Update – Psychotherapy in Medicare

I have previously reported about provision of psychotherapy in Medicare, most recently in 2019 and 2018. CMS data releases related to utilization are always at least 2 years behind the year of service provision. Data for services in 2018 became available early in February 2021, and the following analyses are based on those data, available …

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Update #3 Medicare 2021 – “Final” Reimbursement For Psychological Services

With the passage of the Consolidated Appropriations Act December 21, 2020, signed into law six days later, the Medicare Physicians Fee Schedule received an unexpected pardon from the planned, unprecedented 10.2% reduction in the Conversion Factor governing all fees. Instead, the CF was increased from 32.4085 to 34.8931. An additional $3 Billion was allocated to …

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2021 Medicare Prices For Psychological Services

“NPA” = “National Payment Amount.” This will vary based on your geographic region. “RVU” = “Relative Value Unit.” This value is the total of the Work, Practice Expense (PE), and Malpractice components that make up every procedure that Medicare pays for. RVUs used to be objectively determined, but the process to determine these has become …

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Update 2021 Medicare Prices For Psychological Services

Much anticipated Medicare pricing for psychological services has now become available. Given the unprecedented and potentially catastrophic 10.2% reduction in the Conversion Factor, psychologists and other health professionals who rely on key procedure codes to provide services might have been waiting for the numbers, probably with dread. Here’s what 2021 looks like. Method: Data were …

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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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Cognitive Assessment in Private Practice

Thank you Dr. Tansey for inviting me to talk to your graduate Adult Cognitive Assessment class on assessment in private practice. I thoroughly enjoy talking with the “next generation” of our profession. This was an interested group who asked great questions and are clearly thinking about how they will fit in the future. I hope …

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OMG The Sky Is Crashing In On Us Again!!

How quickly we forget. Just a year ago, every health care practitioner participating in Medicare (on average less than 1% of physicians have opted out of Medicare — though of course now we are hearing scare stories of pending “mass exodus”) the annual “will they or won’t they really impose the 25% or so ‘sustainable growth rate’?” …

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Cognitive Assessment in Private Practice

Thank you Dr. Tansey for inviting me talk to your graduate students about “Cognitive Assessment in Private Practice.”  I always enjoy these opportunities to teach about cognitive assessment in the context of independent practice, and in the broader context of the seismic changes in health care. I hope your students found this worthwhile. Students: Please email …

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