May 7, 2013
Reminder: Mental Health Providers
In an effort to comply with Evaluation and Management (E&M) guides, as well as scope of practice provisions, BCBSKS will not allow E&M services when billed by a Licensed Clinical Social Worker, Licensed Certified Marriage and Family Therapist, Licensed Clinical Psychotherapist, Licensed Clinical Professional Counselor, PhDs, etc. BCBSKS will deny E&M services by these provider types for proper billing of the appropriate psychotherapy service (90832-90853).
If you have any questions, please contact your professional relations provider representative.