Wisconsin And Local Pandemic Data

PLEASE SEE DATE/TIME STAMP IN FOOTER OF THE FOLLOWING TABLE THAT SHOWS WHEN DATA HAVE BEEN UPDATED KEY METRICS Consistent with Johns Hopkins recommendations, “key metrics for understanding the reach and severity of COVID-19 in a given area” are being followed here. These are: number of new daily cases, percent of tests that are positive …

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Beware of Success

Historically, the “overhead” component (practice expense, PE) of the formula for pricing psychotherapy in Medicare has averaged 21% from 2000 to 2020. As a reminder, the national price of a service in Medicare is determined by three components, work, practice expense, and malpractice, which are then moderated by geographic location to produce the local values. …

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If You Are A Psychologist, What Are You Waiting For?

In the current context, an active discussion I have encountered is the supposed meagerness of the emergency refunds being paid to health care professionals by Medicare. I did a quick analysis. In 2017 (the most recent year for which data appear to be publicly available*), Medicare paid psychologists $490,497,820 for the diagnostic and treatment services …

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Telemental Health Policy Changes During The Pandemic

The following provides available information about changes in policy and insurance/coverage related to provision of mental health services by telehealth during the pandemic. Clinicians, consumers and interested others are encouraged to provide information to FORM TO REPORT TELEMENTAL HEALTH POLICY so these may be added here as they are reported. FEDERAL Centers for Medicare and …

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Update: Medicare National Values For Health and Behavior Assessment and Treatment Procedures

For interested readers, I’ve been able to extract the Medicare National Payment Amounts for the Health and Behavior (H&B) codes in 2020. An Assessment or Re-Assessment (96156) will be valued at $99.97. Sixty minutes of Individual Intervention (96158 + 2 x 96159) will be valued at $115.85. These are the National values, without geographic price …

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Psychotherapy In Medicare Update – As Predicted, 10 Million+ Sessions Were Provided For The First Time In 2017

In June 2018 I wrote here, “The exact 2017 numbers are not available yet, but it is all but certain that, for the first time, more than 10 million psychotherapy sessions were provided to Medicare beneficiaries in 2017.” The data are now available: 10,089,575 psychotherapy sessions were provided to Medicare beneficiaries in 2017 (source: https://data.cms.gov/), …

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Pay raise for psychologists?

Psychologists were recently apprised of a “huge win” in advocacy in relation to Medicare, resulting in “rate increases (which) are strong evidence that CMS recognizes the importance of addressing the psychological factors that affect patients’ physical health problems (and) will make it financially more sustainable for psychologists to provide HBAI [health and behavior] services and …

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The Medicare Opt Out Rate is Decreasing Among Mental Health Clinicians

Despite a flattening of reimbursement rates and other concerns about mental health care in Medicare, not only is the feared and/or believed flight of mental health clinicians from Medicare not occurring, but the the actual trend is clearly in the opposite direction. The number of mental health clinicians opting out of Medicare has reached its …

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Psychotherapy In Medicare Update – 10 Million+ Sessions Likely Provided For The First Time In 2017

The exact 2017 numbers are not available yet, but it is all but certain that, for the first time, more than 10 million psychotherapy sessions were provided to Medicare beneficiaries in 2017. The 2016 data are available: 9,866,628 therapy sessions were provided that year. Given the rate of increase in recent years, the 10 million annual …

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