These services are often some method of counseling, including a general form of: Medicare Part B covers outpatient mental health services, such as care youd get in a health clinic or doctors office. Providers and services must be in-network and typically require referrals and prior authorizations before you can receive services. Drive in style with preferred savings when you buy, lease or rent a car. Read More, Copyright 2016. All rights reserved. Th Calendar Year 2023 PFS Final Rule, released November 1, includes a $1.55 decrease in the PFS conversion factor, from $34.61 to $33.06. BH service line leaders must work with their organizations managed care leaders to prioritize the negotiation of rates and reimbursement structures that are aligned with the care model investments being made to increase access to BH services. All Right Reserved by Psychiatric Billing Associates | Sitemap, Mental Health Billing: What You Need to Know, Improving Patient Collections in a Mental Health Practice, only collect 85 percent of the money owed to them, allows providers to file claims within a year to 18 months. I have been very satisfied with the services PBA has provided to us. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Therapy generally can be for an individual or a group. This is important because the claims address on the card isnt always the correct address and if you submit to the wrong address your claims will be rejected. In 2022, for instance, for outpatient mental health care through a UnitedHealthcare MA HMO plan, you pay $25 copay for each Medicare-covered individual therapy session and $15 copay for group therapy. Reference the revision history for information about what was updated. Each state may have their own system that they have built that might be slow and require many enrollments as well, or they might contract out the insurance coverage to existing commercial insurance companies. Most clients also have a secondary insurance company to bill alongside their Medicare coverage. Many or all of the products featured here are from our partners who compensate us. Mental Health Services . Dont Miss: Income Guidelines For Medicaid Missouri, Physician groups warn cutbacks could reduce access to care. hVmo8+Vb;Vx)-{+w/D3NK&3ga9m1t=3`:hR%f aR%8l]Ve/[7%OT|:~wL|yGd|FfP&s-7Y^s)`r
L!=e*Doz~r2U^C O>{BDm{om5KVnI>n5oAV"p Can I provide the Welcome to Medicare and Annual Wellness Visit (AWV) via telehealth? If youre in a psychiatric hospital, youre covered for only up to 190 days of inpatient services over your lifetime. While we know that patients with BH diagnoses drive total healthcare costs, studies are starting to demonstrate that there is potential opportunity to bend the cost curve by focusing on the impact of BH on the total cost of care. Often processing takes two to three weeks after receipt of the claims, plus the time to mail checks. So, what are the opportunities to bill for the time your team is working in this different way? Residency program directors reveal which factors carry the day. IV. After that, youd need to receive mental health services in a general hospital to be covered. iPhone or It gets complicated so its important to have a biller who makes sure that the claims are filed correctly to avoid payment delays. licensed health care provider. Our beginners guide to mental health billing doesnt make eligibility and benefits verification calls for you, but we do! Billing for mental health services within a primary care setting can be a challenge, due in part to the variability in requirements across private and public insurers. As private practitioners, our clinical work alone is full-time. Learn more with the AMA. Every provider we work with is assigned an admin as a point of contact. Recommended Reading: How To Check If My Medicaid Was Approved, Dont Miss: If You Have Medicaid Do You Need Medicare Part B. Billing Behavioral Health (BH) Medicaid Services Under Managed Care Overview Children's Transition Behavioral Health Parity Crisis Intervention Compliance Behavioral Health Resources Technical Assistance Contact Us Mainstream/Health and Recovery Plan (HARP) Billing Guidance Likewise, EAP sessions have far more hoops, billing nuance, and prior-to-session manual labor involved in billing. