The insurance war on psychodiagnostic testing

The insurance war on psychodiagnostic testing

A woman in her early 70s was recently referred to me for testing by a neurology practice. Their question was does she have a cognitive change referable to cerebral vascular disease. They also needed a baseline prior to a follow-up with a vascular surgeon to reassess the need for a possible carotid endarterectomy or stenting. […]

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  • TPE audits target high volume providers

    A wave of Medicare audits has triggered anxiety among many psychologists and often costs them time and money as they spend hours tediously compiling records instead of seeing patients, not to mention payment delays for months even if their documentation is up to par. Psychologists whose caseloads are predominantly Medicare patients are the most likely […]

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  • 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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  • Using testing codes requires great care

    I have discovered a significant problem with the new Medicare testing codes described by Paula Hartman-Stein, Ph.D., in the January/February issue of The National Psychologist. She stated that the coding for the neurobehavioral status exam (96116) and psychiatric diagnostic interview (90791) has not changed. That needs some clarification. On another front, psychologists must be careful […]

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  • Hacking creates market for cyber insurance

    With massive data breaches a common occurrence in modern-day society, psychologists need to consider protecting themselves from cyber criminals, insurers say. “We’re trying to spread the word,” said Charlie Hodson, a sales and marketing executive with CPH & Associates in Chicago. “Our clients are starting to ask for this kind of insurance.” Last year, CPH […]

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  • What is Obamacare anyway?

    In reviewing “the state of Obamacare in 2018,” Vox policy reporter Dylan Scott wondered, “What even is Obamacare anyway?” “It’s increasingly difficult to assess ‘Obamacare’ as if it is a single entity,” he wrote. “Because depending on how you look at it, the law might be a rousing success or it’s fallen far short of […]

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  • ACA survives cut in penalties but courts will have final say

    It may be hard for psychologists to believe, but there was a time when the topic of healthcare wasn’t politically charged. So claims Julie Rovner, chief Washington correspondent at Kaiser Health News. She recalls past conversations as “not just bipartisan, but nonpartisan,” often flavored with policy consensus. The 1992 presidential election of Bill Clinton changed […]

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  • ACA less friendly to psychologists than expected

    With the Affordable Care Act’s implementation in 2014, many mental health providers rejoiced. Improved parity protections and mental health/substance abuse (MHSA) coverage would benefit 62 million Americans, federal officials said. John Grohol, Psy.D., founder and CEO of PsychCentral, expressed hope. “With more people obtaining either private insurance or joining an expanded Medicaid program, the bet […]

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  • ACA hasn’t reduced health care costs

    “The only way we’re going to stop our country from being a latter day Roman Empire – and falling under its own weight,” MIT economist Jonathan Gruber told a 2010 audience, “is getting control of the growth rate of health care costs.” The 2010 Affordable Care Act (ACA), which Gruber was integral in developing, was […]

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  • Health care reform update: States ponder possible changes to ACA

    It was mere hours after taking the oath of office that President Trump began taking aim at the Affordable Care Act (ACA). “Pending repeal,” Trump’s executive order read, “it is imperative for the executive branch to ensure that the law is being efficiently implemented, take all actions consistent with law to minimize the unwarranted economic […]

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