Hopefully this helps.....See attachment...(Had a local FL BLUE rep send me)
Have you thought about billing as a Behavioral Health Outpatient Clinic Group?..Is this something a facility can do?..... I pulled this from FL BLUEs site:
Behavioral Health Outpatient Clinic Groups
Behavioral Health Outpatient Clinic (BHOC) groups are comprised of outpatient clinics that provide professional services performed by Licensed Clinical Social Workers (LCSWs), Behavioral Analyst Doctorate (BCAD), Board Certified Behavioral Analyst (BCBA), Board Certified Assistant Behavioral Analyst (BCaBA), Licensed Marriage and Family Therapists (LMFT), Licensed Mental Health Counselor (LMHC), associated with Psychiatric and Substance Abuse (PSA) facilities and Community Mental Health Centers (CMHC).
All services provided by the BHOC group in the PSA facility or CMHC will be applied to the member?s total outpatient visits. Benefits for the BHOC groups match the benefits applied to behavioral health professionals.
Providers participating in the New Directions Behavioral Health network should follow billing guidelines as instructed by New Directions via their website at
www.ndbh.com. If there are any questions, New Directions can be contacted by phone at 1-888-611-6285.
Billing Requirements
BHOCs should be billing with place of service ?11?.
The Facility?s NPI number should be placed in block 24J and in block 33a. The individual rendering master level clinician NPI number is not needed for these claims.
IMPORTANT: LMHC and LMFT license types are excluded from seeing Medicare members.