentation specialist psychotherapy adjustment disorder

December 2, 2020

Can Adjustment Disorder be Billed for Longer Than 6 Months?

Is it possible to bill insurance for someone who has Adjustment Disorder for longer than 6 months? Will this be a red flag and trigger an audit? As is typical, when it comes to answers for psychotherapy – maybe and maybe not.  To understand the answer to this question, it’s necessary to know … [Read more...] about Can Adjustment Disorder be Billed for Longer Than 6 Months?

Health Insurance (including billing) adjustment disorder,  billing duration,  documentation,  DSM-5,  insurance audit,  medical necessity

Get higher reimbursement rates with hand drawing an upward arrow

June 23, 2019

Documenting Mental Health CPT Code 90837

Many therapists provide a 60 minute session but afraid of triggering an audit, they do not bill for it. We love our work but unless we are independently wealthy, we need to be paid to do it. We don’t get paid for providing psychotherapy. We get paid for our time. Psychotherapy is what we spend our … [Read more...] about Documenting Mental Health CPT Code 90837

Health Insurance (including billing) audits,  billing,  CPT 90837,  medical necessity

SSI Computer with application for Disability Insurance

June 29, 2016

When a Client Wants SSI or SSDI

A therapist recently asked me how to handle a request from the Social Security Administration for the medical records of a client she hadn’t seen in several months and only for two sessions.  The request was accompanied by a signed release so it was legitimate. Not having access to the … [Read more...] about When a Client Wants SSI or SSDI

Health Insurance (including billing) documentation,  records request,  releases,  SSDI,  SSI

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Boston, MA 02130

Phone: (617) 522-6611
Email: bethrontal@documentationwizard.com

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