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Old Jun 04, 2017, 11:01 AM
ImBetterDude ImBetterDude is offline
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Member Since: Jun 2017
Posts: 2
Greetings forum!

My name is Joe and I'm a newly licensed LCSW in Virginia. I'm writing today because I've got questions pertaining to billing codes; I'm new to this and want to make sure I know as much as possible about how billing should look.

I have been extensively trained and approved to utilize an Autism diagnostic tool called the ADOS-2 & ADI-R.* In combination these tools are considered the "gold standard' diagnostic method for Autism and I've gotten 24 hours of training, a certificate and perhaps 200 of these assessments completed as an hourly employee working at a separate business.

I now have been hired exclusively to do ADOS-2 diagnostic assessments by a local private practice and am being credentialed by various insurance providers, all of whom wary of giving specific billing advice.* I have been told by my employer that I can bill for the testing and report writing time under the code 96101 and wanted to:

1) *Confirm that this was true.
2) *If so, ask what the process would be like (i.e. do I need to preauthorize)
3) *If you're unsure, determine perhaps who I should talk to, and*
4) *If NOT, find out what billing code a masters level licensed clinician can use for diagnostic testing and report writing.

Thanks in advance for your consideration.

Respectfully,

Joe