psychologist billing

Psychologists face denials, delays in testing payments

At the beginning of 2019 psychologists who test children or adults were required to learn a complex coding and billing system after the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) overhauled the Current Procedural Terminology (CPT) codes for central nervous system assessments. Prior to the change going into effect, […]

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  • Integrated healthcare requires caution

    Integrating behavioral health into primary care and other healthcare services has offered another service modality to our field’s bandwidth. It holds a unique place, sharing the boundary between behavioral and other healthcare services, and is best served by integrated teams. Some have argued there is an urgent need for this treatment modality due to the […]

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  • Closing private psychologist practice not for faint of heart

    The closing of a private practice is a complex process inclusive of ethical, legal, financial and emotional issues. I found a handy-dandy checklist in the literature discussing the ethical, legal and financial obligations. However, the checklist failed to help me anticipate the intensity of my own resistance to termination. It is my intent now to […]

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  • Empathy may be ill-timed in treating trauma

    Under-recognized in the treatment of trauma is the negative impact that may result when an offer of compassion or empathy is ill-timed. Children, now adults, often continue to adhere to entrenched allegiances of accommodating parental caregivers – pathological states which long served to negate the unique existence of that child as an evolving individual. A […]

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  • Managing risks of telepsychology

    Many psychologists are eager to use technology to enhance their practices, and the field of telepsychology is quickly gaining popularity. Clients and providers alike often value the convenience of using videoconferencing technology for the provision of mental health services, but as with all emerging interventions, there can be risks. This article will provide a brief […]

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  • Ethics for psychologists: Supervising in the age of #MeToo, trigger warning and safe spaces

    The popular press in the United States has recently been replete with allegations of misconduct by people, primarily men, in positions of power. Those contending harassment, exploitation or sexual assault have called out giants in journalism, theater, cinema, music, sports and politics. The allegations have resulted in public scorn, resignations, firings and civil or criminal […]

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  • Cognitive behavioral therapy (CBT): Helpful hints

    Cognitive behavioral therapy (CBT) assumes psychological problems are caused by negative thoughts and behavior that influence feelings. We can help clients with a few suggestions on how to change what they are doing when distressed rather than to focus solely on what they are thinking. Here are some actions a psychologist can instruct a client […]

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  • Court cases, market forces reshaping psychology

    I write from my experience as chair of Texas State Board of Examiners of Psychologists (TSBEP), but what I’ve seen has broad implications for professional practice nationwide. For nearly 50 years the Federal Trade Commission (FTC) has focused on increased competition to facilitate a “free market” in the professions and has closely watched activities of […]

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  • Out-of-office encounters may be beneficial

    Engaging with clients outside the office has generally been discouraged or called unethical, similar to the way in which uninformed risk management and ethics “experts” have traditionally viewed dual relationships, bartering, self-disclosure by therapists or gift exchange between clients and therapists. Once we go beyond the “don’t list” and take off distorted “risk management glasses” […]

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  • Many clients need financial therapy

    Money can be one of the biggest sources of internal and interpersonal conflict and struggle we experience in our lives. The APA reports that since 2007 money has been a top cause of stress for Americans. The most recent survey found 72 percent of Americans stressed over money during the past month, and 31 percent […]

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