General Category > General Questions

Nutritionist billing

(1/1)

Cherylwilli:
I bill for mental health providers and have been asked by a nutritionist to process claims.  This is the first time the provider has been involved with insurance--usually her clients are self-pay--and has no idea how to go about submitting a claim.  The HMO has given the provider a fee schedule w/appropriate CPT codes, but these are only in increments of 15 mins.  The provider's sessions are 50-60 mins.  Does this mean that I can only bill for 15 min. sessions or is there a way around this?  If this is the case, it may not be worthwhile for me.  Thanks.

Cheryl

Michele:
You just need to bill one unit for each 15 minutes, so for a 50-60 minute session you would bill for 4 units.

Michele

Cherylwilli:
Your answer is so simple that it makes my question seem like a no brainer.  But billing for mental health is so straight forward, I had no idea.  Now it seems worthwhile to do her billing.  I appreciate your response.  Thanks.

Cheryl

Navigation

[0] Message Index