PROVIDING GREAT SERVICES. 

#1 - SEE THE PATIENT WITHIN 1 WEEK. 

#2 - PROVIDE SOME DEGREE OF IMMEDIATE RELIEF. 

#3 - EDUCATE ON KEEPING THE PATIENT SAFE & COMFORTABLE THROUGHOUT THE 3 STAGES. 

PRE PROCEDURE 

PROCEDURE 

https://aneskey.com/local-anesthetics-and-toxicity-2/

https://www.youtube.com/watch?v=GfWyXb7ijDI 

POST PROCEDURE

TYPES OF CLINICS - INJECTION THERAPY

BIOHAZARD | FL - BIOMEDICAL WASTE ,    FL |  CDC/NIOS  | GEORGIA 

FLUOROSCOPY SAFETY   PRINT 

Phase 1: Clinic Foundation & Consultations

1. Medical Zoning Laws & Regulations for Interventional Clinics

2. Licensing & Credentialing Requirements for Interventional Specialists

3. Establishing an Electronic Health Record (EHR) System for Efficiency

4. Developing an Effective Referral Network for Interventional Medicine

5. Patient Screening & Pre-Procedure Preparation Guidelines

6. Telemedicine Integration for Follow-Up & Consultations

7. Best Practices for Insurance & Reimbursement for Procedures

8. OSHA & HIPAA Compliance for an Interventional Pain Clinic

Phase 2: Adding DME (Durable Medical Equipment)

9. Medical Zoning & Compliance for DME Storage & Distribution

10. DME Licensing, Billing, & Reimbursement Strategies

11. Workflow Optimization for High-Volume Interventional Clinics

12. Hiring & Training Staff for a High-Performance Interventional Practice

13. Patient Education on DME Use & Compliance

14. Proper Ventilation & Air Quality Standards for Storage Areas

Phase 3: Adding Ultrasound-Guided Injections

15. Ultrasound Equipment Selection & Maintenance

16. Sterile Techniques & Infection Control for Ultrasound-Guided Procedures

17. Personal Protective Equipment (PPE) for Ultrasound-Guided Injections

18. Developing Injection Protocols for Common Pain Conditions

19. Post-Procedure Monitoring & Recovery Room Best Practices

20. Emergency Response Plans for Contrast Reactions & Anaphylaxis

Phase 4: Adding Fluoroscopy-Guided Injections

21. Fluoroscopy Radiation Safety & Dose Optimization

22. Radiation Shielding & Lead Apron Maintenance

23. Proper Handling & Storage of Fluoroscopy Contrast Media

24. Fluoroscopy Equipment Selection & Compliance with Safety Standards

25. Fire Safety & Hazardous Materials Handling in Medical Facilities

• REFERRAL FORMS - VISIT WITHIN 7 DAYS | PLAN TREATMENT ON DAY #1

• NEW PATIENT FORMS --> AUTOMATED INTO THE CHART 

• MRIS / IMAGING PULLED UP IN ROOM , REPORTS AVAILABLE 

==== VISIT

VIDEOS SHOW 

CHECKLIST BEFORE PATIENT ENTERS THE ROOM 

• CONSENT | MARKED SIDE/SITE | ALLERGIES REVIEWED | ALL PATIENT'S QUESTIONS ANSWERED. 

• MACHINES/DEVICES  - ( EMERGENCY EQUIPMENT = SUCTION - MONITORS - AIRWAY - IV - DRUGS )

• BIOHAZARD/SHARPS CONTAINER 

CHECKLIST AFTER  THE INJECTION 

• TAKE VITALS 

• PAIN DIARY - FOR DX INJECTIONS 

• 
  

BILL the mental health and behavioral health codes listed (including diagnostic evaluations, psychotherapy, and substance use counseling), certain qualifications and degrees are required depending on the type of service being provided and the provider’s role. Below are the degrees and credentials typically needed to bill for these services:

1. Psychiatric Diagnostic Evaluation (CPT 90791, 90792)

• Degree Needed: MD or DO  | Psychiatrist or Advanced Practice Registered Nurse (APRN) with specialization in psychiatry (Psychiatric Nurse Practitioner)

• Licensure/Certification: Must be licensed as a physician or APRN with psychiatric specialization. These evaluations require a medical background.

2. Psychotherapy (CPT 90832, 90834, 90837, etc.)

• Degree Needed: Licensed Clinical Social Worker (LCSW) (Master's degree), Licensed Professional Counselor (LPC) (Master's degree), Licensed Marriage and Family Therapist (LMFT) (Master's degree) , Psychologist (PhD or PsyD) (Doctoral degree), Psychiatrist (MD/DO) (Doctoral degree)

• Licensure/Certification: The therapist must be licensed in their respective field (e.g., LCSW, LPC, LMFT, PhD/PsyD). Psychiatrists can also provide psychotherapy, typically with a medical license.

3. Family Therapy (CPT 90846, 90847)

• Degree Needed: LCSW (Master's degree), LPC (Master's degree), LMFT (Master's degree), Psychologist (PhD or PsyD), Psychiatrist (MD/DO)

• Licensure/Certification: Same as individual psychotherapy; the clinician needs a relevant license in the field of family therapy or psychotherapy.

4. Group Therapy (CPT 90853)

• Degree Needed: LCSW (Master's degree), LPC (Master's degree), LMFT (Master's degree), Psychologist (PhD or PsyD), Psychiatrist (MD/DO)

• Licensure/Certification: The clinician must be licensed to provide group therapy within their professional scope.

