decisionhealth Newsletters, Part B News - 2022 Issue 11 (November)
Medicare opens care management services to psychologists, social workers
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Article Overview
This article covers a Medicare policy update on behavioral health service billing, including new care management availability for certain behavioral health professionals and changes to supervision rules for incident-to services. It is relevant to coding professionals, billing staff, behavioral health practices, and administrators who need to understand which provider types and service categories are affected by the final rule.
Why This Topic Matters
The policy changes expand access to Medicare behavioral health services and alter how some services may be furnished and supervised, which can affect billing workflows, provider participation, and compliance planning for practices that deliver mental health or substance use disorder services.
What You Will Learn
- How Medicare is updating behavioral health care management coverage for certain nonphysician providers
- Which provider groups are discussed in relation to behavioral health service billing and supervision
- How incident-to supervision rules are being modified for behavioral health services
- What general categories of mental health and substance use disorder services are implicated by the policy update
Who Should Read This
- Medical coders
- Billing specialists
- Practice managers
- Behavioral health providers
- Compliance staff
- Healthcare administrators
Codes Discussed
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