Leading Stories, Articles

August 26th, 2019

APA calls on CMS to revise auditing practices after notices alarm psychologists

By Janine Weisman

The letters psychologists starting receiving last fall from a Medicare contractor stated they were for “educational purposes.” No reply was necessary. But they alarmed many who provide mental health care for those aged 65 and over and people with disabilities enrolled in Medicare, the federally-funded health insurance program overseen by the Centers for Medicare and Medicaid Services (CMS) Recipients were sent a comparative billing statement (CBR) comparing their Medicare billing and service patterns with the averages for psychologists regionally and nationally. CMS calls a CBR an educational tool allowing a health care provider or supplier to compare their billing practices [More]