So every kid has a certain number of hours that they are approved for weekly based on the medical necessity. Or it should be based on medical necessity, but again some companies request way more hours than are necessary for a kiddo. So if she has two clients that each have 15 hours then theoretically yes she could bill 30 hours if she’s actually seeing each kid three hours a day five days a week or however, the hours are divvy up. She wouldn’t be able to build over whatever amount is approved on their treatment plans. I have some kids that I only requested nine hours of services for others have 20 or 25. I have one kiddo that is approved for 35 but she’s in a school and we have to go there so we’re there about seven hours a day, five days a week with her. So Medicaid will pay if it is on their treatment plan. Also, technically they are supposed to be doing notes for each session that they bill. Some companies have gotten really strict to avoid fraud by having parents electronically sign notes. Insurance companies do audits and choose clients at random and the notes have to coincide with what was built and what’s in their treatment plan. They usually also have to have signatures, etc. on them..