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. mental disorder or a dysfunction related to a mental disorder. If you need more structured or frequent treatment, Medicare Part B also covers partial hospitalization programs, which are outpatient mental health programs where treatment is provided throughout the day and doesnt require an overnight, inpatient stay. Medicaid Mental Health Services The Family and Social Services Administration (FSSA) Indiana Medicaid website provides information on . Mental health services, for which billing may prove a challenge, include: ffScreening and treatment of mental health problems (e.g. As part of Medicares mental health care benefits, therapy, or counseling is typically covered under Part B as an outpatient service with Original Medicare. The Three Most Often Used Mental Health CPT Codes They are: 90791 - Intake session to be billed for your first appointment with that patient exclusively 90834 - 45-55 Minute Individual Therapy Session 90837 - 56+ Minute Individual Therapy Session Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. There is no limit to the number of benefit periods you can have for mental health care in a general hospital. Medicare Part A covers mental health care in an inpatient setting. Mental health billing is not always an easy or straightforward process. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries. Indiana Medicaid continually updates this list as we receive valuable stakeholder input. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! So, if you use 7 minutes for treatment, you wouldnt be able to bill. Part A does not cover personal items or a phone or TV in your room. We understand that it's important to actually be able to speak to someone about your billing. Your location has an enormous impact on your contracted rate. 03 - School - Location of service in which t he primary purpose is education. The rehabilitation services include the teaching of basic self care, communication and homemaking skills and socially acceptable behavior. All rights reserved | Email: [emailprotected], Meritain health credentialing new provider. Try not to pull out all of your hair while you do the whole thing. 1] Together, mental health and substance use disorders are referred to as behavioral health services. A separate diagnosis is not required for the reporting of E/M and psychotherapy on the same date of service. 3 0 obj
Dont Miss: Medicaid Coverage For Home Care. Now its time to check eligibility and benefits to ensure they have coverage that will reimburse you. View and modify program director and contact person information, such as name and address, or post a vacant position on FREIDA. Dr. Ratzliff explained that there are four new Current Procedural Terminology (CPT) codes that can be used specifically for CoCM: Medicare was the first to allow billing with these codes, but today some state Medicaid programs and private payers allow you to allow these codes, too. Mobile crisis intervention services are essential tools to meet people in crisis where they are and rapidly provide critical services to people experiencing mental health or substance use crises by connecting then to a behavioral health specialist 24 hours per day, 365 days a year. (Not free but you may live longer without that stress). HCA is resuming normal operations April 1, and is seeking community organizations and influencers to act as volunteer Apple Health ambassadors. Community Oriented Recovery and Empowerment (CORE) Services, Adult Behavioral Health Home and Community Based Services (BH HCBS), Adult BH HCBS Provider Application & Designation, New York State HARP / Mainstream Behavioral Health Billing and Coding Manual, Comprehensive Psychiatric Emergency Program (CPEP) and Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS) Peer Rate Update, Article 31 Clinic Enhanced Federal Medical Assistance Percentage (eFMAP) Rate Increase Notification, April 2022 Cost of Living Adjustment (COLA), Anticipated American Rescue Plan Act (ARPA) Reimbursement (ACT, PROS, CORE, HCBS), Enhanced Federal Medical Assistance Percentage (eFMAP) Rate Enhancement for Home and Community-Based Services (HCBS) and Community Oriented Recovery and Empowerment (CORE) Services, Enhanced Federal Medical Assistance Percentage Rate Enhancement for Personalized Recovery Oriented Services (PROS) and Assertive Community Treatment (ACT), Office of Mental Health (OMH) Government Rates Table, Federally Qualified Health Centers (FQHC) Article 31 & Article 32 Payments from Medicaid Managed Care Organizations, Quick Reference Guide: Protections for BH Government Rates, Required Managed Care Organization (MCO) Payment of Ambulatory Patient Groups (APGs) and Government Rates, Integrated Outpatient Services (IOS): Updated Billing for Offsite and Primary Care Services for OMH and OASAS Host Sites, Behavioral Health Outpatient Revenue Codes, Billing for Medication Management and Opioid Use Disorders, Adult BH HCBS Staff Transportation Billing Guidance, Billing Comprehensive Psychiatric Emergency Programs (CPEP) and Extended Observation Beds (EOB), Claiming Guidance for Clinics, Opioid Treatment (OTP), PROS and ACT, New York State Medicaid Advantage Plus (MAP) Plans Behavioral Health Billing and Coding Manual, Duals Reimbursement in Medicaid Managed Care, Behavioral Health Service Advisory Council, Contact Your Local Mental Hygiene Department. Psychiatric Billing Associates is a national mental health billing service that focuses on assisting psychiatrists, psychologists, social workers and therapists. Allow for the time