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Licensed Master Social Worker (LMSW) in RHC
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2/2/2021 @ 10:41:00 AM
Post 1 of 16

Contributor: Ashley Allers, Van Diest Family Health Clinic

Does anyone have any experience with a Licensed Master Social Worker (LMSW) in your RHC clinic?  We currently have an LISW that we bill for however we have a staff member who will be graduating and taking exam in May to become an LMSW, then it is my understanding they have to work 4,000 hours with supervision prior to being able to obtain the LISW status,


  •  is this LMSW time seeing patients in the RHC billable as a face to face?\

  • If NO, can it be billed under the supervising LISW in the RHC?

 

 

2/2/2021 @ 10:52:00 AM
Post 2 of 16

Contributor: Charles James, North American Healthcare Management Services

Only Licensed Clinical Social Workers are eligible for Medicare billing. The LMSW may qualify for Medicaid encounters, but not Medicare. I am not familiar with an LISW, but unless they meet the LCSW qualifications are not billable to Medicare either.

Per Medicare Benefit Policy Manual Chapter 13:
A CSW is an individual who:
* Possesses a master's or doctor's degree in social work;
* After obtaining the degree, has performed at least 2 years of supervised clinical social work; and
* Is licensed or certified as a clinical social worker by the state in which the services are performed; or, in the case of an individual in a state that does not provide for licensure or certification, meets the requirements listed in 410.73(a)(3)(i) and (ii)

Thanks -
Charles

2/2/2021 @ 11:20:00 AM
Post 3 of 16

Contributor: Ashley Allers, Van Diest Family Health Clinic

Thank you Charles, an LISW is the equivalent of a LCSW.

2/11/2021 @ 3:32:00 PM
Post 4 of 16

Contributor: Connie Lovell, Beatrice Family & Internal Medicine

What services are billable for LCSW and what documentation is required? We are looking at adding a LCSW to our PB RHC.

Thank you,

Connie


Connie Lovell, MSOM, CPC | Director of Health Information Management
Beatrice Community Hospital & Health Center
P.O. Box 278 | 4800 Hospital Parkway | Beatrice, NE 68310
Office: 402-223-7294 | Mobile: 402-230-0233 | Fax: 402-223-7211
E-Mail: clovell@bchhc.org

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2/11/2021 @ 3:47:00 PM
Post 5 of 16

Contributor: Kelly Akkerman, Marcus Daly Memorial Hospital RHCs

following as we are adding BH in our RHC's as well. Thanks.
________________________________
2/11/2021 @ 4:27:00 PM
Post 6 of 16

Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East

It would be any of the codes out on page 14 of the QVL. Those are the codes that our LCSWs bill with.

[cid:image003.png@01D4EA20.04F19020] Cassie Beesley, CRHCP
Rural Health Clinic Manager
Springfield Clinic
Phone 217.528.7541 x44801

This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you.
2/11/2021 @ 4:30:00 PM
Post 7 of 16

Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East

Forgot to add our LCSWs do a note on every patient they see. They follow the guidelines for documenting those visits. Our LCSWs primarily perform counseling services.

[cid:image003.png@01D4EA20.04F19020] Cassie Beesley, CRHCP
Rural Health Clinic Manager
Springfield Clinic
Phone 217.528.7541 x44801

This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you.
2/11/2021 @ 4:34:00 PM
Post 8 of 16

Contributor: Kelly Akkerman, Marcus Daly Memorial Hospital RHCs

what does QVL mean. thanks.
________________________________
2/11/2021 @ 4:37:00 PM
Post 9 of 16

Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East

Attachment

Sorry, the Qualifying Visit List. The list of codes that CMS says as a an RHC qualify for us to bill a visit for.

[cid:image003.png@01D4EA20.04F19020] Cassie Beesley, CRHCP
Rural Health Clinic Manager
Springfield Clinic
Phone 217.528.7541 x44801

This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you.
2/11/2021 @ 4:59:00 PM
Post 10 of 16

Contributor: Charles James, North American Healthcare Management Services

For Medicare - these are the BH cods on the list. Don't overlook G0512 - Psychiatric Coordination of Care.


HCPCS Code

Short Descriptor

90791

Psych diagnostic evaluation

90792

Psych diag eval w/med srvcs

90832

Psytx pt&/family 30 minutes

90834

Psytx pt&/family 45 minutes

90837

Psytx pt&/family 60 minutes

90839

Psytx crisis initial 60 min

90845

Psychoanalysis

Charles A. James, Jr.
President and CEO
888.968.0076 Office
314.560.0098 Cell
www.northamericanhms.com

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