Wiki Guidelines for billing H0015

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ALippard

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I have a question about the details of billing H0015 for Intensive Outpatient Substance Abuse. I understand that is it recommended as "at least 3 hours per day, and at least 3 days per week"...but what if the client only comes to 2 sessions that week and misses the 3rd? Should I be billing out the H0015 on those two days, or should the code be changed due to the 3x3 not being met for that week?
 
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ALippard said:
I have a question about the details of billing H0015 for Intensive Outpatient Substance Abuse. I understand that is it recommended as "at least 3 hours per day, and at least 3 days per week"...but what if the client only comes to 2 sessions that week and misses the 3rd? Should I be billing out the H0015 on those two days, or should the code be changed due to the 3x3 not being met for that week?
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Did you ever receive an answer to this question? I am looking for the answer too.
 
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Indiana Medicaid has very specific rules on IOP and if the 3 x 3 threshold is not met, they need to be billed as group/individual therapy. You might need to check payer rules.
 
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