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You may think if you have never joined an insurance plan, you don’t need to understand insurance billing. But your lack of knowledge about insurance can hurt both your clients and you. Your client’s reimbursement request may be denied by a health plan due to your coding or billing errors. And yes, even out-of-network therapists can have treatment reviewed — and notes requested — by a health plan whenever a client submits a superbill. So if you haven’t kept good notes, or don’t know how to articulate the need for sessions in a clinical treatment review, clients may not be reimbursed, or their treatment may stop being covered, leading to treatment dropout.

In this webinar, we will discuss what EVERY out-of-network therapist should know about billing, since knowledge of how insurance works can help you advocate for the care your client needs and deserves. We will also talk about billing issues for private pay clients.

Topics include:

How to retain potential new clients even though you aren’t on their plan
4 options for assisting your out-of-network clients with insurance billing
Should you check a client’s out-of-network coverage? (and what to ask)
Ethical sliding scale fees
What should be on your superbill to avoid denials
The types of audits out-of-network providers need to worry about
Telehealth coverage and billing for out-of-network providers
What do plans require in the notes of out-of-network therapists to reimburse clients?
Negotiating Single-Case Agreements with a health plan to cover one client
Health plan clinical reviews: What to say — and what NOT to say
Why the plan might refuse to reimburse your out-of-network clients
Time permitting: Billing for missed sessions

BONUS FOR CALIFORNIA THERAPISTS: 1.5 CE credits are available for CALIFORNIA LCSWs, LMFTs, LPCCs or LEPs. Other licensees from California and other states should check with their licensing board for credit.

PRESENTER: Barbara Griswold, LMFT is author of Navigating the Insurance Maze: The Therapist’s Complete Guide to Working with Insurance – And Whether You Should, now in its 8th edition. In addition to her 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 contact her at theinsurancemaze.com/contact.

Questions and Answers:

Who should attend? This event is designed for all types of mental health professionals nationwide, whether they work for insurance or not.

Barbara Griswold LMFT (CAMFT CE provider #023504) is approved by the California Association of Marriage and Family Therapists to provide Continuing Education for California LMFTs, LCSWs, LPCCs, and/or LEPs. Others should check with their licensing boards for possible credit. Barbara Griswold maintains responsibility for this course and its content. For complete CE policies, click here

Who can I contact with questions? For any questions, concerns, or grievances related to this webinar or registration, please contact Barbara Griswold, LMFT via email at barbgris@aol.com. Any person with disabilities who may require accommodations to participate in our trainings or special events is asked to please contact us at least 7 days in advance.