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The Legal Department articles are not intended to serve as legal advice and are offered for educational purposes only. The information provided should not be used as a substitute for independent legal advice and it is not intended to address every situation that could potentially arise. Please be aware that laws, regulations and technical standards change over time. As a result, it is important to verify and update any reference or information that is provided in the article.
This article demonstrates the different pathways available to LMFTs and Registered Interns who are interested in working with clients in the Medi-Cal behavioral health system.
A number of members who work with insurance plans have received a “notice of overpayment” in the mail from some insurance plans, requesting reimbursement for specified “overpayments” made to the provider for claims filed during 2013. Providers who receive such notices must decide whether to repay the amount requested, or, to file a written objection with the plan within 30 days of receipt of the notice. This article will provide an overview of the issues involved, including requirements and procedures that apply in responding to these notices.
Details on the Implementation of the Affordable Care Act in California
Diligent readers of The Therapist know that the Health Insurance Portability & Accountability Act of 1996 (HIPAA) will have consequences for certain health care providers, including psychotherapists, who are "covered entities" within the meaning of HIPAA. The purpose of this article is to enable you to understand and to prepare some of the more important forms that HIPAA will require covered entities to use after April 14, 2003.
This article discusses fundamental elements of the federal and state antitrust laws you should know to protect against potential antitrust violations.
Understanding who is and who is not a covered entity, as well as how you can avoid becoming a covered entity, is important because such entities must comply with HIPAA.
If you are a considered a Covered Entity for purposes of the Health Insurance Portability and Accountability Act (“HIPAA”) and you have “Business Associates” as defined by HIPAA, you will want to read on to ensure that neither you nor your Business Associate is at risk of committing HIPAA violations for which you could both face lawsuits and/or hefty fines.
On Ethics: Avoiding Problems with Fees, Payment Agreements and Health Insurance
CAMFT brings to your attention two stories that recently hit the mainstream media focusing on managed health care plans and some of the issues which you, as a provider, will likely find yourself enmeshed in regularly.