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Navigating the Insurance Maze: The Therapist's Complete Guide to Working With Insurance -- And Whether You Should -- SECOND EDITION , Newly revised and updated
Navigating the Insurance Maze The Therapist's Complete Guide to Working With Insurance And Whether You Should SECOND EDITION Newly revised and updated Author:Barbara Griswold, LMFT Hot-off-the-presses, this is the newly revised and updated second editon of the must-have guide for working with insurance. Whether you've thought about accepting insurance, you work with a few plans, or would rather sell your soul than join an insurance network, this is a must-have reference. Even if you only give clients an invoice to g... more »ive to their insurance plan, this easy-to-read manual will teach you what EVERY therapist should know about insurance.In an easy-to-follow and entertaining format, it explores the myths and realities of working with insurance, and answers all your questions about working with employee assistance, managed care, and traditional insurance plans.It promises to challenge what you thought you knew about insurance, and give you the knowledge to better help your clients, because what you don't know can hurt them -- or you. You'll be able to help your clients make informed choices about the risks and benefits of using insurance, and address their confidentiality concerns. At the same time you'll learn how to avoid making costly mistakes that might end up in a claim denial, and the 13 all-too-common billing practices that could jeopardize your license.Using a case example, it takes you step-by-step through every detail of working with a client's coverage, giving insider tips for dealing with insurance companies (including how to get thorough to a person with a pulse when you call). You'll find useful forms including a sample invoice, treatment agreement, appeal letter, payment tracker, and a worksheet you can use when checking benefits. You'll also get line-by-line instructions for completing the new CMS-1500 claim form most plans now require, a comprehensive glossary of insurance terms, and pages chock-full of helpful resources.Written by a therapist with 16 years experience with more than 20 insurance plans, this practical manual won't gather dust on your bookshelf -- you'll use it again and again in your practice.Topics include:
Ways to accept insurance without joining provider networks,
Becoming a preferred provider: What they look for,
The crucial questions to ask when checking insurance,
The most common errors therapists make on claims,
Tips for speedy reimbursement,
The difference between EAPs, HMOs, PPOs, and POS plans -- and why you should care,
Must you take discounts? Can you get raises?
Will your treatment be micromanaged? Can you do long-term therapy?
Can you client's insurance plan ask to see your notes -- even if she submits the bill? (the answer is yes),
What you need to do when both members of the couple you are seeing have insurance plans?
And a self-quiz: Is accepting insurance right for you?After you read this book, you will have the answer to all of these.« less