How would a clinician bill for meeting with the family for the purpose of re-assessing the case for the annual or 6 month review and go over progress in tx goals and to develop or update the CSP?
The most appropriate way to bill for this service is "Assessment" (CPT 90899-6). Make sure that the note reflects the above question by providing a brief update of the case, its progress, barriers to treatment, changes in the frequency or modality being used, etc. Also, please remember that assessment notes include the following elements: that the sole purpose of the meeting was for gathering information, feedback and client participation on the CSP. Reminder: Assessment notes do not need a clinical intervention, but should document a plan.
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