Commercial Insurers Actively Reviewing Patient Records for Healthcare ‘Waste’

Psychologists who think that not participating in Medicare can avoid audits of patient files need to think again. Commercial payers such as Aetna, Anthem and Humana have in-house special investigation units that are becoming aggressive in reviewing clinical records. According to health care attorney and psychologist, James Georgoulakis, Ph.D., JD, federal audits focus on fraud […]

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  • Can Confidentiality be Maintained in Group Therapy?

    Confidentiality is a cornerstone of healthy therapeutic relationships and effective treatment and is based upon the ethical principles of autonomy and fidelity, and to a lesser degree, beneficence and nonmaleficence. Autonomy assumes clients have the right to decide to whom they will reveal information, and confidentiality is based upon respect for clients’ ability to choose […]

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  • A Short Course on Encryption & Cloud Storage

    Encryption and cloud storage is a complicated area because it requires an analysis of the interplay of several variables, including confidentiality, encryption, cloud storage and HIPAA. Each of these variables is complex, but there are ways to make the situation more manageable. Encryption and cloud storage Let’s consider a few common questions: “For the purposes […]

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  • Integration Isn’t Enough: Mindful Practice Needed in SPMI Healthcare

    When I joined a Denver community mental health center as a health coach serving 160 individuals with severe and persistent mental illness (SPMI), I landed on the frontlines of a radical experiment. Our “health home” aimed to integrate behavioral and primary care services for SPMI individuals, the most medically complex users of our health care […]

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  • Retiring as a Psychologist Ethically

    Retiring is a huge step, professionally, financially and personally. It requires thought, reflection and planning. Like starting our careers, for the most part the decision to retire should both make sense and feel right. It should ideally be a decision of the head and the heart. The professional aspects include preparing ourselves emotionally, preparing our […]

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  • Veterans Administration is Leader in Telemental Health

    Long waits for care at Veterans Administration facilities have drawn harsh criticism and congressional action, but the VA is a leader in another area of care – telemental health. With 44 percent of veterans returning home from Iraq and Afghanistan to rural zip codes, the VA is relying increasingly on telemental health and other technologies […]

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  • Human trafficking: How psychologists can combat this worldwide problem

    Human trafficking,” “trafficking in persons” and “modern slavery” are terms used interchangeably to refer to a variety of crimes associated with the economic exploitation of people. The United Nations Convention against Trans-national Organized Crime defines trafficking as follows: “Trafficking in persons… mean(s) the recruitment, transportation, transfer, harboring or receipt of persons, by means of the […]

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  • Dealing with the DSM-5 Clinically & Ethically

    For a number of years the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) has garnered the attention of psychologists both as scientists and practitioners. It was a topic of discussion for several years, but that did not prepare many of us for the reality of implementing the DSM-5. When it arrived in the […]

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  • ACA likely to create more large care provider groups

    Less than six months after passage of the Affordable Care Act (ACA), the administration’s health czar and two colleagues wrote in the Annals of Internal Medicine that “the economic forces put in motion by the Act are likely to lead to vertical organization of providers and accelerate physician employment by hospitals and aggregation into larger […]

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