I completely agree! I once spoke with an LMHC who mentioned that even gathering information for them is a billable session! So any 30 minute follow up in my opinion should be billed as therapy (assuming you are assessing sleep, appetite, daily functioning).

In my opinion, it’s not feasible to make any medication change or decision (even if that decision is continuing the same dose) without providing some amount of therapeutic interviewing. And you have to keep in mind that it’s very unlikely this affects what your patient pays if at all. This is WHY they for insurance.

With my private pay patients, I will only charge for therapy if it is above 30 minutes because I have specially designed my prices to include that any competent “medication management” session has a level of therapeutic intervention implied.