5. Substance Use Counseling and Treatment (CPT 99406, 99407, 96150, 96151, G0442, G0443)

• Degree Needed: Certified Addiction Counselor (CAC, CADC, or similar certification), LCSW (Master's degree), LPC (Master's degree), Psychiatrist (MD/DO) (if medical management is involved), Psychologist (PhD or PsyD)

• Licensure/Certification: Counselors providing substance use treatment may require certification in addiction counseling, such as a Certified Addiction Counselor (CAC), or a similar certification specific to their state. Social workers, counselors, or psychologists can provide substance use counseling with proper training and certification.

6. Behavioral Health Assessments (CPT 96150, 96156, 96158)

• Degree Needed:  Psychologist (PhD or PsyD), LCSW (Master's degree), LPC (Master's degree)

• Licensure/Certification: Typically, a psychologist (PhD or PsyD) or a licensed counselor/social worker with specific behavioral health training would be the ones performing these assessments.

7. Cognitive Assessments (CPT 99483)

• Degree Needed:

  • Psychologist (PhD or PsyD) or Neuropsychologist

• Licensure/Certification: A licensed psychologist is typically required for performing cognitive assessments, as these services require expertise in the diagnosis of cognitive and mental health disorders, such as dementia.

8. Prolonged Service Codes (CPT 99354, 99355)

• Degree Needed: Psychiatrist (MD/DO) or Psychologist (PhD/PsyD), Licensed Therapist (LCSW, LPC, LMFT)

• Licensure/Certification: These codes are often used for extended therapy sessions that exceed the typical session time, so a licensed provider (as listed above) must be present to provide these services.

9. Smoking and Tobacco Use Cessation Counseling (CPT 99406, 99407, HCPCS G0442, G0443)

• Degree Needed: Physician (MD/DO), Psychiatrist (MD/DO), Nurse Practitioner (NP), LCSW, LPC, or LMFT (if providing counseling)

• Licensure/Certification: Providers should be licensed in their respective fields to offer tobacco cessation services, with physicians, nurse practitioners, and licensed therapists able to provide these services.

10. Annual Wellness Visits (HCPCS G0438)

• Degree Needed: Physician (MD/DO), Nurse Practitioner (NP), Physician Assistant (PA)

• Licensure/Certification: Annual wellness visits typically require a licensed physician, nurse practitioner, or physician assistant to conduct the health evaluation.

Summary of Required Degrees:

• Master's Level: LCSW, LPC, LMFT, and other licensed therapists.

• Doctoral Level: PhD, PsyD, and MD/DO (Psychiatrists).

• Certifications: Addiction counselors and behavioral health specialists may need specific certifications like CAC (Certified Addiction Counselor) or other state-specific certifications.

For most billing codes, the service must be provided by a licensed mental health professional with relevant training and certifications. For codes involving medical management (e.g., psychiatric evaluations or substance use treatments), a physician or nurse practitioner is often required.

References:

1. CPT Code Book (Current Procedural Terminology)
   
   

   • The American Medical Association (AMA) publishes the CPT Code Book, which includes the billing codes for psychiatric and psychological services. For detailed explanations of each CPT code, you can consult the latest version of the CPT code manual.

   • AMA CPT Codebook: https://www.ama-assn.org

2. The National Provider Identifier (NPI) Registry
   
   

   • This resource allows you to verify the qualifications and licensure of healthcare providers in the United States, including mental health professionals.

   • NPI Registry: https://npiregistry.cms.hhs.gov

3. American Psychological Association (APA)
   
   

   • The APA provides guidelines on licensure and certification requirements for psychologists, including the educational and professional standards.

   • APA Licensure Requirements: https://www.apa.org

4. National Association of Social Workers (NASW)
   
   

   • The NASW outlines the qualifications for licensed clinical social workers (LCSWs), including necessary degrees, licensure, and certification processes.

   • NASW: https://www.socialworkers.org

5. American Counseling Association (ACA)
   
   

   • The ACA provides information about the professional requirements for licensed professional counselors (LPCs), including degree and certification requirements.

   • ACA: https://www.counseling.org

6. Substance Abuse and Mental Health Services Administration (SAMHSA)
   
   

   • SAMHSA provides information about certifications for substance use counselors and guidelines for billing and coding in mental health and substance use disorder treatment.

   • SAMHSA: https://www.samhsa.gov

7. Health and Human Services (HHS) - Medicaid Billing Guidelines
   
   

   • Provides specific guidelines for billing mental health and substance use services through Medicaid, including the types of services and qualifications for providers.

   • HHS Medicaid Billing Guidelines: https://www.medicaid.gov

8. The Centers for Medicare & Medicaid Services (CMS)
   
   

   • CMS provides comprehensive guidelines for mental health professionals and the specific billing codes for services under Medicare and Medicaid programs, including mental health evaluations, therapy, and substance use counseling.

   • CMS Mental Health Services: https://www.cms.gov

9. American Medical Association (AMA) - Substance Use Treatment Coding
   
   

   • AMA provides a specific set of coding practices related to the treatment of substance use disorders, including the smoking cessation and substance abuse counseling codes.

   • Substance Use Treatment Coding by AMA: https://www.ama-assn.org/delivering-care/public-health

10. The National Certification Commission for Addiction Professionals (NCC AP)
    
    

    • The NCC AP provides certifications for addiction counselors, including the qualifications needed to provide services such as substance abuse counseling and mental health support.

    • NCC AP: https://www.naadac.org/nccap