Between Sessions with Berries

What Group Practices Get Wrong About Supervisory Billing with Susan Frager

Berries Episode 58

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0:00 | 46:03

If you run a group practice and want to bring on provisionally licensed clinicians, figuring out how (or whether) you can bill for their work gets complicated fast. Every insurance company defines the rules differently, the terminology gets misused even by the payers themselves, and getting it wrong can put both your reimbursement and your caseload at risk.

In this episode, Kym sits down with Susan Frager, MSW, a credentialing and billing consultant, coach, and instructor for mental health professionals, billers, and administrative staff. Susan breaks down the terminology insurers routinely get wrong, walks through what actually happens when a supervisee gets licensed, and explains why some of the biggest billing platforms in the industry are more connected to insurance companies than most practice owners realize.

In This Episode, We Cover:

  • The real difference between incident to billing and supervisory billing.
  • Which major insurance companies allow supervisory billing, and where the rules get complicated.
  • Why keeping supervisee caseloads small helps protect your practice from audit triggers.
  • What happens in the gap between a clinician getting licensed and getting fully credentialed.
  • How to find out whether an insurer allows supervisory billing without wasting time on hold.
  • Why some of the biggest billing platforms are connected to the insurance companies themselves.
  • What a price transparency data dive actually helps practice owners figure out.

Join Susan Frager, MSW, on July 17 for a free webinar on supervisory billing for provisionally licensed clinicians. Learn which insurers actually allow it, how to bill it correctly, and how to avoid the audit triggers that come with getting it wrong. Save your seat: https://psychbillingcoach.com/upcoming-webinars/

Connect with Susan Frager:
Website: https://psychbillingcoach.com/
Schedule a consultation here: https://psychbillingcoach.com/schedule/
New Yorker feature: https://www.newyorker.com/magazine/2024/12/30/the-professional-healthinsurance-ceo-nagger
The Rescue Biller® – take a peek here: https://psychbillingcoach.com/rescue-biller/
Webinars and other useful materials: https://psychbillingcoach.com/shop/
Blog: https://psychbillingcoach.com/billing-blog/

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