Medicare Opt Out Update

Source:  https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits/data      29,309 clinicians had opted out as of 1/1/23, 31,603 have opted out as of 9/15/2023 (7.8% increase). 12,556 mental health clinicians (Psychiatry, Clinical Psychologist, Clinical Social Worker) had opted out as of January 2023, 13,726 have opted out as of September 2023 (9.3% increase). 5,022 psychologists had opted out as …

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No American Insurance Company Reimbursement Keeps Up With Inflation

Recently I’d tweeted this data-supported proposition and asked to be proven wrong. So far, no one’s done so. There is no American insurance company that has kept up with or exceeded the rate of inflation for reimbursement of any health care service. Especially mental health care. Prove me wrong. pic.twitter.com/c8j5iRsCXO — Gordon I. Herz PhD …

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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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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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