Billing for LCMHCA under supervisionAnswered
We are hiring a 1099 LCMHCA and will credential them with two different insurance companies. Our Biller (one who was featured in another post here in SP) told us that their supervisor must also be credentialed within our group to be able to bill insurance and have the claim go through.
Is there anyone with experience hiring LCMHCA's in North Carolina who can help us with this issue? Will we be able bill for them if someone is 'supervising' them in our group, but they also have another professional supervisor outside of our group? Our hire would like to stay with their current supervisor.
In my experience the answer to your questions varies by insurance company. I do this with Cigna in Georgia. They have been the only insurance company to provide me with a specific policy so they are the only ones I will do this with. I would not recommend doing this unless you have the insurance company's policy about how to bill it. In Cigna's policy it states that if the Supervised clinician is following state laws to practice legally then they can be billed under a credentialed practitioner. In Georgia we have all LAPC's contracted with a clinical supervisor (which may be outside of our practice) and a Director which does more of the administrative oversight within the practice. I will bill as the Director for LAPC's knowing that my associate therapists are under proper supervision and following the laws to practice but only because the policy is clear about this.
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