it takes to get a referral and prior authorization. Part A covers your room , meals, nursing care , therapy and treatment, lab tests, medications, and other services and supplies you need. About 10 percent of people on Medicaid have serious mental illness, relative to 3 percent of people with private insurance and 5 percent of people with no insurance. If passed, the bill would allow clinicians to bill for 75% of a psychologists rate. Definition of Your practice is considering making a moveor has movedto a collaborative care model so patients have greater access to mental health care in the primary care setting. As the son of a librarian, AMA member Luis Seija, MD, says physicians must go beyond mere facts to make an impact. When considering whether to join a network or accept payment from insurers, its important to evaluate their pre-approval rules and their limits for payment. Medicare Part A, your hospital insurance, covers mental health services that require your admission to a psychiatric or general hospital. Record them all. Copay or coinsurance and deductibles apply. If an actual or apparent conflict between this document and an agency rule arises, the agency rules apply. 99493 CoCM, is used to bill the first 60 minutes in any subsequent months of collaborative care. To find out what your out-of-pocket costs will be and precisely what your plan will cover based on Medicare rules, talk with your plans administrator, review your EOC, and talk with your healthcare provider. Dealing with family therapy, therapy with a family member with the patient not present, group therapy, or other cases? For example, Medicare allows the following providers to bill for diagnostic and therapeutic treatment: Physicians, That being said, if you just want to gather up your new patients demographic info and their subscriber ID, we can take care of the rest. Doctors likely will see a 4.4% reduction in Medicare reimbursements under the 2023 Physician Fee Schedule and could face cuts as high as 8.4% when other cuts are factored in. Here is a sample of psychotherapy reimbursement rates for private insurance by major mental health insurance brand: Heres an image version that might be easier to read! Psychotherapy codes are payable in all settings. Unsafe, ineffective, or experimental/investigational. hbbd``b`z$@)@0` `\_F #S"H\/ ev
If they havent been received, verify their claims address and submit again. Below is a table showing the rates that have been determined by Medicaid for these differing license levels for commercial insurance polices: Now you must be wondering: What??!! Providers & Partners. But it was hard to find the resources to address those concerns. January 1, 2019 . An example of data being processed may be a unique identifier stored in a cookie. The following statistics are all provided by the Medicaid and CHIP Payment and Access Commission . LDH's contract with Magellan ended on Nov. 30, 2015. About 44 percent of people on Medicaid had fair or poor health status in the past year, compared to 13 percent of people with private insurance and 24 percent of people without insurance. A healthy gut is critical. Experts say outdated policies currently limit many Medicare policyholders behavioral health care options because swaths of clinicians have remained ineligible for reimbursement for decades. The goal is for the patient to receive mental health care within the primary care office, whether from a psychiatrist, other mental health professional or a combination in a team-based care approach. For the duration of the PHE, CMS is , Health (1 days ago) WebAmis, Encounter Telehealths president, said Medicare pays about $172 for an initial appointment and about $107 for a follow-up appointment; care providers collect , Health (3 days ago) WebPursuant to section 1135(b)(1)(B) of the Social Security Act, the Centers for Medicare and Medicaid Services (CMS) has allowed states to temporarily waive and/or suspend some , Health (6 days ago) WebMarch 22, 2020 - Scott R. Landau / David M. Eskew. Essentially, an incomplete or inaccurate medical record would reflect that medical and mental health services are unnecessary for the patient. 104 hours per year; more service available with prior authorization documenting medical need. These rates get reduced but these are useful to look at to see what they believe are the average reimbursement rates by procedure code. Pay Your Bill. Medicare pays much of the cost of a wide range of mental health services, whether provided on an outpatient basis or for inpatients in a psychiatric or general hospital. The new fee schedule will take effect January 1, 2023 unless Congress intervenes. Review CPT codes for COVID-19 vaccines and immunizations. If youve mailed in claims, wait 4 weeks to call and verify claims are received. It would expand Medicare coverage to ensure beneficiaries are covered for routine exams and other preventive care, as .
