About the Course
This 3 CE course provides mental health providers with an in-depth understanding of the insurance credentialing process, emphasizing ethical considerations and implications for practice. Attendees will explore the intersection of credentialing with professional ethics, focusing on how participation in insurance networks impacts access to care, client stability, and professional obligations.
The course will cover the requirements for commercial insurance and Medicare credentialing, including the essential provider data systems (e.g., CAQH, NPPES, CMS PECOS), necessary documentation (e.g., NPI numbers, EINs), and key ethical practices for navigating insurance panels responsibly.
Participants will receive the following materials to support their learning and practical application of course content:
NPPES instructional video
Credentialing with Medicare instructional guide & video
CAQH Walkthrough
Step-by-step credentialing checklist for various insurance providers.
Template for maintaining credentialing documentation and tracking updates.
Susie Morozowich, LMSW, LCSW
Susan Rigas-Morozowich, LMSW, LCSW, is the Founder and CEO of TelebehavioralHealth.US, one of the first fully digital behavioral health organizations in the United States. With over 20 years of experience in clinical social work, Susan has been at the forefront of integrating telehealth into the mental health field. She has been instrumental in addressing workforce shortages and overcoming barriers to care access through innovative technology solutions. Since establishing TelebehavioralHealth.US in 2016, Susan has led her organization to provide high-quality, accessible care across eleven states. Her approach blends clinical expertise with cutting-edge operational strategies, ensuring that her company adheres to the best practices set by the American Telemedicine Association (ATA) and American Medical Association (AMA). As a member of the National Alliance of Mental Health Providers (NAMHP) leadership team, Susan is committed to advancing the mental health profession through advocacy, education, and the promotion of equitable care delivery.
Maureen Kane, MA, LMHC, LCPC
Maureen is a Licensed Mental Health Counselor in private practice in Bellingham, WA, specializing in stress, anxiety, life transitions, illness, caregiving, trauma, and career issues. She is a Washington State-approved supervisor, offering supervision and guidance to associates who aspire to establish their own private practices. An EMDRIA-certified EMDR therapist and approved EMDR consultant, Maureen brings a wealth of expertise to her clinical work. She is also the author of A Guide Back to You: A Workbook for Exploring Who You Are and Staying True to Yourself, a therapeutic resource for personal exploration and self-authenticity. Before becoming a therapist, Maureen held roles as a director and manager within social service agencies and corporations, focusing on literacy, healthcare access, aging, homeless youth, and disability services. Further information about her practice is available at www.maureenkanecounseling.com.
Learning Objectives
Upon completing this course, participants will be able to:
Explain the ethical implications of insurance credentialing for mental health providers, particularly in terms of client access, continuity of care, and social justice.
Identify the required systems and documentation (e.g., CAQH, NPPES, Medicare PECOS) involved in the credentialing process and describe their role in ethical practice.
Evaluate the impact of contractual terms on client access and care equity, with a focus on obligations to underserved populations.
Describe the ethical responsibilities in maintaining up-to-date credentialing information, including compliance with Medicare Administrative Centers (MACs) and maintaining secure, accurate provider data.
Course Agenda
Introductions - 1:00 - 1:10 Introductions
Why take insurance, credentialing and ethical practices -1:10 - 1:30
Paneling with commercial insurance & Medicare - 1:30 - 2:45
Credentialing Process
Credentialing with Medicare
Contracting process 2:45 - 3:45
What to do once offered a contract
Tips
Myths
Follow-up Discussion & Questions - 3:45 - 4:00
Audience
This course is designed for licensed social workers and other mental health professionals involved in credentialing or considering insurance participation, aiming to foster a deeper understanding of credentialing ethics and compliance.
CE Details
TelebehavioralHealth.US, #2020, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 6/20/2024 – 6/19/2025. Social workers completing this course receive 2 continuing education credits.
ASWB-approved CE credits for this workshop are provided by TelebehavioralHealth.US, an ASWB Approved Continuing Education (ACE) provider. NAMHP expects to obtain its own provider approval by 2026.
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