Clinical Social Work Practice Tools:
Third Party Payers

NASW submits comments to CMS on the Calendar Year 2022 Physician Fee Schedule (Sept. 13, 2021)

Sep 15, 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


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.


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.


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.


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.


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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