My friend, S, shared a story with me the other day of her visit to a LCSW therapist who performs neurofeedback in Ct..
Ok…interesting enough in itself that the LCSW can charge my friend S’s insurance for neurofeedback as it falls under “20 pass thru sessions” that require little documentation…more interesting is that the LCSW told her she would be billing her insurance company under the DSM code for an “adjustment disorder” — after talking with her for 20 minutes….and even more interesting is, that this LCSW told my friend S. that she would have to bill her insurance for two sessions (each visit), as one session didn’t come close to paying for her $175/hr fee!
I carefully explained to my friend S. how Mental Health Practitioners theoretically “sign a deal with the devil” in accepting insurance coverage, but nevertheless in entering a contract with an insurance company the therapist agrees to accept “the contracted amount ( plus clients copay)….period! My friend was rather suprised to realize that this is insurance fraud and thought it was “normal” for the LCSW to want to cover her “regular” fee.
Yikes people! Please wake up! Just because it’s only costing you your copay doesn’t mean fraud is ok! Plus…if you have 20 “pass thru” sessions and the therapist bills double for the first 10 …you are screwed on the 11th….in the middle of “the work” and perhaps stuck paying cash, as the LCSW might have difficulty substantiating further treatment.
Good news is that S. didn’t respond well to the neurofeedback (said she felt very disoriented and dissociative for several hours afterward ), and the LCSW basically evaded her questions, so she will not be returning for futher “treatment”.
As much as I wanted to ask the therapist’s name and then do some investigation of my own… aka. “set her up” …I did not…but I think about it!
Filed under: Buyer Beware, Insurance Fraud, Mental Health, Therapy, Uncategorized | Tagged: bad experience, buyer beware, caveat emptor, choices, Connecticut, consumer protection, CT., Easton, experience, finding a therapist, fraud, harmful therapy, health care fraud, insurance fraud, LCSW, life, neurofeedback, psychology, psychotherapy, relationships, rip-off, sessions, therapist, therapy, walk away from bad therapy | 3 Comments »