Mental Health Matters
Forensic Edition
March 2014
 
Published by: Lepage Associates
Psychological & Psychiatric Services
 
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COURT-ORDERED MENTAL HEALTH SERVICES 

COVERED BY INSURANCE 

  

One of the most common questions we get is what court-ordered services, if any, can be covered by insurance. I say "if any" because attorneys and clients sometimes have the mistaken assumption that mental health services cannot be covered by insurance when they are court-ordered.


However, it is not the referral source that determines whether a service could be reimbursed by insurance. Two criteria must exist for a service to be medically necessary, a relevant CPT code (i.e., service code) and diagnostic code. Or in plain English, if a client meets criteria for a mental health
diagnosis that can be treated with therapy or medication, that claim can be turned in for insurance reimbursement.

 

So here's the QUICK GLANCE for potential insurance reimbursement: (Read on...) 

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Lepage Associates
Lepage Associates
Solution-Based Psychological  and Psychiatric Services
SERVING THE TRIANGLE FOR OVER 10 YEARS!
  

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