Clinical Social Work: Reimbursement

In July, many NASW members alerted their state chapters to a disturbing and potentially deceptive marketing practice impacting social workers nationwide 

In July 2021, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2022.

On December 1, 2020, the Centers for Medicare & Medicaid Services released the final rule for the Medicare Physician Fee Schedule. The rule is effective January 1, 2021, and applies to Medicare providers, including clinical social workers (CSWs). This NASW Practice Alert summarizes the rule provisions that apply to CSWs.

Although Clinic Workers will not be reporting quality measures in 2020 for Medicare, they should familiarize themselves with the Clinical Social Work measure list proposed for clinical social workers.

In 2020, there are several important national updates that clinical social workers (CSWs) should be aware of to help them maintain an effective business and clinical practice. These updates include the areas of coding, claims, quality payment, and reimbursement.

In 2013, 90837 was one of several psychotherapy procedural codes introduced to health care professionals such as clinical social workers and the health insurance industry.