About the Author |
| Barbara Griswold, M.S., is a licensed marriage and family therapist and the author of Navigating the Insurance Maze: The Therapist’s Complete Guide to working with Insurance — And Whether You Should. She has over 16 years’ experience as a preferred provider for more than 20 insurance networks. In addition to her private practice in San Jose, California, she travels around the state providing individual consultations and group workshops for therapists with insurance questions, and serves on the California Association of Marriage and Family Therapists Ethics Committee. |
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Summary
Barbara Griswold, LMFT
Whether you are a therapist who already works with a few insurance companies – or you have just considered it -- you may find this the most practical continuing education course you have ever taken. In an easy-to-follow and entertaining format, it answers all your questions about working with employee assistance, managed care, and traditional insurance plans. You'll learn about your participation choices, how to become a preferred provider, and how to get reimbursement without joining a provider network. You'll understand how to get more sessions approved, tips to getting paid (fast, and every time), how to appeal claim denials, as well as how to handle confidentiality concerns and avoid fraud.
Best of all, you'll get the latest information on recent legal changes that may significantly affect your practice, including the Health Insurance Portability and Accountability Act (HIPAA), the National Provider Identifier (NPI), parity laws, and the newly revised CMS-1500 insurance claim form. The book includes a sample claim (completed for a fictitious client) and line-by-line instructions for the claim that will serve as a handy reference long after you've completed the course.
Learning Objectives
- Describe the different types of insurance plans and define basic insurance concepts, enabling the participant to educate clients about how plan benefits and limitations impact treatment decisions
- Summarize their choices regarding involvement with insurance plans, the pros and cons of each, and how to join provider panels.
- Observe how to handle all aspects of a client's insurance as illustrated via case example
- Explain how insurance can affect clinical work at different stages of therapy.
- Identify legal and ethical issues that relate to insurance, including confidentiality concerns and insurance fraud, as well as helping participants understand recent insurance legislation that may affect their practice
134pp
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