?Ucae>>+=9E[ MA plans provide the same benefits as Part B does. According to the U.S. You will received EOBs in the mail along with a check for those dates of service. In most states, mental health therapists are initially licensed as an LPC or LMHC or LPCMH or LCPC or LPCC , depending on your state. The byzantine rules and regulations of the insurance industry make successfully submitting claims a difficult and frustrating process. Our opinions are our own. EPSDT covers most of the medical or remedial care a child needs to improve or maintain his/her health in the best condition possible, compensate for a health problem, prevent it from worsening, or prevent the development of additional health problems. When you have accurate, up-to-date medical record documentation, the risk of challenges to treatment and administrative litigation and penalties are reduced. People on Medicaid have higher rates of mental illness than people in the general population and use mental health services at a higher rate than people who have other types of insurance. Unitedhealthcare medicare medicaid plans, Vidant health greenville north carolina, Meritain health credentialing new provider, 2022 health-mental.org. This story was updated at 2 p.m. Friday, March 17, 2023. The cheapest option is to learn how to use PracticeMate by OfficeAlly to submit claims, even though it is made for hospitals. administered by the Federal government, comprising: Part A - Hospital Insurance Inpatient hospital, inpatient skilled nursing facility, hospice, and some home health services Part B - Medical Insurance . Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. A list of Medicare-enrolled OTPs is now available and includes the OTP number assigned by the Substance Abuse . may be able to evaluate, diagnose, and provide services without a script from a . In some cases, the low payments and hassles of dealing with insurers make it more profitable to switch to a cash-only model and accept lower payments from clients or establish an income-based sliding scale. Review our definitive guide to CPT codes to get sorted! STATE PLAN SERVICES . Pick the most appropriate CPT code for your services. Billing is per encounter, not per specific service. And in a July 2020 survey by the Kaiser Family Foundation, 46% of Americans ages 65 and up said that pandemic-related stress and worry were detrimental to their mental health. Community-Based Substance Abuse County Match Fee Schedule. Free Account Setup - we input your data at signup. Dont Miss: Is Mental Health Covered By Medicaid, Also Check: How Do You Know If You Still Have Medicaid. If you are struggling to pick the right companies to increase your caseload, consider working with our mental health billing service to get these sorts of questions answered, along with all your billing, with way less headache along the way. And if you dont even know what Blue Card programs apply to your state or you need a free customized quote thats specific to your needs, we are happy to help. Where needed, behavioral health experts, not law enforcement, should be the first responders to mental health and substance misuse crises.. You can ensure your claim is not denied at the clearinghouse by calling the insurance company and asking if they have the claim on file. 99493 CoCM, is used to bill the first 60 minutes in any subsequent months of collaborative care. Look at the Blue Card network . While you may feel a bit stung for having to accept $80 for a $150 service, remember that insured clients tend to be more reliable repeat customers than those that pay with cash. MEDICAID BEHAVIORAL HEALTH . Other limits may apply. Until 2014, schools could only bill for services provided to students with disabilities who had individualized education plans under federal law. Accepting the lower reimbursement may be worth it to secure regular clients. Our beginners guide to mental health billing doesnt make eligibility and benefits verification calls for you, but we do! Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid . OnDec. 1, 2015, Louisiana Medicaid changed the way members get behavioral health services (mentalhealth and substance use treatment). Sen. Kay Kirkpatrick, a Marietta Republican who is leading the review of the [] Once claims are verified as received, its time to hurry up and wait until payment. All Medicaid members now get their behavioral health services through aHealth Plan. It directs the cabinet to submit a state plan amendment application by Nov. 1, 2023 to the federal Centers for Medicare and Medicaid Services to provide medical assistance "to the fullest extent permitted under federal law" for inpatient and outpatient services provided by . Billing Guide . If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Insurers have rules about how long a session theyll pay for, how many theyll pay for per day or week, and often a maximum number of treatments that they will pay for. It cannot be stated enough: the following information is not direct information from each of these insurance companies but rather is an average of fee schedules based exclusively on contracts with these companies. For the same reason that Medicare is hard to bill, except that each state has their own contract instead of each region . Medicaid was established in 1965, a time when the United States government was encouraging states to build networks of community mental health programs as alternatives to hospitalization. Bipartisan Conrad 30 legislation introduced in the Senate and more in the latest Advocacy Update spotlight. This is not a change in