Which of the following represents an ethical violation when submitting insurance claims?

Billing for couples therapy without proper licenses constitutes an ethical violation because it involves providing services that exceed the scope of one's qualifications or licensure. Mental health professionals are required to operate within the boundaries set by their specific licenses. Engaging in couples therapy when one's license does not permit it can lead to legal repercussions and misrepresentation of qualifications to clients and insurance companies.

Proper licensure is critical in ensuring that clients receive care from trained and qualified professionals. This not only protects the integrity of the profession but also safeguards the welfare of clients who deserve competent treatment. Therefore, submitting insurance claims for services that one is not legally authorized to provide can result in significant ethical and legal consequences, including the potential for fraud charges.

In contrast, using correct diagnostic codes, documenting clients' strengths accurately, and providing detailed session notes to insurance are practices that adhere to ethical guidelines and contribute to the integrity of the therapeutic process. Proper coding and documentation are essential for effective treatment and accurate billing; they maintain transparency and accountability in practice.