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Medicare Counseling Coverage Explained

Medisys Compliance

Navigating the complexities of medical billing is a constant challenge, especially for mental health providers. Understanding Medicare coverage for counseling can feel particularly challenging, but it is crucial. And how can I ensure my practice is billing correctly and maximizing reimbursements?

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Teletherapy Billing: A Comprehensive Guide for Providers

Medisys Compliance

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Understanding payer-specific policies is essential for timely reimbursement.

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A Comprehensive Guide to CBT Billing

Medisys Compliance

It is commonly used to treat: Depression Anxiety disorders Insomnia Post-traumatic stress disorder (PTSD) Obsessive-compulsive disorder (OCD) Chronic pain management Providers delivering CBT often include psychiatrists, psychologists, clinical social workers, and licensed therapists. Key Components of CBT Billing 1.

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Potential 2025 Behavioral Health Billing Changes to Watch For

Medisys Compliance

Audio-Only (Phone) Sessions During the public health emergency, many payers, including Medicare, expanded coverage to include audio-only telehealth for behavioral health. Interstate Practice and Licensing Telehealth has blurred state lines. Billing complexities: Billing across state lines can already be complex.

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Medicare Coverage for Chiropractic Manipulative Treatment (CMT)

Medisys Compliance

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Billing Medicare Telehealth during COVID-19 PHE

Medisys Compliance

During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located. Some important changes to Medicare telehealth coverage and reimbursement during this period include: Location. Eligible providers.

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Billing for Medicare Annual Wellness Visit (AWV)

Medisys Compliance

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.