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LCSW and Integrated Care

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ask821:
I work for a LMHA  (Local Mental Health Authority) in Texas. With Integrated Care and 1115 waivers, we have a billing dilemma. We have a LCSW that has been privileged to do Mental Health diagnosis on admitted hospital patients when needed. We are pondering on how to bill for this service.                                                                                                                           We have many questions and so few answers. Do we bill as coordination of care or with an attending physician or without either? What would the place of service be ?                                                                                                                       Any help is greatly appreciated.     Thank you                                                               

PMRNC:
You really don't give enough information.

Are you looking for billng on professional component or facility?
is this LCSW credentialed along with the rest of the group?

ask821:
Will bill on professional component (cms 1500). LCSW is individually credentialed with Commercial Insurances,   Medicaid and Medicare.

kristin:
Without knowing anything about mental health billing, I can hazard a guess that the POS needs to be where the LCSW saw the patient face to face. Be it inpatient hospital (21), inpatient psychiatric facility(51), psychiatric facility partial hospitalization (52) or psychiatric residential treatment center(56). Someone else correct me if I am wrong?

Michele:
I believe Kristin is correct on the POS.  As for the rest I am not sure.  I don't think Medicare covers an LCSW seeing patients for the mental health codes with a POS of inpatient but I'm not sure about Integrated Care and 1115 waivers.  I would think it would be billed under the LCSW directly with the mental health codes.

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