Topic: What EVERY Therapist Should Know About Insurance -- Even if You Want Nothing to Do With ItPresenter: Barbara Griswold, LMFTDate: Friday, January 26, 2018Time: 9:30 AM to 4:30 PMLocation: Rancho Cordova City Hall, 2729 Prospect Park Drive, Rancho Cordova, CA 95670 (map)
Doors Open at 8:30AMNetworking starts at 8:30 AMAnnual Membership Meeting Starts at 9:00 AM
This program will benefit LMFT, LPCC, LEP and LCSW licensees and pre licensees by assisting them to be able to identify legal and ethical issues that relate to insurance and documentation, including confidentiality concerns and insurance fraud. A knowledge of how insurance works can also help the licensee advocate on the client's behalf with the plan.Includes: Continental Breakfast, Soft Taco Lunch Buffet, afternoon drinks and snacks and meets the qualifications for 6 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences. Sacramento Valley Chapter of California Marriage and Family Therapist CAMFT CEPA CE Provider #62279 CE Credit will be awarded after the completion of the course via email. No CEs will be awarded to persons arriving late or leaving early. Partial CE credit will not be awarded.
The Affordable Care Act brought coverage to millions of previously uninsured clients, and led Medi-Cal to open the door to MFTs and interns. But therapists are also experiencing increasing treatment reviews and records requests -- even out of network therapists. How might these and other changes in the insurance world affect you and your practice? Is a private-pay only practice possible? Discover what every therapist should know about insurance, even if you never join an insurance plan, including how to keep new clients even when you aren't on their plan, a strategy for getting in the door at "full" insurance plans, the 13 essential questions to ask when checking coverage, and the secret to getting more treatment approved. We'll discuss tips to avoid costly denials, including what should go on your claims and superbills/invoices. This workshop will help you make your services more accessible to clients of all socioeconomic backgrounds, and help you successfully advocate for your clients with insurance. Some of the many topics covered:♣ HMOs, EPOs, PPOs, and POSs – What’s the Difference, and Why it Matters ♣ Provider Choices: Network Providers vs. Out-of-Network Providers ♣ How to Get on Insurance Plans -- What They Are Looking For ♣ Update on Recent Changes in the Insurance World ♣ Medi-Cal Now Open to MFTs and Interns ♣ The Pros and Cons of Accepting Insurance ♣ Out of Network Providers -- What You Need to Know ♣ How to Keep Clients Even if You Aren't in Their Network ♣ Our Biggest Fears about Working with Insurance: Myth or Reality? ♣ Couples/Family Therapy Billing ♣ Surviving Treatment Reviews: How to Address Medical Necessity Criteria ♣ What Insurance Plans Expect in Your Progress Notes ♣ Checking Coverage: 13 Essential Questions You Must Ask to Avoid Denials ♣ How to Fill Out a Claim Form, and Avoid Common Claims Mistakes ♣ What Should Be on Your Invoice/Superbill ♣ Confidentiality Issues when Using Insurance ♣ Insurance Fraud: Common Billing Practices that are actually Fraud
Describe the different types of insurance plans and define basic insurance terms and concepts, enabling the participant to educate clients about how these benefits and limitations impact treatment.Identify the most common provider mistake that leads to treatment disruption and claim denialsIdentify the elements of medical necessity criteria, and how to document the medical necessity of treatment