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Finding a therapist who takes your insurance can be nearly impossible
Getting mental health care covered by insurance can be really tough. Reporters spoke to hundreds of therapists who left their insurance networks to find out why.
Longstanding practice guidelines recommend that providers consider a combination of therapy and medication when treating patients with bipolar disorder, so Todd sought a psychiatrist who could manage the young woman’s prescription. Healthfirst spokesperson Maria Ramirez did not respond to questions about Nicolino’s payment issues, but she said as a general matter, the insurer has “processes to verify that claims accurately reflect the services provided and are coded with accuracy and completeness.” toggle caption Tony Luong for ProPublica Instead of having providers correct isolated errors like forgetting to log start and stop times for sessions, it placed the entire practice on a prepayment audit: For months, payments weren’t made because a reviewer had to first deem the documentation adequate.
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