In Episode 6, Danielle asks Katia how to verify a client’s mental health benefits once you are an in-network provider. Katia discusses some common questions that come up when verifying benefits such as what to do when a client has a “carve out plan” and how to calculate a client’s co-insurance rate.
Show Notes:
Tips on how to verify benefits as an in-network provider
BONUS Tips on how to calculate co-insurance
Out of Network Billing TipsJuly 9, 2018 - 7:00 amHere are some tips to ease out of network billing confusion: What/Who is Out Of Network? Clinicians who have not signed a contract with an insurance company and do not have to abide by a contracted rate. Can still be subject to insurance audits for medical necessity and are still considered a HIPAA-covered entity. […]
6 Tips to Get Through a Care Review With an Insurance CompanyJune 26, 2018 - 7:00 amYou go to check your voicemail after a long day of seeing clients and you hear the message you’ve been dreading. It’s a representative from an insurance company wanting to do a care review on one of your clients and they’ve asked you to call them back. AHHHHH—but wait! Don’t panic. You’ll be just […]
Insurance and Expanding into a Group PracticeMay 21, 2018 - 5:00 amFirst of all—congratulations! If you are reading this post, that means you are at least thinking about expanding your practice and forming a group, which hopefully means you have a successful group practice or maybe just big dreams! For the sake of this blog post, I am going to assume that you are in a […]
What Clinicians Need to Know About the Interactive Complexity CPT Code (90785)May 7, 2018 - 10:25 am
Episode 7 Filing a Claim, Finally! 
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