[We want to process these claim in network. Is it right or not if we bill claims under supervising provider?]
Only if incident-to requirements were met, so the physician you want to bill under needs to have personally performed an initial service or consults regularly with the rendering physician about the patient's care. Here is the Medicare info sheet about incident-to requirements:
I am unable to view this document, can you please send me a proper link again.
Our primary Dr. is a psychiatrist to do initial psychiatric evaluation and further medication management. We have two PhD psychotherapist and a MSW psychotherapist those are working under the supervision of psychiatrist.
Is it right or not if we bill claims under supervising provider (psychiatrist)?
The one other thing I should mention is that some insurers require a modifier on psychotherapy codes billed under the supervising provider to indicate the degree level of the person who actually performed the service. So for bachelor's degree level we use modifier HN, for master's degree we use HO, for doctorate level it's HP (unless billing Medicare in which case it's AH). If the psychiatrist himself performs the service the modifier to use is AF.
Medicare will only accept modifier AH or AF from us regardless of who performed the service, I have contacted our MAC to find out if there is any other way to do this as it doesn't make much sense and they said to keep doing it this way. Your question was about UBH anyway, but if you bill for Medicare patients ever, just remember the rules are slightly different and check the LCD's for your MAC.
I have never used any modifiers when billing under the group for services rendered by our Clinical Psycholgist. So to my understanding, use modifier "AH" to bill Medicare when the services were rendered by the Clinical Psychologist and Non Medicare are the other mentioned modifiers? When is it appropriate to use these modifiers?