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Clinical Social Work: Reimbursement

Clinical Social Work Practice Tools

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Medicare Update For Clinical Social Workers

Mirean Coleman, MSW, LICSW, CT

Jul 28, 2003

NASW is currently receiving telephone calls from members regarding Medicare changes in reimbursement for clinical social workers who file claims for services provided in skilled nursing facilities (SNFs). Members are reporting that Medicare carriers are: (1) denying claims submitted for services provided in SNFs; and (2) requesting refunds of claim payments previously made for services provided in SNFs under Medicare Part A.

Clinical Social Work Practice Update - Medicare Part B Payment For Clinical Social Workers In Private Practice

Mirean Coleman, MSW, LICSW, CT

Jun 01, 2003

The Department of Health and Human Services (DHHS) recently released a Program Memorandum to Medicare Carriers to inform the provider community about Medicare payment of Part B mental health services. The memorandum identified the requirements and qualifications of professionals who may be considered mental health providers, including clinical social workers, qualified physicians, clinical psychologists, nurse practitioners, clinical nurse specialists, and physician assistants. Highlights of this memorandum, as it relates to clinical social workers in private practice, are summarized in this practice update.

Clinical Social Work Practice Update - How Reimbursement Rates Are Developed For Clinical Social Workers In Private Practice

Mirean Coleman, MSW, LICSW, CT

Apr 01, 2003

Reimbursement rates for clinical social workers in private practice are based on the resource based relative value scale (RBRVS). The federal government developed this standardized physician payment schedule in 1992. It is used not only for physicians but for non-physician practitioners such as clinical social workers, psychologists, and clinical nurse specialists.