- SCU Home Page
- About SCU
- On Campus
- News & Info
Navigating the Insurance Maze: What EVERY Therapist Should Know
Course # - CPSY x945
Loyola Hall Room 160
Credit Hours: 4
· Observe how to handle all aspects of a client's insurance as illustrated via case example.
· Summarize the pros and cons of becoming an insurance network provider, and learn how to join provider panels
· Identify the myths and realities of working with insurance, including concerns about confidentiality and case micro-management
· Get a better understanding of how to write effective treatment requests and handle authorization reviews, so that you can get needed care for clients
· Understand how to check coverage and how to complete insurance claims to make sure clients understand their coverage and avoid disruption of treatment
· Learn to identify and avoid common billing practices that are actually insurance fraud
With the coming of healthcare reform, over 30 million more clients will have insurance, and will need therapists who accept their insurance. And if you have empty therapy slots, insurance clients may be able to fill those. But must working with insurance mean fee discounts, limited sessions, mountainous paperwork, and compromising confidentiality? This entertaining presentation addresses what EVERY therapist should know about insurance, even if you never sign a plan contract. There are sweeping changes going on right now at the state and federal level, including recent parity laws, changes in how plans approve sessions, and important changes to claim codes. What you don't know can hurt you and your clients, so it is important to be informed, so we can best advocate for needed treatment for our clients.
From this workshop, you will learn:
· How to turn first-time callers into new clients, even if you aren't on their health plan
· The 12 Crucial Questions to ask when checking coverage to avoid denials
· Line-by-line claim instructions, with insider tips for speedy reimbursement and avoiding denials
· The tricks for writing successful treatment requests
· The pros and cons as well as the myths and realities of participation
· How to join insurance plans, and how to get on even if they are "full"
· Common billing practices that are actually insurance fraud
· How to address confidentiality concerns
· Understanding HMOs, EAPs, EPOs, PPOs, and POSs -- and why it matters
· How recent parity laws and health care reform will affect your clients - and you
Barbara Griswold, MFT, is the author of Navigating the Insurance Maze: The Therapist's Complete Guide to Working with Insurance -- And Whether You should (www.theinsurancemaze.com). In private practice in San Jose, California, she has been a provider for more than 20 insurance plans for over 20 years. She teaches continuing education courses for Gerry Grossman Seminars and JFK University, and provides phone consultations to therapists with insurance questions and problems. In addition, she writes a free monthly e-newsletter. Barbara served on the California Association of Marriage and Family Therapists Ethics Committee for four years, and was an Oral Examiner for the California Board of Behavioral Sciences for seven years.