Author Topic: Billing for Individual and Group Mental Health Sessions on the same day  (Read 1580 times)

maternalone

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Hi there,

Can anyone point me in the right direction as to how, if possible, to bill for an Individual Session (90837) and a Group Session (90853) for the same patient on the same day. This for outpatient in office mental health with an LCSW.  Your assistance would be greatly appreciated.

Thank you. 

Billing2

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Re: Billing for Individual and Group Mental Health Sessions on the same day
« Reply #1 on: November 01, 2015, 12:50:43 PM »
Is it the same provider doing both?

Michele

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Re: Billing for Individual and Group Mental Health Sessions on the same day
« Reply #2 on: November 02, 2015, 11:11:57 AM »
You can bill them both on the same date, the question is whether or not the insurance plan will allow them both.  It will depend on the plan.  If they deny you can try to appeal but there is no guarantee that they will reimburse for both on the same day. 
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maternalone

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Re: Billing for Individual and Group Mental Health Sessions on the same day
« Reply #3 on: November 02, 2015, 11:57:25 AM »
Thank you Michelle.  I have tried to explain this to my providers.  It's nice to have it come from someone of much more experience and greater all around knowledge.  Again, thank you. 

rdmoore2003

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Re: Billing for Individual and Group Mental Health Sessions on the same day
« Reply #4 on: November 04, 2015, 08:36:39 AM »
If the same provider is doing both, insurance will not cover.
Regina

PMRNC

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Re: Billing for Individual and Group Mental Health Sessions on the same day
« Reply #5 on: November 04, 2015, 12:11:57 PM »
Even if there were different providers, even different groups most plans will not pay for two visits on the same day. Only time I've been able to get billed for two sessions if for crisis using crisis codes. Even still need authorization.
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