Author Topic: Medicare Billing Limitations- mental health  (Read 892 times)

vickil

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Medicare Billing Limitations- mental health
« on: March 21, 2016, 03:04:22 PM »
Does medicare have limitations as to how many times per week a patient can get psychotherapy? I know authorization is not required. From everything I've read, I say no.....but must be able to provide notes proving medical necessity if asked. Anyone know for sure? Thanks.

rdmoore2003

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Re: Medicare Billing Limitations- mental health
« Reply #1 on: March 23, 2016, 09:12:08 AM »
We see alot of Medicare patients for psychotherapy.  I have never had an issue with any amount of visits per week and/or per year.
Regina

Michele

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Re: Medicare Billing Limitations- mental health
« Reply #2 on: March 24, 2016, 09:58:38 AM »
Same
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PMRNC

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Re: Medicare Billing Limitations- mental health
« Reply #3 on: March 24, 2016, 05:33:35 PM »
There is no administrative limit, just can not be seen more than once per day. If you are seeing a patient more than once a week, you might raise questions but there is really no limit. Just make sure that the medical record is documented to indicate the need for more than one session a week. CYA.
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