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psychology

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rdmoore2003:
we are TricareSouth.   the pt. is active duty and was referred by his supervisor.    pt has been seen by our medical psychologist for medication and sees an lpc for extended therapy.   now, they recommend that he also join a ptsd group.   all has been authorized, but pt does have a bit of travel to get to us.  since all are authorized, could we:
1.  see him for his med check -90805 and ptsd group -90853 in the same day, same provider?
2.  see him for his extensive individual therapy by lpc on different day.

I hope this makes sense.

Michele:
I would run it by Tricare.  Even though all services are authorized it doesn't mean they will allow them the same day.  Explain that there is travel involved and you are doing it for the convenience of the active duty patient.

PMRNC:
Active or non-active Tricare will not pay for more than one therapy code/visit per day.. period.

Michele:
Thanks for clarifying, I didn't think so but I don't deal much with Tricare so I wasn't sure. 

rdmoore2003:
thanks Linda.    I was just seeing if there was a way around it.   

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