Practice
Insurance and Managed Care
The Office of Legal and State Advocacy (LSA) assists members with health insurance and managed care issues. Our staff experts work collaboratively with insurers, when possible, to smooth out troublesome billing, audit, and claims practices. LSA also collaborates with state psychological associations to pursue government agency complaints and lawsuits that challenge abusive practices by health insurance and managed care companies.
Our legal and regulatory team provides consultation and resources to APA members on responding to audits and other practice-related legal and regulatory issues. Our staff experts field approximately 2,000 calls with practitioners annually. APA members receive the highest priority and the most time. To schedule a consultation, contact the Legal and State Advocacy Office.
- Protect practice: SPTA leaders can apply for grants to support advocacy
- APA takes action after federal appeals court overturns groundbreaking Wit decision
- Understanding the No Surprises Act: How to provide estimates for your services
- Basic steps for starting your good faith estimate compliance
- FAQs on the No Surprises Act and good faith estimates
- New billing disclosure requirements take effect in 2022
- Responding to insurance audits of patient records when you are out-of-network
- APA stops abusive insurance recoupment demands over $100,000
- APA Practice Organization complaint leads to Cigna settlement
- Positive development for psychology as loophole closed in health insurance definition
- Ask our attorney: Don’t take the money and run
- Dealing with discount networks (PDF, 194KB)
- Additional information on risk adjustment audits in California (PDF, 359KB)
Legal actions against abusive practices
- APA Practice Organization obtains clarification from Anthem on EquiClaim letters
- Update on risk adjustment audits
- APA Practice Organization stops problematic psych testing audits
- APA Practice Organization presses Anthem about HIPAA concerns with Inovalon audit
- Psychology mounts further parity challenges to rate cuts
- Victory for New Jersey Psychological Association in privacy law case
- Texas judge upholds doctoral standard for independent psychology practice
- APA teams with Massachusetts psychology organizations to advocate for neuropsychological services
- California is latest state to join nationwide class action litigation
- APA Practice Organization becomes involved in class action litigation