Hi folks. Mine is an insurance-based practice. Two questions re insurance billing for SPACE services. Given that 90846 typically pays less than most other services, how are people handling this? Who is the identified patient if in fact that patient is a child, but the therapist is not typically seeing the child? Also - is anyone billing 90791 for an intake/evaluation in which the child is not present? Has anyone had any success in negotiating with insurance companies for payment re SPACE? It's such a great intervention but not congruent with insurance requirements (it seems).
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insurance and seeing parents without the child present
insurance and seeing parents without the child present
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This issue keeps me from fully implementing SPACE in my practice. 90846 reimbursement is nearly half of 90837. I am planning to move forward with it as a parent consultation and education service on a cash pay basis.
I run into same problem. I have written to two insurance companies asking them to reconsider the rate given I’m using this program but I’ve had no luck. I think it risky to bill 90837 although it makes sense given the child is client. I think an Insurance company would ask for money refunded if you were ever audited. This dilemma is making me consider going off panels. Any other ideas?