MI here, I have a Group practice I bill for. Our local BCBS says that a limited License Social worker can not be credentialed with them. However the new LLMSW doesnt care what I say and tries to find away around what I say. So he called there provider rep and the provider rep said "of course you can bill". I called the rep also as well I can use the LLMSW under the group as he is not credentialed. This provider rep says Sure you can just put the the supervisor as the rendering and and group as billing and put a modifier on it.... Umm, thats fraud, right? I am not sure if I am over thinking this and since it say AJ than it really is ok? Or is there a different CPT for supervision other than the normal 9083/4/7 and I didnt see it? I would still need his name on the claim form somewhere, right? Here is what the provider rep sent as proof. Please help.
Outpatient psychiatric care - facility | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Remember to record the start and end times for psychotherapy sessions. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
For Telemedicine visits, continue to bill the behavioral health procedure codes currently approved for OPC providers and append the appropriate modifiers. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
For telephone (audio) and visual visits, OPC providers should include modifiers on the claim in the following order:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||
For telephone (audio) only visits, OPC providers should include the rendering provider modifier, as appropriate, and the place of service code 02. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||