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(p. 250) Effective Billing and Collecting 

(p. 250) Effective Billing and Collecting
Chapter:
(p. 250) Effective Billing and Collecting
Author(s):

Thomas M. Kozak

and Andrea Kozak Miller

DOI:
10.1093/med:psych/9780190272166.003.0021
Page of

date: 23 November 2017

This chapter examines billing for psychological services through an ethical and procedural lens. Types of billing are reviewed, including fee-for-service and various types of insurance. The usual and customary rate for billing as compared to the amount paid by various types of insurance companies is explored, as is the insurance coverage related to psychological testing. Patient-centered medical homes are discussed, including their relationship to managed care and health maintenance organizations. Capitated systems are reviewed, including how to plan for services and ethical concerns in this model. Other types of billing, including Medicare and Medicaid, are discussed as is the use of a sliding fee scale and collection agencies. This chapter offers a general overview of billing and collecting for psychological services while exploring ethical and real-world considerations.

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