Dealing with Insurance: How Auditors Think and Why
1 CE Hour. Continuing Education for Office Hours (CE for OH) Session Replay.
Presented by Maelisa Hall, PsyD
As access to insurance increases, the hope is that access to therapy will also increase. However, therapists receive little to no training in how this impacts their care for clients, mainly regarding documentation and approval of services. Insurance values the concept of medical necessity and it is crucial for professionals to understand this concept.
This introductory-level course for counselors, clinical social workers, marriage and family therapists, and clinical and counseling psychologists will include a presentation of various definitions of medical necessity with clinical examples for reference. Applications to both mental health and small businesses (private practice) will be reviewed. A review of sample case notes and suggested content will follow, as well as a formula for how to review one’s notes independently to ensure a positive review by insurance.
Course Developer/Primary Presenter
Maelisa Hall, PsyD, Dr. Maelisa Hall is a licensed psychologist, wife, nail design enthusiast and co-host of the My Biz Bestie podcast. Through her online continuing education business, QA Prep, she specializes in teaching therapists how to connect with their paperwork so it’s more simple and more meaningful. She enjoys creating trainings that are interactive and engaging so that clinicians leave with strategies they can use immediately.
Accuracy, Utility, and Risks Statement: Some interpretation and analysis presented is made by the presenter based on professional work experience and research of literature. The presenter may not know how to apply all principles discussed to every insurer or practice context. This program discusses strategies for creating documentation that satisfies insurance company requirements as well as related legal-ethical issues. It may not include information on all applicable state or federal laws. Misapplication of the materials, or errors in the materials, could result in delays or other issues related to insurance payments or contracts.
Conflicts of Interest: None.
Commercial Support: This program has no commercial support.
Person Centered Tech, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Person Centered Tech, LLC maintains responsibility for this program and its content.
Person-Centered Tech, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6582. Programs that do not qualify for NBCC credit are clearly identified. Person-Centered Tech, LLC is solely responsible for all aspects of the programs.
Pre-approved by the Texas Social Work Board (#6357) and Texas Counseling Board (#1883)
Ohio CSWMFT Pre-Approved Provider #: RCST071601
Person-Centered Tech, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0540.