Light Up The Couch cover image

Light Up The Couch

Navigating Insurance for In-Network & Out-Of-Network Providers: Ethical Considerations & Important Points, Ep. 116

Feb 11, 2021
Dr. Ajita Robinson, a Licensed Clinical Professional Counselor and expert in insurance credentials, joins Elizabeth Irias to tackle the labyrinth of mental health insurance. They debunk myths about in-network and out-of-network providers while unveiling the ethical obligations that come with documentation. The conversation dives into billing intricacies, emphasizing client access and the importance of accurate claims. They also discuss the ethical challenges in telehealth practices and provide valuable insights for mental health professionals navigating the complex insurance landscape.
01:01:30

Podcast summary created with Snipd AI

Quick takeaways

  • Understanding the differences between in-network and out-of-network providers is crucial for compliance and ethical billing practices in mental health services.
  • Medical necessity plays a vital role in insurance reimbursement, requiring clear documentation and treatment plans from the onset of therapy.

Deep dives

Specialization in Insurance Navigation

The speaker highlights the journey of a licensed clinical professional counselor who began her practice while still provisionally licensed. Faced with challenges in getting insurance companies to panel her, she conducted extensive research on insurance reimbursement processes, learning about the nuances that often intimidate clinicians. This dedication led her to develop resources like a checklist and flowchart for navigating in-network and out-of-network billing. Her goal is to empower other clinicians to confidently engage with insurance companies, ultimately enhancing access to mental health services.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode