Simplify Your Invoicing Process with Invoice Word for Supervision

Invoice word for Supervision

all right happy Monday everyone um at least  it's Monday when I'm recording this and I'm   really going to try my best to make a new video  every day now I won't be perfect at it but I do   think I can provide a little bit of value at least  a snippet of value each day um and today I want   to talk to you a little bit about incident 2 or  supervisory billing now I'm not sure if you know   what this is or if you've heard about it before  um and if you haven't you're going to know what   it is by the end of this video uh but let me at  least kind of give you a little background as to   why I'm making this all right so a lot of people  now people don't usually come to me and ask hey   what is incident 2 building or what's supervisory  building the question people usually ask is um is   related to what those two things are all right so  just hear me out for a second um people usually   come to me and say Hey I want to start a group  practice um I want to hire provisionally licensed   folks right so people who are working towards  independent lure but I'm running into an issue   how can I still be a practice that takes Insurance  how but has provisionally licensed folks as the   therapist right and the issue there is because  most insurers only um they only credential fully   licensed clinicians so people who are able to  practice independently but there are tons of   provisionally licensed uh folks out there you  know people working towards lure who are doing   therapy rightfully so it's within the scope of  their practice they just have to be supervised   right um now it's now if you come from a hospital  setting or an agency setting um these institutions   typically are um licensed in a bit of a different  way they usually are um have different contracts   than small group practices have all right so you  can't compare um your small independent group   practice to like a hospital clinic or a mental  or Community Mental Health Clinic um because   they often have a lot of lmws working there and  there's really no issue but but again you can't   compare because they have different contracts  with the insurance providers with the states   all right so so you have to kind of forget that  and that's what that was a mistake I made when I   first started I come from an agency setting and  I was like hey they they have lmws that's how I   started I got supervised we all took insurance  but I didn't really know the backend stuff now   I realized that they were actually in a special  contract with the state and and licensed in a   certain way so uh that's not a comparison however  for people in a small group practice ice um it's   much more difficult and much more strict than  you probably would have imagined you can't just   um hire LMS ws and get them all paneled with  different insurance providers it doesn't work   that way so the Dilemma then becomes how can  you take insurance in your practice right to   increase access to care to gain more clients and  also hire um lmws or provisionally licensed folks   um without having to go cash pay because that  doesn't make much sense right um I don't know   think about it from a client's perspective if they  come in and all the provisionally licensed folks   are cash pay but then all the senior clinicians  the ones who are independently licensed are all   take insurance now excuse me you could do it that  way right there's ways to make that work um but   you know it's it's a little bit more difficult um  so that's usually the problem that people come to   me with and what they usually don't know is that  there is something called supervisory an incident   to billing now to put this really simply this is a  policy that a couple of insurers have adopted that   allow um a a independently licensed clinician who  is contracted with the insurer to supervise lmws   and then submit claims on their behalf um which  then allows for the care rendered by the lmsw to   be covered by insurance I hope that makes sense  um right so I'm just I'm hearing myself talk I I   think that makes sense right if you don't get  that leave a comment down below I will try to   re-clarify I apologize that was my calendar um and  I'm supposed to be filming this video right now   right which I'm doing so um now a couple things  to know about supervisory and incident 2 billing   um it varies state byst state right um and it  also varies by insurance provider in the state   of New York I know that as of right now which is  December 2023 um two insurance providers ERS allow   incident to or supervisory building this is Etna  and siga and to prove it to you I'm actually going   to leave links down below to Newsroom shoutouts  that I don't know if they called it that but uh   basically news Publications or I don't yeah siga  sent me an email the other day saying they have   a newsroom I don't know what that means it's a  newsletter both from metna and siga that state   they allow supervisory billing all right so I'm  going to put that down below so you can see it   from them that it's in writing that they allow  for it um so in New York state those are the only   two that currently allow for it all right it might  vary in other states um so if you are a clinician   in New York um you can then be panelled with Etna  or siga and do supervisory building which means   you can hire an lmsw into your practice supervise  their work sign off on their notes now you do have   to follow the guidelines that are laid out in your  contract and so once you become credentialed you   can look at your contract and and really see what  exactly they require for incident two building but   generally speaking they require you to supervise  um the client the care of the client right to   supervise the lmsw or the provisionally licensed  person which usually involves um you know ongoing   supervision obviously speaking with them about the  case taking responsibility of the case sometimes   it involves meeting the client signing off onun  notes reviewing treatment plans like all that kind   of stuff right um so you want to make make sure  you follow those guidelines um and again you'll   find those guidelines typically in the contract  um but the good news here is that um you know if   you want to start a group practice and you want  to hire L msws which makes sense um you know then   you know not all hope is lost you can still take  insurance it just has to allow for incident Tu   and supervisory billing okay um now one time I  was making a I actually made a video like this   before where I kind of it was like a bigger video  and I talked about this like inside of the video   um and someone had critiqued me and said that  there was a difference between supervisory and   incident to billing for the most part I've heard  it used interchangeably however if I'm making a   mistake and there's like a real difference between  supervisory and incident to billing please let me   know in the comments I would love to know exactly  what that difference is but for the sake of this   video we're going to use supervisory or incident  two billing interchangeably all right um so that   is what it is now a couple things to keep in  mind um if you are thinking about doing this   through elore Headway it's a noo you cannot do  incident to or supervisory building through Elmo   or Headway okay you have to be independently  credentialed outside of those platforms um now   if you want to know how to do that I'll leave a  link to another video down below I talked about   how I got credentialed outside of Alman Headway  um so once you do that you are then able to do the   incident to supervisory billing with the insurers  that allow it all right um so then what does it   look like like in practice so what that looks  like is you as a provider right so I'm a fully   licensed clinician I'm credentialed with Etna I'm  credentialed with siga um some of them you can get   a group contract so then your group practice  is um credentialed however even with a group   contract individuals are still credentialed and  so what that looks like is when an lmsw Works in   my practice um they can see a client I supervise  that care and then when we submit a claim um my   name and MPI goes on the claim that we submit  right and that's exactly what the insurance   company instructs us to do um and in that regard  a client comes in they can see an lmsw I'm the   supervisor I supervise the care and they can use  their insurance this is fantastic it increases   access to care um and it allows for um lmws to  be able to build case loads and really Garner   experience while clients can also still use their  insurance um I hope this video helps you I this   is something I really wish I knew sooner no one  really brought it up to me I forget exactly how   I found out about it um and when I did find out I  was utterly confused I really couldn't find a good   explanation I hope that this helps you um I hope  it makes sense to you if it doesn't please let me   know I would love to re clarify because I do want  this to make sense um so yeah um anyway I hope you   enjoy the rest of your Monday um and uh yeah I  will see you in the next video have a good one