Light Up The Couch Couple Therapy: Yes, You Can Bill Insurance For It… Here’s How, Ep. 103
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Sep 17, 2020 Barbara Griswold, a licensed marriage and family therapist and insurance consultant, dives into the complex world of billing insurance for couples therapy. She debunks common myths that therapy isn't billable and emphasizes the importance of having a covered diagnosis. Learn how to navigate initial assessments without medical necessity and document effectively using specific CPT codes. Barbara also tackles telehealth billing nuances and pitfalls to avoid, making her insights invaluable for therapists eager to understand insurance intricacies.
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How Barbara Built Her Insurance Niche
- Barbara Griswold built her insurance expertise by helping colleagues with claims and then formalizing training and consulting.
- Her workshops and book grew from demand after many therapists asked for her help.
Couples Therapy Can Be Covered
- Couples therapy can be billable to insurance; blanket statements that it isn't are often wrong.
- Coverage depends on documented clinical necessity and a diagnosable condition for someone in the room.
Assess Before Promising Out-Of-Pocket
- Assess clinically before ruling out insurance coverage and look for any diagnosable condition.
- Bill only when you can document medical necessity tied to an appropriate DSM diagnosis.
