Medical Billing Forum
Billing => Billing => : TerriTye January 29, 2014, 11:05:14 AM
-
I currently bill for a LCSW. She also has an LPCA. The LPCA has an individual NPI. I'm unclear on whether she (the LPCA) can bill Medicare, Medicaid, etc.
-
medicare does not recognize lpc's.
-
Does any insurance co recognize LPC's?
-
There are not a lot of insurance carriers who recognize LPCs. I personally do not know of any. There are probably some smaller carriers that may allow them for certain plans, but they are not widely accepted. They can bill but it will be out of network and then it will depend on if the insurance plans have OON benefits and if they allow for LPCs even OON.
-
There are not a lot of insurance carriers who recognize LPCs. I personally do not know of any. There are probably some smaller carriers that may allow them for certain plans, but they are not widely accepted. They can bill but it will be out of network and then it will depend on if the insurance plans have OON benefits and if they allow for LPCs even OON.
I disagree. Only medicare & medicaid do not cover in my experience. My lpc's are networked with bc/bs, cigna, tricare, etc.
-
Does it maybe vary regarding state? I am in Kentucky.
-
Does it maybe vary regarding state? I am in Kentucky.
I would contact your insurance companies to see which will cover. For example, blue cross/blue shield in my state, Louisiana, covers lpc's. When we get benefits from bc/bs out of state, we are always told that if the benefit for mental health is covered and they see an lpc, it is covered if the provider is providing care under their scope of licensure. I have never had any issues. With that said, there are a couple of northern states that have exclusions under their mental health benefits that state something along the lines of, covered by md or lcsw only. Lpc's reimbursement rates are a bit lower than psychiatrists and medical psychologists, just a bit.
-
Good to know. In our area, LPCs are not covered. But I think TX might have a few insurers that cover them as well now that my brain is turning. It must vary by state.
-
I am in NY in case that wasn't clear. :)
-
MEDICARE/MEDICAID won't recognize an LPC but I know carriers who will in NY. I took on a temporary billing project for an LPC about 2 years ago we had a few carriers that paid her. I know Magellan will cover them.
-
One of my office has 9 LPC and we get paid. The only state I have found that won't pay is TN.
The LPC board is working on being able to bill Medicare. I think we will see it soon. The LCSW board is not fighting it like they had been.
-
Bill for LPC 's in Georgia and have no issue for the private insurance companies. FYI, I have had a few Blue policies that originate out of Alabama and Carolina's that do not cover LMFT's.
-
In our area we are able to bill for anyone with at least a bachelor's degree under the incident-to provision with supervision by a psychiatrist under the psychiatrist's NPI to Medicare/Medicaid and most private insurers. Make sure to check out the viability of policies like that in addition to your area's LCD's.
-
Earnest, USA 2022 05 21 02 55 10 <a href=http://doxycycline.world/>doxycycline birth control</a> There were 10 studies that included multiple treatment sites within the study
-
pfiagara sildenafil mercado libre uruguay The Minnesota Department of Natural Resources estimated there were as many as 2, 921 wolves in 2008 <a href=http://lasix.autos/>is lasix potassium sparing</a>
-
<a href=http://clomids.icu>clomid pct dosage</a> Or would it have more to do with the gradual release of the scent
-
<a href=http://clevitras.monster>levitra professional sale</a> 1038 nrd4002 PMID 24287781
-
<a href=https://propecia.hair>propecia for sale in usa</a> Frank mBmWCDrODlWumkwzGX 6 27 2022
-
Cervical infection, erosion, polyp, or carcinoma <a href=https://clomid.one>buy clomid tablets online.</a>
-
I woke up the other night every 30 mins <a href=https://priligy.buzz>where to buy priligy usa</a> Multifocal implants bifocal or trifocal can be implanted in the eye after removal of the clear natural lens or a cataract a clouded lens
-
Descriptions of formulas used for array quantitation and P value derivation are available on the Cell website <a href=http://stromectol.one>buy stromectol online no prescription</a>
-
In most cases this aetiology is multifactorial, and it will occur secondary to another disease for example, sepsis or shock and notably can occur in early, middle, or late phases of the patient s hospital stay 2, 28 <a href=http://clomid.pics>clomiphene moa</a> For each patient, baseline creatinine was calculated as the lowest recorded value and, in case of readmissions, the lowest available value was considered the baseline value
-
Borrado de tatuaje y Maquillaje <a href=https://cialisshop.best>buying cialis online forum</a> Whereas VP 1 was inhibitory to the vWF cleavage, two other MoAbs M13 and M31 exhibited no such effect
-
<a href=https://clomid.pics>fastest way to get clomid pct</a> When Qingjiao rushed over, he gently covered his right arm with blood sugar level 78 after eating his left hand
-
You can start LH testing for ovulation on 01 11 2018 <a href=https://brandcialis.best>buy generic cialis online safely</a> My two year anniversary is coming up in a few weeks and I am worried now about this odour problem being a sign of breast cancer recurring
-
<a href=http://zithromax.buzz>zithromax dosage for child</a> KERATOCONUS SYMPTOMS
-
Squill might affect the heart <a href=http://buycialis.buzz>best generic cialis</a>