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Mental Health & Family Therapy
Practice guidance for counseling, telehealth, identified patients, and family therapy claims.
Private Pay Therapy Needs More Than a Posted Session Price
Private-pay therapy practices need usable good faith estimates. Review recurring services, expected charges, and changes to the treatment arrangement.
Rachael Lara
Oct 122 min read
A Therapy Hour on the Calendar Does Not Choose the Code
Psychotherapy coding follows actual treatment time. Review counseling appointment defaults, documentation, and shortened sessions before billing.
Rachael Lara
Oct 122 min read
Family Therapy Claims Need an Identified Patient
Several people can participate in one patient’s treatment A family attends a therapy session together. The practice now needs to explain whose treatment the encounter represents, how the others participated, and which service was provided. That question matters clinically before it matters financially. Participation in a session does not automatically make every person an independently treated patient with a separately billable service. A Medicare contractor’s psychiatry and
Rachael Lara
Oct 52 min read
A Telehealth Patient Can Travel Even When the Therapist Does Not
The address on file may not be today’s location A counseling patient logs in from a familiar account, but today they are visiting relatives in another state. Their insurance card and home address have not changed. Their physical location has. Before the session proceeds, the practice needs to determine whether the clinician has authority to provide care where the patient is located. HHS describes several possible interstate pathways, including a full license, qualifying tempo
Rachael Lara
Oct 52 min read
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