90-Minute Sessions
Answered

Hello, I sometimes see clients for a 90-minute session (either for family therapy or a longer session to treat trauma), which the client and I agree to before a session starts. I know that insurance only pays for a maximum of 60-minutes, and the client is aware of this as well. Any advice on billing this (e.g. billing 90837 for the first 60-minutes and billing client for the additional 30-minutes)?

4 comments

  • 0
    Comment actions Permalink
    Avatar
    Gillian

    Hi Jack, one way to do this would be to add a self-pay Service under My Account > Settings > Billing and Services > Services - then, call it "Extended Session" and use a CPT code like 00000. Then, schedule the 60-minute appointment, and add a second 30-minute appointment with the new Service code following it. Finally, on the client's Billing page, switch the 30-minute appointment to Self-Pay by hovering your mouse over the session fee and flipping it to Self-Pay from Insurance. That way, when you create a claim for the 60-minute session from Billing > Insurance > Create and Submit Claims, the additional 30 minutes won't be pulled in. 

     

    Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.

    Hi Jack, one way to do this would be to add a self-pay Service under My Account > Settings > Billing and Services > Services - then, call it "Extended Session" and use a CPT code like 00000. Then, schedule the 60-minute appointment, and add a second 30-minute appointment with the new Service code following it. Finally, on the client's Billing page, switch the 30-minute appointment to Self-Pay by hovering your mouse over the session fee and flipping it to Self-Pay from Insurance. That way, when you create a claim for the 60-minute session from Billing > Insurance > Create and Submit Claims, the additional 30 minutes won't be pulled in. 

     

    Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.

  • 0
    Comment actions Permalink
    Avatar
    Jack Copley

    That sounds perfect. Thank you!

    That sounds perfect. Thank you!

  • 0
    Comment actions Permalink
    Avatar
    Jack Copley

    I just tried it on a fake client, and it worked like a charm!

    I just tried it on a fake client, and it worked like a charm!

  • 0
    Comment actions Permalink
    Avatar
    Gillian

    Great, Jack. Let us know if you'd like any additional assistance with this. 

    Great, Jack. Let us know if you'd like any additional assistance with this.