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Managing Your Practice
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Managing Your Practice

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The APA’s Office of Healthcare Systems and Financing (OHSF) provides a wide variety of practical assistance to APA members on day-to-day practice management issues encountered by psychiatrists:  reimbursement, relationships with managed care companies, coding, documentation, Medicare, Medicaid, establishing a private practice and closing a practice, among others. 

Members are able to access OHSF assistance by calling the HelpLine at 800.343.4671, sending an email to hsf@psych.org, or downloading the online documents available in "Inside this Section."

For help with Mental Health Parity issues, send an email to hsf@psych.org or call the HelpLine at 800.343.4671.  To learn more about the parity law & its implementation visit the HSF Mental Health Parity page.

For Medicare Part D issues, send an email to hsf@psych.org or call the HelpLine at 800.343.4671.

OF NOTE:

Red Flags Rule Compliance
New Law Clarifies Who is Subject to the Red Flags Rule. On December 18, 2010, the President signed into law the "Red Flag Program Clarification Act of 2010," which clarifies the type of "creditor" that must comply with the Red Flags Rule.  This rule requires creditors to institute policies to identify, detect and respond to potential risks of identity theft. 

While the AMA believes that most physicians will not fall under the above-mentioned categories, the AMA has prepared a guidance document and a sample policy on identity theft prevention and detection for voluntary use. Visit AMA's Practice Management Center and FTC’s Red Flags for the latest information. [posted 1.3.2011]


Effective September 23, 2009 new regulations require all physicians who are covered by HIPAA to notify patients if there are breaches of security involving their medical information. Read AMA's What You Need to Know About the New HIPAA Breach Notification Rule for a summary of these new requirements.

HIPAA Covered Entities:  Have You Started External Testing of Version 5010?

  • All HIPAA covered entities that submit transactions electronically are required to upgrade from Version 4010/4010A to Version 5010 transaction standards by January 1, 2012.   CMS has resources that can help you with the Version 5010 and ICD-10 transitions at www.cms.gov/icd10.  
  • Know your dates and mark your calendars.