Clinical Social Work Practice Tools:
Third Party Payers


Attention Clinical Social Workers: Optum Pay Update

May 2021 Practice Alert

Jun 01, 2021

On January 18, 2021, Optum Pay, a platform of UnitedHealthcare, launched an upgraded version of its payment management system, Optum Pay premium.

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Attention Clinical Social Workers: Avoid Medicare Rejections 2020

Mirean Coleman, MSW, LICSW, CT, Clinical Manager

Jan 08, 2020

Beginning January 1, 2020 Clinical Social Workers who are in independent practice and provide psychotherapy services to Medicare beneficiaries, must submite Medicare claims using the new MBIs to avoid claim rejections.

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Mental Health Parity: Where Are We?

Yael "Ellie" Silverman, MSW, LICSW

May 15, 2018

The current policy is the Paul Wellston and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The MHPAEA was enhanced by the Affordable Care Act (ACA) in 2010. Current expectations and how they impact clinical social workers and patients are outlined in this practice perspective.

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Medicaid Advocacy Tool Kit

Yael "Ellie" Silverman, MSW, LICSW

Mar 20, 2018

The National Association of Social Workers (NASW) is committed to advocacy that preserves equal access to health care for all Americans.

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Practice Perspectives Opting-Out of Medicare and Other Insurance Companies

Mirean Coleman, MSW, LICSW, CT

Sep 21, 2017

NASW members are seeking reimbursement clarifications when performing psychotherapy services to Medicare Part B beneficiaries who do not wish to use their Medicare benefits. In such situations, a clinical social worker may opt-out of Medicare. This means that the clinical social worker cannot bill Medicare for any services they perform. Instead, reimbursement is received from the Medicare beneficiary under the terms of a private contract.

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Practice Perspectives - An Overview Of 2015 Medicare Updates For Clinical Social Workers

Mirean Coleman, MSW, LICSW, CT

Jan 01, 2015

The 2015 Final Physician Fee Schedule was released in the Federal Register on November 13, 2014 and provides regulations for clinical social workers who provide psychotherapy services. Clinical social workers should note these changes to keep their Medicare practice running smoothly and effectively.

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