Reimbursement, Record Keeping, and Best Practices
Each agency or counseling practice has its own policies and practices in
terms of how fees are set for client services. For example, some agencies
might offer a sliding scale to clients depending upon the clients' income,
while other agencies have a standard fee for services. Agencies and private
practice therapists may also have differences in what they can offer to
clients in terms of being able to bill outside parties (such as insurance
companies, Medicare, Victim-Witness, et cetera) for reimbursement of
services. Therapists in private practice may be able to accept some forms
of insurance for the clients they see, but might not accept all forms of
insurance or might not be a Medicare provider.
For this assignment, you will draw from the information you collected
during Unit 2 to complete the following:
Part 1: Agency Fees and Billing Practices
- Describe the practices used at your fieldwork site for collecting fees
in payment for services provided to clients.
- Do clients' payments cover 100 percent of the session costs for
every session, or does the agency also bill outside parties for clients'
counseling sessions (also called third-party reimbursement).
- If your site bills for some reimbursement of fees, do they bill a
wide range of insurance companies or third-party providers? List some of
the companies that your site bills and explain if certain types of
third-party payers are excluded.
- What process is used for billing? For example, does the third party
pay your site directly or are clients expected to pay out of
pocket and in
turn be reimbursed by the third party? Does your site have a person
designated to do their billing or are the staff expected to manage these
processes?
- Evaluate the impact of third-party reimbursement on the practices of a
clinical mental health site. Are there any limitations that third-party
reimbursement places on a site's practices or any restriction to the
services offered? How would a site's policy regarding billing third parties
for reimbursement either enhance or reduce available services to clients?
For example, might some clients not be offered services by the agency?
Part 2: Agency Policies and Record-Keeping Practices
- Describe how clients at your agency are informed about key agency
policies, like fees, third-party payment processes, confidentiality,
billing for missed sessions, et cetera.
- Is a separate intake process used to inform clients about agency
practices or is it the assigned counselor's responsibility to
provide this
information? Do clients review or sign any forms regarding these agency
policies?
- Describe the specific record-keeping practices used at your fieldwork
site.
- How does your site maintain client confidentiality and privacy for
client records?
- Evaluate the manner in which your site handles client billing and
record keeping and the extent to which it aligns with laws, regulations,
and ethical standards.
- Which ethical and legal standards are relevant to your setting?
Refer to the specific ethical codes and state laws or regulations that
pertain to the practices used at your site
- What does your site do well in terms of their record-keeping
practices? Where could it improve?
If your site does not participate in third-party reimbursement, please
discuss how it is handled at an agency or organization within your
community. You may want to ask your site supervisor to connect you with
someone at a local agency whom you can interview briefly about their
policies and practices. In your assignment, identify the agency and the
position of the person you interviewed there.
Your assignment should be 3–4 pages in length, with a minimum of two
references from current articles in the professional literature in
counseling. Be sure to cite your references in APA format.
Use the SafeAssign Draft option to check your writing and ensure that you
have paraphrased, quoted, and cited your sources appropriately. Run a
SafeAssign report, saving your paper as a draft. You can catch any areas
that are showing up as possible plagiarism before submitting your
assignment to your instructor for grading.
Resources
- Reimbursement, Record Keeping, and Best Practices Scoring Guide
<https://courseroomc.capella.edu/bbcswebdav/institution/COUN/COUN6321/201000/Scoring_Guides/u03a1_scoring_guide.html>
.
- HIPAA, HITECH, and the Practicing Counselor
<http://tpcjournal.nbcc.org/wp-content/uploads/2014/10/Pages-192-200.pdf>
.
- Technology in Counselor Education
<http://files.eric.ed.gov/fulltext/EJ1069426.pdf>.
- APA Style and Format
<http://campustools.capella.edu/redirect.aspx?linkid=1540>.
GeneralEssayUndergraduate
Need this done?
Similar assignment?
Get it done by a vetted professional writer in as little as 1 hour.