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Clinical Social Work Practice Tools

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Optum United Behavioral Health Responds to NASW Letter

Mirean Coleman, LICSW, CT, Director of Clinical Practice

Apr 11, 2024

In February 2024, NASW members informed the association of mass overpayment requests from Optum United Behavioral Health. Optum Recovery Service reported that they paid clinical social work providers 100 percent of the psychologist rate when they should have been paid only 75 percent of the psychologist rate. As a result, Optum requested overpayment of 25 percent from clinical social work providers who received reimbursement for services provided to beneficiaries of Medicare Advantage Plans.

NASW submits comments to CMS on the Calendar Year 2022 Physician Fee Schedule

Sep 13, 2021

Re: CMS–1751-P Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review Requirements

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.

Opting-Out of Medicare and Other Insurance Companies

Practice Perspectives | 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.

Practice Perspectives - Opting Out Of Medicare As A Clinical Social Worker

Mirean Coleman, MSW, LICSW, CT

Jun 01, 2011

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. Opting out means that the clinical social worker cannot bill Medicare for any services they provide for a two year period. Instead, reimbursement is received from the Medicare beneficiary under the terms of a private contract.

Hot Topic Of The Month - Clinical Social Workers, Care Advocates and Life Coaches: Who Does What?

Mirean Coleman, MSW, LICSW, CT

Apr 13, 2011

NASW members contacted the Association to express concerns about care advocates and life coaches who instructed clinical social workers how to treat patients referred to them by Optum Health Behavioral Solutions, formerly known as United Behavioral Solutions. Members reported the care advocates and life coaches as conflicting and interfering with their role as mental health providers.

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