90837
Well, it finally happened. Other clinicians warned me about this, and some even told me they intentionally throw in 45-minute sessions (even when they’re actually doing an hour) to keep insurance from getting on their backs.
I received a letter from UHC stating that I bill 90837s more frequently than the average clinician and that they are essentially monitoring my billing patterns. They said they may reach out in the future regarding “billing efficiency.”
How have you all handled this?
I schedule all of my sessions for 53+ minutes, and honestly, if a client is more than 10 minutes late to their session, I consider it a no-show. I’m not billing 45-minute sessions hardly ever because I’m actually providing the full 53+ minutes.
I also use Headway, so I’m curious if anyone else using Headway has received a similar letter.
Am I at risk of being audited? Has anyone gone through this and had UHC eventually request records or take further action?
Would love to hear how other clinicians have handled it. Thanks!