Untangling the Web: Navigating Insurance and Third Party Reimbursement
Tuesday, May 20th, 11:00am-1:00pm
Virtual Workshop (Zoom), 2 CE Credits
Presented by: Jordan Weisman, Psy.D.
Sponsored by the American Rescue Plan Act (ARPA)
Description: According to the National Institute of Health’s (NIH) National Library of Medicine, approximately 160,000,000 Americans are enrolled in a managed care plan. In addition, 71 million Americans are enrolled in Medicaid managed care plans. Despite providing insurance coverage for approximately three quarters of the population of the United States, the vast majority of behavioral health training programs do not provide education pertaining to the managed care reimbursement process, thereby constraining payment avenues for clinicians, resulting in decreased accessibility for those seeking behavioral health services, including vulnerable populations.
This seminar will provide information regarding various forms of reimbursement avenues for behavioral health clinicians with detailed descriptions of the managed care payment process, to include initial credentialing and contracting, alternate value based contracting models, and treatment approval programming. In addition, participants will be given the opportunity to discuss ethical concerns and perceptions of managed care processes with the intention of dispelling inaccurate information. It is the intention of this seminar to provide education facilitating new and established behavioral health clinicians to accept insurance and expand needed behavioral health treatment accessibility to all income levels.
Following the completion of this seminar, participants will be able to:
1. Identify the forms of financial reimbursement including direct payments, Medicare, Medicaid and commercial insurances to increase client access to behavioral health care.
2. Understand the concept of medical necessity as it relates to behavioral health services.
3. Discuss the processes related to utilization management in order to best provide ongoing care for clients.
Please take note:
“Untangling the Web: Navigating Insurance and Third Party Reimbursement,” 2 CE credits, is sponsored by the Delaware Psychological Association. The Delaware Psychological Association is approved by the American Psychological Association to sponsor continuing education for psychologists. DPA maintains responsibility for this program and its contents.
Social workers, marriage and family therapists, and professional counselors can receive continuing education from continuing education providers approved by APA. Because DPA is approved by APA to sponsor continuing education, licensed social workers, licensed clinical social workers, licensed marriage and family therapists, and licensed professional counselors will be able to fulfill their continuing education requirement by attending DPA continuing education programs.
For further information, please visit the State Board of Social Workers, Marriage and Family Therapists and Professional Counselors (https://dpr.delaware.gov).
As an APA-approved sponsor of continuing education, DPA is committed to the identification and resolution of potential conflicts of interest in the planning, promotion, delivery, and evaluation of continuing education. Consistent with concepts outlined in the APA Ethical Principles of Psychologists and Code of Conduct, potential conflicts of interest occur when an individual assumes a professional role in the planning, promotion, delivery, or evaluation of continuing education where personal, professional, legal, financial, or other interests could reasonably be expected to impair his or her objectively, competence, or effectiveness. No conflicts of interest or commercial support have been identified for this workshop.
