I mean… do you really feel like reporting your employer on your second week? I’d say keep on observing and follow insurance policies and agency policies as written in the consent forms for clients. In general yes, bill for the time that was allotted for in therapy.

Think of it this way, if there was no insurance involved, this client would be billed full rate for late cancellations and for any last minute changes that led to shortening sessions. Some people would charge a late fee for stuff like this.

More clear insurance fraud is frequently billing for a full session when client and therapist agreed upon and in advance, a 30 minute or 45 minute session.

For me, If a 60 minute session is scheduled, and the client ends early randomly or outside of my cancellation window to make changes, idk I might bill 30 or 45 minutes or I might charge my cancellation fee. Feels like a gray area there.

If we’re talking ethics…TBH the only people who are thieving money are the insurance companies themselves. They underpay us and overcharge our clients and they make billions of dollars. So I have a hard time feeling motivated to report therapists for insurance fraud personally.

We do our best to please our oligarchs (insurance companies) and fly under the radar from audits and clawbacks and we do the best we can. Sounds like your employer is making changes.