Results 1 to 3 of 3

Thread: Billing supervision of interns for Psych Testing.

  1. #1
    Join Date
    Apr 2007
    Location
    Saint Paul
    Posts
    54

    Default Billing supervision of interns for Psych Testing.

    Promo: Code Books
    Hello,
    We have 3 CP interns and 1 Fellow who are currently supervised in our practice.

    We have recently run into a few questions that I am not 100% sure about.

    These interns/fellows see clients for psychological testing and are supervised by a CP. I learned today that the CP that is supervising the psych testing is not necessarily the intern/fellows supervisor, so I believe that in the cross communication, some billing may have been sent out under the wrong supervisor. The intern supervisor and the pysch testing supervisor meet, however it is the testing supervisor who is directly involved in the psych testing.

    My question is, does the intern supervisor still qualify to bill for services, even though the testing supervisor is the psych testing CP who is directly supervising the interns/fellow for the psych testing?

    I was double checking the CMS guidelines and was unable to find the direct answer to this question.

    Link Below
    http://www.cms.gov/manuals/Downloads/bp102c15.pdf


    Also, on page 96 I ran across something that was "interesting" to me.... It says that "Under the physician fee schedule, there is no payment for services performed by students or trainees."

    I am perplexed by this to a point. I don't "think" this would include our interns/fellow, as they have their accreditation, but I would appreciate any feedback on this as well.

    Thanks so much!!

  2. #2
    Join Date
    Apr 2007
    Location
    Louisville, KY
    Posts
    1,100

    Default

    Clinical psychology interns are students and the services are not billable (as psychologists). However, you may be able to capture the time as "technician" time, but I'd directly address that with your Medicare carrier.

    The term "fellow" for psychology folks is quite different from Resident Fellows (who are MDs). Therefore, I'd reach out to determine if this "fellow" has a license to practice psychology in your state. If the answer is no, then those interpretation and administration services, too, would not be billable.

    Personally, my guess is that any service provided by a student, intern or fellow of psychology is not billable. If, and only if a service is actually performed by a licensed psychologist (e.g., interpretation, assessment, etc), then it becomes billable. Otherwise your practice eats the costs of care.

    I do hope this helps. Just know that Medicare's Teaching Physician Guidelines primarily relate to medical school graduates (licensed doctors) in residency. In health care we toss around the same terms, but they have very different meanings in each discipline.
    Last edited by kevbshields; 01-24-2012 at 07:57 PM.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007
    Location
    Saint Paul
    Posts
    54

    Default

    Thanks so much for the feed back. Would you happen to know where I can find further information regarding CP and interns?

    Now I am totally worried that what I have been told is standard practice may not be. I never questioned my predicesor, however, now I want to know if I have been misinformed...

    We currently bill for all 3 CP interns, the fellow, as well as 3 LICSW interns under their supervisor....

    Thanks for your feedback!

Similar Threads

  1. Psych Testing CPT 96103
    By celcano in forum Behavioral Health
    Replies: 0
    Last Post: 08-19-2015, 10:31 AM
  2. Psych testing - 96101,96103
    By bridgettemartin in forum Behavioral Health
    Replies: 1
    Last Post: 06-18-2015, 12:33 PM
  3. Psych Testing
    By lwicker in forum Behavioral Health
    Replies: 1
    Last Post: 02-09-2011, 04:47 PM
  4. Psych testing questions
    By 1073358 in forum Behavioral Health
    Replies: 3
    Last Post: 02-11-2009, 11:41 AM
  5. Code 90887 - Explanation of Psych Testing
    By mmcinnis in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-20-2008, 11:36 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?

Login

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.