In the News

I recently received this lovely email demonstrating Availity’s fear-mongering attempts to threaten clinicians into attesting to the correctness of their practice profiles. (They still haven’t figured out that I’m not a provider…!) I have no objection whatever to maintaining correct

March, 2020: COVID-19 shut down the world. Normal functioning ceased. In response to the emergency, the Medicare decision was made to allow enrolled providers to conduct services via telehealth from their homes without having to add their home addresses to

Illinois signed a landmark piece of legislation this year: IL 1085. It’s model legislation that should hopefully work both to increase client access to care, as well as the lives of clinicians. I hope other states will follow suit quickly. If

Panicked about CAQH rebranding to DataSpring and ownership by the major insurers? While it’s definitely alarming, I think it’s important to provide some context about CAQH. What access did CAQH have to your information before? What were its other ventures

In the middle of a so-called “therapist shortage” combined with a wildly inflationary economy, you wouldn’t think that an insurance company could be dumb enough to actually lower clinician compensation. Or could they be?  Ok, it wasn’t exactly an insurance

Your clearinghouse may have been bugging you for the last month about a deadline on May 11, 2026, with respect to Medicare eligibility and something called HETS.  What the HECK is HETS? Will you get paid after Monday if you

TriZetto is a major electronic data interchange (EDI) clearinghouse. It’s not one of the more well-known ones in mental health billing, but it powers more systems than one might realize. If you’re a Tebra user, your clearinghouse is TriZetto.  Other systems that may

I’m sure it’s completely coincidental that insurance profits for 2025 weren’t released until after the entertaining (but probably performative) Congressional hearing that took place on January 22nd, where the CEO’s of Anthem BC/BS, United, Cigna, Aetna, and Blue Shield California faced a congressional panel

2nd update 11/11/25: The Center for Connected Health Policy has posted a useful matrix of current Medicare telehealth policy. Be advised that while the 2026 Physician Fee Schedule has been released, there’s a great deal of uncertainty given the new