Helpful guidance about how to approach INN and OON billing for mental health services, including busting common myths

Interview-style, with Elizabeth Irias, LMFT

  • Course Description

    Whether you are an In-Network or Out-of-Network provider, clinicians need to have a good awareness and understanding of the ethical and legal issues that may arise when navigating insurance. This course discusses the complexities of accepting payment from insurance companies either as an in-network or out-of-network provider, and clarifies many sources of confusion for providers. Attendees will walk away with a clearer understanding about how to bill insurance as an in-network or out-of-network provider, document Medical Necessity, and develop billing and insurance policies that are ethically and legally compliant.

  • Learning Objectives

    Upon completing this course, participants will be able to: Identify common practices that result in clinicians unintentionally (or intentionally) committing insurance fraud; Develop policies that inform private pay clients about their rights and policies while honoring the virtue of “do no harm”; Describe the importance of appropriate diagnoses and meeting medical necessity


    Target Audience and Instructional Level
    This course is intended for psychologists, therapists, social workers, clinical counselors, and addiction counselors. Instructional level: Introductory/Intermediate

  • How To Take This Course

    In order to receive a certificate of completion reflecting the associated CE credit hour, you must:
    #1: Have an active Clearly Clinical membership
    #2: Listen to the corresponding course podcast
    #3: Achieve a passing grade on the post-presentation test (the test has up to ten questions and you must earn a score of at least 80%; you are able to re-test)
    #4: Complete the required course evaluation.

    Course requirements (including the course audio, post-test, and course evaluation) can be completed on a computer or mobile device via your Clearly Clinical account.

  • Course Format

    This high-quality and interesting course contains a one-hour, non-interactive audio podcast interview which is available for free via Apple Podcasts, Google Play, or your other favorite podcast providers. You can also listen to and download the file via our course player.

  • Commercial Support

    There is no known commercial support or conflict of interest for this CE program, presenter, sponsor, instructor, or content.

  • Certificate Access Details

    Once you've completed the course, your certificate will automatically populate in the 'Certificate' section of your account; it will also be emailed to you. Access to completion certificate will expire 365 days after issuance. Course certificates will be on file for ten (10) years from date of course completion.

Interviewee and Interviewer

Dr. Ajita Robinson, LCPC-S, NCC

Insurance and Billing Expert

Dr. Robinson has traveled the country providing workshops, trainings and consultations to a variety of audiences including mental health professionals, families, educations, communities, students and many more. Dr. Robinson is affectionately called “The Experts’ Therapist.”

Dr. Ajita Robinson is the owner and Executive Director at Friends in Transition Counseling Services, LLC a group mental health practice located in Bethesda, Maryland. She is the CEO of Mastering Insurance, LLC an agency that offers credentialing and billing courses and services for mental health professionals. Please visit her at www.MasteringInsurance.com and Friends In Transition (FIT), LLC Counseling Services.

Elizabeth 'Beth' Irias, MS, LMFT

Interviewer

Elizabeth 'Beth' Irias (she/her) is a licensed Marriage & Family Therapist and the Founder and President of Clearly Clinical. She has specializations in Clinical Documentation, Best Practice, and Utilization Review, and works closely with clinical teams across the US as a trainer and national conference presenter. She operates a private practice in Westlake Village, CA, where she provides therapy to adolescent/young adult clients, members of the LGBTQ population, and those with addictive disorders. Beth is an adjunct professor at Pepperdine University in the Graduate Psychology and Education department. She also has two young children, a super cool husband who helps out with Clearly Clinical, a rescue dog, and a rescue cat.

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  • CONVENIENT: All courses are 1-hour podcast episodes, available on Apple Podcasts, GooglePlay, and many others

  • AFFORDABLE: We are the least expensive unlimited CE option in the country

  • SOCIALLY-RESPONSIBLE: We donate to The Trevor Project for LGBT youth suicide prevention

  • WOMEN-OWNED: We are founded and run by Elizabeth Irias, LMFT

  • DIVERSE: We feature women and minority expert presenters


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