Individual or Group Therapy: How Do I Know Which One?

March 1, 2016
Rick Gawenda

Two weeks ago, I wrote an article on “One-on-One: Does It Only Apply to Medicare“. The article definitely stirred up some conversation and hopefully cleared up several of the myths that exist concerning one-on-one and Medicare versus private insurance carriers. In this weeks article, I thought I would try and clear up another huge issue and that is what is the difference between individual therapy and group therapy and how do I know which one I am doing? I will also answer the question “When I am working one-on-one with Patient A and observing Patient B doing their exercises, is that an example of group therapy with Patient B” while I bill Patient A for one-on-one time?

To begin, lets define group therapy and individual therapy. According to

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    1. You need to check with each insurance carrier regarding what CPT codes they cover and pay for in regards to outpatient therapy services.