CMS Wrongfully Denying Physician Quality Reporting System (PQRS) Incentives

Due to the dogged determination and careful attention to detail of Amy Rosett, PhD, a solo practitioner from Encino, California, the Center for Medicare and Medicaid (CMS) overturned its decision to deny a financial bonus for her 2014 participation in the Physician Quality Reporting System (PQRS). Last September Rosett failed the Measure Applicability Validation (MAV), […]

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  • Reimbursement Diagnoses May Be Co-Morbid: Ethical Concerns with Different Diagnoses

    I work in a sleep medicine clinic. Since the implementation of ICD-10-CM, I have had more cases where the diagnosis (for example: insomnia) is not accepted by insurance. My billing person has asked me for another diagnosis so she can rebill insurance. There are some cases where all I can do is give a different […]

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  • Disclosures for Forensic Evaluations: Not an Assessment for Purposes of Treatment

    Forensic evaluations include Social Security examinations, competency and sanity evaluations in criminal cases, independent psychological evaluations, court-ordered psychological testing and child custody evaluations. For each of these, the individual who is being evaluated is not a client of the psychologist conducting the evaluation. The person being evaluated needs to understand through an informed disclosure of […]

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  • Psychology Lags in Helping Impaired Colleagues

    Washington – Psychology lags far behind other health professions in helping impaired colleagues, an Oklahoma psychologist told a small group at the annual State Leadership Conference sponsored by the American Psychological Association and its Practice Organization. Julio I. Rojas, PhD, associate professor of psychiatry and behavioral sciences at the University of Oklahoma, said the colleague […]

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  • Evidence-Based Treatment for Veterans with Military Sexual Trauma

    Increasingly, the suffering of military service members who experienced sexual trauma while on active duty is being recognized. Military sexual trauma, (MST) is used to describe the experiences of thousands of current and former male and female service members who were sexually assaulted or repeatedly sexually harassed. MST may involve being pressured into sexual activity, […]

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  • Challenging a Mandate to Adopt Electronic Health Records (EHRs)

    In 2007, the Minnesota legislature passed a law mandating that by Jan. 1, 2015, all health care providers adopt Electronic Health Records (EHRs). A grassroots group of psychotherapists concerned about security of confidential client information challenged the mandate. The distinguishing feature of HER systems is interoperability, the capacity to exchange data online with other EHR […]

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  • Crossing the Mental Health Court Chasm to Community Mental Health

    “Welcome to mental health court,” I say in a voice and tone intended to communicate authentic caring as I begin to describe the nature and goals of Broward County’s Misdemeanor Mental Health Court. Yesterday, a young man diagnosed with schizophrenia appeared in court with his mental health community case manager. This case manager was part […]

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