As Chair of the PSV Managed Care Liaison Committee, I have had a recent exchange of letters with Anthem’s Medical Director for behavioral health care. This dialogue was based on a patient of mine, which allowed me to address the broader issue of Anthem’s non-compliance with the mental health parity law. Anthem is currently facing a law suit in Connecticut over this same issue, with the APA as a party to the case. I have been appointed by the APA Board of Directors to a newly established Work Group on Health Reform and Parity.
My correspondence with Anthem is here
Please contact me at: [email protected]
General Election Update
APA Launches HIPAA Privacy Rule Compliance Manual
APA recently released its updated HIPAA Privacy Rule Manual, a Guide for Psychiatric Practices. The manual includes step by step instructions, checklists, template forms and patient notices, frequently asked questions, a thorough explanation of the regulations, and cross references to useful APA developed materials on issues including treatment of psychotherapy notes and ‘minimum necessary’ disclosure standards. The manual is a offered as a free benefit for only APA members.
The manual as well as other HIPAA resources can be found at:
You must have your APA username & password to access this information.
Palmetto GBA offers workshops and presentations
2013 Part A and B workshops
Learn more about Medicare coverage and billing updates at Palmetto GBA’s 2013 Part A/B workshops held throughout Virginia in October. The workshops will review Medicare coverage and billing updates and clinical and documentation information affecting the Medicare provider community. Each workshop will run from 8:30 a.m. to 1:00 p.m. Click here to register.
Comprehensive Error Rate Testing (CERT) presentation
Palmetto GBA offers an on demand presentation on Comprehensive Error Rate Testing (CERT) that covers the background of the CERT program and process. The presentation discusses steps to take to ensure a successful CERT audit and outlines common errors. Click here to access the presentation.
- Current Procedural Terminology (CPT) Code Changes for 2013
- Virginia’s certification-of-need rule interferes with medical marketplace
- Medical Professionals File Major Federal Health Care Lawsuit Against Virginia
- VCU Researcher Honored by the World Psychiatric Association with Prestigious Jean Delay Prize