Medicare does not allow billing under a supervising provider for behavioral health services.
I do not believe this to be true. And see the following article below.
Here is a Medlearn article on Mental Health (and incident-to). In that article, it says that an LCSW cannot bill for staff services as incident-to. So the answer to the original question is no.
... therefore those services provided by this staff are not eligible for reimbursement.
I know for a fact this is not true! Master of Social Work is a degree, ALL of my social workers have this degree and they ALL are private practice and In Network with Medicare, not to mention half of your list is the same degree, just different scope of practice......Are you talking about something similar to incident to rules? The rendering behavioral health provider needs to be credentialed and bill under their own credential for behavioral health services. Medicare does not allow billing under a supervising provider for behavioral health services. Other payers do allow or require that you bill under a supervising physician/PsyD with appropriate modifiers.
From our MAC:
Providers or Suppliers not eligible to enroll in Medicare
The following is a list of providers or suppliers not eligible to enroll in Medicare. If a provider is not eligible to enroll he/she or the organization is not eligible to receive payment from Medicare.
- Assisted Living Facility
- Birthing Center
- Certified Alcohol and Drug Counselor
- Certified Social Worker
- Drug and Alcohol Rehabilitation Counselor
- Hearing Aid Center/Dealer
- Licensed Alcoholic and Drug Counselor
- Licensed Massage Therapist
- Licensed Practical Nurse
- Licensed Professional Counselor
- Marriage Family Therapist
- Master of Social Work
- Mental Health Counselor
- National Certified Counselor
- Occupational Therapist Assistant
- Physical Therapist Assistant
- Registered Nurse
- Speech and Hearing Center
- Substance Abuse Facility
Does the provider have to be a licensed clinical psychologist to bill incident to for their interns? I have a CSWA that is our intern and her supervising provider would be an LCSW. Could we bill incident-to? I've been researching this and trying to find documentation on this. I anyone could assist me, I would appreciate it.I know for a fact this is not true! Master of Social Work is a degree, ALL of my social workers have this degree and they ALL are private practice and In Network with Medicare, not to mention half of your list is the same degree, just different scope of practice......