AAPC - Back to school
Results 1 to 4 of 4

Thread: Physicians Order for Pcyhotherapy

  1. #1
    Join Date
    Apr 2007

    Default Physicians Order for Psychotherapy

    AAPC: Back to School
    I work for an article 28 clinic and am reviewing our psychiatric charts. I would like to know how agency's handle their treatment plans and orders for psychotherapy sessions.

    If I read this correctly, the ordering MD must sign the treatment plans, this is then used to certify medical necessity and the number of psychotherapy sessions ordered.

    If a patient's order for psychotherapy comes from say their primary care MD, does that mean he should be signing off on my LCSW's treatment plans to certify medical necessity? If so, do we still need a separate order written every 90 days?

    Currently treatment plans for patients who get their orders from outside of our agency are not signed by the ordering MD. We only have a written order from the patient's primary care doctor and I am told that is all we need to certify medical necessity. I dont think this is enough to satisfy Medicaid guidelines. Thoughts?

    According to the Medicaid Article 28 Manual

    In addition to the items that must be maintained in the enrollee case record, as specified
    in this Manual, such case record must also include the following information at a

    1. A signed and dated treatment plan that includes, but is not limited to, theenrollee’s diagnosis, the enrollee’s treatment goals and the number of sessionsordered by the physician/psychiatrist. The physician involved in the treatment must sign treatment plans and, in doing so, is ordering the service and certifying the medical necessity of those services.
    2. Dated and signed progress notes for each visit/contact identifying the sessioncontent and duration, as well as changes in goals, objectives, and services. Theclinical person who provided the service must write such notes.
    3. Periodic assessment of enrollee’s progress toward goal.
    Last edited by heatherwinters; 10-08-2009 at 10:57 AM. Reason: More information added.
    Heather Winters, CPC, CFPC

  2. #2
    Join Date
    Apr 2007

    Default Physician's Order

    Any thoughts on this would be greatly appreciated :-)
    Heather Winters, CPC, CFPC

  3. #3


    I'm not really sure what to say and It may be wrong, but I think that if a psychiatrist is not providing care then he shouldn't sign a treatment plan.

  4. #4
    Join Date
    Apr 2007

    Default Treatment Plan

    I guess specifically, the question would be, if the order for psychotherapy comes from a patient's primary MD, and not your in house psychiatrist, who signs the treatment plan other than the counselor? Treatment plans are supposed to be signed by an MD, how is this handled?
    Heather Winters, CPC, CFPC

Similar Threads

  1. HELP! Carotid angio 1st order/2nd order
    By csorensen21@yahoo.com in forum Interventional Radiology
    Replies: 2
    Last Post: 04-21-2014, 01:58 PM
  2. Use DX from order?
    By az2tn@yahoo.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-01-2013, 10:57 AM
  3. Replies: 3
    Last Post: 07-27-2012, 08:20 AM
  4. Order ?
    By Kimberley in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 08-23-2010, 11:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.