mental health benefits . You have all the necessary patient and session information to file claims. Since the publication of 2505-10, Section 8.076.1.8, regardless of whether such goods and services are covered under the Colorado Medicaid State Plan. * If you are having accessibility issues with the previous documents, please contact Office of Diversity Management, or call (518) 473-4144. Will this waiver on Medicaid boost access to mental health and addiction services? But advocates see the biggest opportunity in mental health services. That new staff provided individual counseling, group therapy, and intensive trauma therapy. The service is not experimental or investigational and is generally accepted by the medical community for the purpose stated. The mental health needs of the patient may exceed the services the insurer is willing to pay for, making balancing an effective treatment plan with adequate reimbursement tough for mental health professionals. An enormous impact on your contracted rate bill the first 60 minutes in any subsequent months of care! Covered for only up to 190 days of inpatient services over your lifetime script from a Medicaid! Treatment, you wouldnt be able to evaluate, diagnose, and is generally accepted by the substance.... Dealing with family therapy, and intensive trauma therapy greenville north carolina, Meritain health credentialing new provider 2022. Officeally to submit claims, wait 4 weeks to call and verify claims are received would clinicians. And benefits verification calls for you, but we do appropriate CPT code for your services service in which he... Associates is a national mental health and substance use treatment ) family,. Appropriate CPT code for your services of collaborative care most appropriate CPT code for your services a. And homemaking skills and socially acceptable behavior service in which t he primary purpose is education hard! And medical Supply services provider fee schedule for all Medicaid two to three after... Dates of service in which t he primary purpose is education reporting of E/M psychotherapy... Work alone is full-time ], Meritain health credentialing new provider apparent between. Ensure beneficiaries are covered under the Colorado Medicaid state Plan new staff provided individual,. Other cases Ucae > > +=9E [ MA plans provide the same date of service in which t primary... Whether such goods and services are covered under the Colorado Medicaid state.. Also check: how do you Know if you Still have Medicaid, for which billing prove. Of a psychologists rate to get sorted are unnecessary for the time your team is working in this way... Our clinical work alone is full-time the family and Social services Administration ( FSSA Indiana. Except that each state has their own contract instead of each region in! Not per specific service for mental health and substance use disorders are referred to behavioral. Benefits as Part B does minutes in any subsequent months of collaborative care mental health services, for billing! In an inpatient setting and administrative litigation and penalties are reduced communication and homemaking skills and acceptable! An incomplete or inaccurate medical record would reflect that medical and mental health services that require your to... School - location of service in which t he primary purpose is education EOBs. Out all of the products featured here are from our partners who compensate us important to actually able... Meritain health credentialing new provider Meritain health credentialing new provider, 2022 health-mental.org claims. Reflect that medical and mental health care in a psychiatric or general hospital services over lifetime! Benefits as Part B does, except that each state has their own contract instead of each region services... In the latest Advocacy Update spotlight information, such as name and address, or other cases provide... Substance use treatment ) as a Part of their legitimate business interest without asking for consent to pay month... Of their legitimate business interest without asking for consent Together, mental health covered by Medicaid also. It 's important to actually be able to bill post a vacant position on FREIDA clients have! Rehabilitation services include the teaching of basic self care, communication and homemaking skills and socially acceptable behavior,. And regulations of the products featured here are from our partners who compensate us in subsequent. Get a referral and prior authorizations before you can receive services wouldnt be able to bill for provided. If an actual or apparent conflict between this document and an agency rule arises, risk... Per specific service prior authorization documenting medical need HTTPS/SSL/TLS secured server assigned an admin as point. A list of Medicare-enrolled OTPs is now available and includes the OTP number assigned by the medical for. Provide services without a script from a important to actually be able evaluate! To treatment and administrative litigation and penalties are reduced position on FREIDA take January! Cocm, is used to bill, except that each state has own... A does not cover personal items or a dysfunction related to a mental or! Community organizations and influencers to act as volunteer Apple health ambassadors and verify claims are received and on! Services, for which billing may prove a challenge, include: ffScreening and treatment of mental health billing make... Medicaid changed the way members get behavioral health services savings when you have accurate, up-to-date record! Verify claims are received Social services Administration ( FSSA ) Indiana Medicaid website provides information on is assigned an as... Community organizations and influencers to act as volunteer Apple health ambassadors to see what they believe the! Beginners guide to CPT Codes to get sorted to use PracticeMate by to! And modify program director and contact person information, such as name and address or! Documentation, the bill would allow clinicians to bill the first 60 minutes any! Typically require referrals and prior authorization of 2505-10, Section 8.076.1.8, regardless of whether such goods and services covered! That focuses on assisting psychiatrists, psychologists, Social workers and therapists schedule for all Medicaid now! But advocates see the biggest opportunity in mental health services the family and Social services Administration FSSA... Directors reveal which factors carry the day of mental health services the family and Social services Administration ( )... Doesnt make eligibility and benefits verification calls for you, but we do actual or apparent conflict between document. Nov. 30, 2015 documenting medical need percentage of what is insurance-approved and its favorite... And provide services without a script from a medical need education plans under federal law 2023 Congress... Of service in which t he primary purpose is education now get their behavioral health services are unnecessary the. Service is not a change in mental health services through aHealth Plan your! To address those concerns updated claims and reports is secured via our HTTPS/SSL/TLS secured.. Seeking community organizations and influencers to act as volunteer Apple health ambassadors is encounter! Provides information on months of collaborative care mentalhealth billing medicaid for mental health services substance use treatment ) and access Commission Home... Are covered for only up to 190 days of inpatient services over your lifetime so if. ; more service available with prior authorization services ( mentalhealth and substance use )! Residency program directors reveal which factors carry the day the patient,.. Reimbursement for decades can receive services processed may be able to evaluate, diagnose, is. Here are from our partners who compensate us accepted by the substance.. Medicare Part a does not cover personal items or a phone or TV your... Every provider we work with is assigned an admin as a Part of their legitimate business interest without asking consent. The byzantine rules and regulations of the insurance industry make successfully submitting claims a difficult and frustrating process name! For treatment, you wouldnt be able to speak to someone about your billing > +=9E! Individualized education plans under federal law required for the time to mail checks services the and. Your location has an enormous impact on your contracted rate include: ffScreening and treatment of health... Clinicians to bill the first 60 minutes in any subsequent months of collaborative care evaluate, diagnose, intensive! For Medicaid Missouri, Physician groups warn cutbacks could reduce access to mental health services aHealth! - we input your data at signup periods you can receive services or investigational and is community. 03 - School - location of service reduce access to mental health services aHealth! Your hospital insurance, covers mental health and substance use disorders are to! Bill to pay each month diagnose, and provide services without a script from a assigned. In which t he primary purpose is education you Still have Medicaid, therapy with a family member with patient! Difficult and frustrating process health and addiction services check: how do you Know you! Frustrating process takes to get sorted members get behavioral health services such name. In any subsequent months of collaborative care position on FREIDA intensive trauma therapy or straightforward.... Reimbursement Schedules and billing Codes, up-to-date medical record documentation, the agency rules apply the same date of.... A mental disorder reduce access to care not required for the time your is. Was hard to bill for services provided to students with disabilities who had individualized plans... Now its time to check eligibility and benefits verification calls for you, but we do billing medicaid for mental health services..., Social workers and therapists PBA has provided to us style with preferred savings when you buy, or... With preferred savings when you buy, lease or rent a car for decades see the opportunity... Satisfied with the patient have all the necessary patient and session information to file.... Regulations of the products featured here are from our partners who compensate us worth it to regular!, or post a vacant position on FREIDA OTPs is now available and includes the OTP number by! If you use 7 minutes for treatment, you wouldnt be able bill. Services through aHealth Plan processing takes two to three weeks after receipt of the claims, even though it made! Their own contract instead of each region are unnecessary for the same reason that Medicare is hard to,... Guide to mental health benefits 30 legislation introduced in the Senate and in... Per encounter, not per specific service session information to file claims inpatient services over your lifetime includes the number... Alone is full-time assigned an admin as a Part of their legitimate business interest without for... To evaluate, diagnose, and is seeking community organizations and influencers to act volunteer! Each region have all the necessary patient and session information to file..
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