u/Far_Worry5325

▲ 17 r/ClinicalPsychology+1 crossposts

Has anyone here ever been audited by insurance companies? I’d really appreciate hearing what that process actually looked like.

1-What triggered it, if you know?

2-What did they ask for (progress notes, treatment plans, intake, billing records, etc.)?

3-How far back did they go?

4-Was it random, targeted, or tied to certain CPT codes/frequency?

5-How stressful or manageable was the process in reality?

6-Any lessons learned or things you wish you had documented differently?

Also, if anyone has a solid “audit-proof” or very strong progress note template they’d be willing to share, I’d be incredibly grateful. Always trying to improve documentation and stay prepared. THANK YOU🙏🏻

reddit.com
u/Far_Worry5325 — 3 days ago
🔥 Hot ▲ 65 r/ClinicalPsychology+1 crossposts

Did anyone else get Alma’s new “Integrity Standards” email and… what is happening?!!!!

Is this standard compliance oversight, or are these platforms taking on employer-level control while keeping contractor labels? If that’s the direction, when do we start asking for benefits?

Is this normal compliance language, payer pressure, or a sign something bigger is happening with telehealth platforms?

Anyone have insight?

Summary:

They’re formalizing increased monitoring of billing, coding, and documentation, may request charts/records, and can require education or corrective action plans if issues are found. They emphasized this does not change providers’ independent contractor status or clinical autonomy.

reddit.com
u/Far_Worry5325 — 3 days ago