Join us at our live ZOOM webinar
Saturday, Nov. 12, 2022
11 am- 1 pm Pacific / 12 – 2 pm Mountain / 1 – 3 pm Central / 2 – 4 pm Eastern
CAN’T MAKE IT LIVE? THE WEBINAR WILL BE RECORDED! All registrants will get the recording link
How would you feel if a health plan asked to see your notes? For most therapists, this request would bring an acute wave of anxiety, and a strong desire to protect confidentiality. Yet every day, healthcare professionals nationwide — whether in or out-of-network — are facing these requests, as they are being asked to provide documentation to back up their billing. Yes, even the notes of out-of-network therapists are being requested, as notes are subject to review whenever a statement/superbill is submitted to a plan.
While some audits are purely administrative, others can lead to costly claim denials or repayment requests (aka“clawbacks”). You — or your out-of-network clients — can lose thousands of dollars in unreimbursed claims.
In this live webinar, we take a closer look at the reasons your notes might be requested by a health plan, how to respond if they are requested, and how to avoid these requests in the first place. We’ll also give tips on record-keeping changes you can make now, to avoid any loss of money.
Topics include:
- What is an audit, and how is it different than a treatment review?
- Why you might you be chosen for an audit: Key Audit Triggers
- What are the major audit triggers?
- The scary new trend: Pre-Payment and Post-Payment Audits
- What you should know about Risk-Adjustment Audits (Ciox, Inovalon, Datafied etc.)
- What are the plans looking for in each type of audit?
- If your notes are requested, what should you do?
- Can you refuse a records request? Can you ignore it?
- Common reasons the plan might not pay for sessions
- What happens if you fail a records audit? How to appeal
- If your notes are not great, what can you do now to get your notes in order?
FREE DOWNLOADS: As a bonus, all participants will be given access to 2 downloadable Treatment Record Checklists used by major health plans to check your documentation
CE CREDITS: 2 LEGAL AND ETHICAL CE CREDITS are available for California LCSWs, LMFTs, LPCCs or LEPs; Other licensees should check with their licensing board for possible credit — we do not have information on which states might accept the CEs. CEs can be obtained by watching the recording. For more about CEs, see FAQs below.
WHO SHOULD TAKE THIS COURSE: The training is aimed at a nationwide audience. It is appropriate for psychotherapists, supervisors, students, or counselors in training, regardless of experience level or practice setting, plus psychotherapy office staff or billers.
COST:
- $46 regular registration, no CE credits
- $56 for California BBS Licensees who want 2 CE CREDITS (or others who want to seek approval from their licensing board)
- $36 for pre-licensed therapists
- Group discounts available for groups of 4 or more (see ticketing page)
TO REGISTER, click here
IMPORTANT: YOU WILL ACCESS THE WEBINAR THOUGH A LINK SENT BY ZOOM — NOT EVENTBRITE. After registering you will be sent an Eventbrite invoice, but this is just your receipt. You should receive the webinar link in an email from Zoom when you register, then email reminders one week, one day, and one hour before the event. If you do not have the link two days before the event, contact our Technology Advisor Aviva Lev-David at aviva17@gmail.com.
PRESENTER: Barbara Griswold, LMFT is the author of Navigating the Insurance Maze: The Therapist’s Complete Guide to Working with Insurance – And Whether You Should, soon coming out in the 9th edition. In addition to her 32-year private practice in San Jose, CA, she provides consultations and trainings about insurance, progress notes, and practice building to therapists nationwide. She invites you to schedule your consultation with her.
FAQs
“TELL ME ABOUT THE RECORDING.” Within 6 hours of the webinar’s end, all registrants will automatically be sent an email with the link to the recording. If you don’t receive it, please check your spam folder before contacting us at orders@theinsurancemaze.com. The recording can be stopped and started as many times as you wish and reviewed for one year. CEs can be earned from viewing the recording.
“TELL ME MORE ABOUT YOUR CE POLICIES.” For those who signed up for CE credits, a link to the evaluation/post-test will be sent after the webinar; attendees must complete this and pass with a score of 70% before a CE certificate will be issued. The certificate will come via email within 12 hours of submitting the test. CEs are only guaranteed for California BBS licensees, others should check with their licensing board for possible credit. Your certificate will be dated when you take the test. Barbara Griswold is approved by the California Association of Marriage and Family Therapists (#023504) to sponsor education for California LMFTs, LCSWs, LPCCs, and/or LEPs. Barbara Griswold LMFT maintains responsibility for this course and its content. Please contact us at orders@theinsurancemaze.com with questions, complaints, or requests for accommodations. For complete CE policies, click here
“ARE THERE ANY DISCOUNTS/COUPONS FOR THIS WEBINAR?” There is a discount for pre-licensed therapists and groups of four or more. See the ticketing page. There are no coupons.
STILL HAVE QUESTIONS? Contact us at orders@theinsurancemaze.com
DISCLAIMER: The requirements of health plan, ethics codes, professional associations, licensing boards, and states will vary. Information presented should be seen as a general overview of common requirements. Information presented does not take the place of legal advice.
TO REGISTER, click here