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 CMS changes that expand behavioral health care management participation for clinical psychologists and clinical social workers, and it also discusses supervision and incident-to policy updates affecting licensed professional counselors and licensed marriage and family therapists. It is relevant to medical coders, billing staff, compliance teams, and behavioral health practices that follow Medicare guidance for mental health and substance use disorder services. The article presents a general overview of the affected service categories, practitioner eligibility, and implementation considerations described in the final rule.
Why This Topic Matters
Medicare coverage and supervision changes can affect which behavioral health services may be reported, who may furnish them, and how organizations structure billing and care delivery.
Article Sections
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Behavioral health
Overview of CMS changes related to behavioral health care management and the practitioner types affected by the update.
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Counselors welcome
Discussion of incident-to supervision policy changes and the broader behavioral health services framework for additional practitioner groups.
What You Will Learn
- Which behavioral health policy areas the CMS update addresses
- Which practitioner groups are discussed in relation to Medicare billing and supervision
- How the article frames the relationship between care management and incident-to behavioral health services
- What kinds of operational and compliance considerations are raised by the policy change
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Behavioral health practice managers
- Compliance professionals
- Physicians and nonphysician practitioners
- Mental health providers
Codes Discussed
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