AMA Guidelines Impact Select Health Billing, Limiting Psychotherapy Sessions
What happened
Select Health implemented changes to its billing practices following guidelines from the American Medical Association. In 2023, the American Medical Association removed modifier codes that previously allowed for billing of extended psychotherapy sessions. Although a workaround existed, many insurance companies did not recognize it, resulting in a one-hour limit for sessions in some cases.
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Why it matters
The policy changes raise concerns about delays in mental health care access. The removal of billing codes for extended sessions affects the ability of specialized therapists to be reimbursed for medically necessary, longer treatments.
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Who's involved
- American Medical AssociationRemoved modifier codes that allowed billing for extended psychotherapy sessions.
- Jessica LittleA therapist whose practice is affected by the limitations on extended session billing.
Who could feel it
Possible knock-on effectsThese are possibilities Brind reasoned out, not predictions, and not advice. Most are not stated in any report.
- Jessica LittleSpeculative
The practice might face reduced revenue if insurance policies do not reimburse for the extended psychotherapy sessions required for complex trauma treatment.
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The entities involved
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American Medical Association
United States association of physicians and medical students