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Highlights from the Current Issue:
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Greg
Meissen, Ph.D. says that due to HMO limits on therapy time, self-help groups can
be the answer to guard against relapse during down-time between sessions.
To read more about this story, subscribe
here.
The lead psychologist in California's long-running saga involving hospital
privileges says he is pleased with the initial reaction to a new organization he
is heading that targets licensed therapists who feel that existing organizations
have become irrelevant. Stephen E. Berger, Ph.D. said a membership drive
is underway for the California Licensed Psychologists' Association (CALPA). To
read more about this newly formed organization, subscribe
here.
In his debut column for The National Psychologist on the new APA Ethics Code our
expert, Jeffrey E. Barnett, Psy.D. examines the issue of informed consent as a
critical issue for practitioners. To read about this, subscribe
here.
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Oxford
Health seeks repayment for past mental health services
By Mary Lou Bernardo, Ph.D.
In an unprecedented move, a Connecticut-based health maintenance organization is
seeking hundreds of thousands of dollars in repayment from New York area mental
health professionals, claiming their notes did not support charges made during
the past five years.
Lead,
kindly light, amid the encircling gloom...
-- from “The Pillar of the Cloud” by John Henry Newman
By James Bradshaw
Assistant Editor
Paul A. Arbisi, Ph.D., had received a few calls already even before the autumn
end of Daylight Savings Time. The gloom of another Minnesota winter was
approaching, and there would be more calls soon.
OIG Workplan 2004 targets psychiatric
and rehab in-patient services
By Paula Hartman-Stein, Ph.D.
Whether psychiatric in-patient and rehabilitation facility stays meet criteria for medical necessity are among the targets for scrutiny by the Office of Inspector General (OIG) in its 2004 Work Plan issued October 1. According to the Workplan, a blueprint for OIG projects determined annually, "Prospective payment (PPS)-exempt psychiatric units and specialty psychiatric hospitals received over $2.8 billion for Medicare in-patient stays in 2000." Medical reviews found "very high rates of unsupportable or unallowable services in both types of facilities (58% and 42%, respectively)."
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