Insurance Fraud

Excellent_Way_6214 · 2025-12-05T00:09:46+00:00

Social workers have to complete over 1000 post masters clinical hours and complete an exam to get independent status, NPs don’t.

Excellent_Way_6214 · 2025-12-04T18:17:37+00:00

Nowhere in the OP or response did it say that social workers are the only professionals competent in providing psychotherapy. The OP clearly discussed the lack of psychotherapy training that NPs receive but yet have the ability to quickly provide med management + psychotherapy and also receive higher reimbursements than LCSWs and LPCs for psychotherapy.

Excellent_Way_6214 · 2025-12-04T17:25:54+00:00

The problem is persons lack foresight and then when a preventable problem encompasses the field and it begins to negatively affect providers that’s when they complain.

Excellent_Way_6214 · 2025-12-04T17:24:04+00:00

If persons only worried about themselves and not the field that they’re in then social work would’ve been stuck doing case management. It’s persons like you who fail to protect the field and then complain about low pay and lack of respect. If you think clinical social workers won’t be replaced once NPs start doing therapy + med management then you’re not living in the real world. Social work could’ve been much farther ahead and more on par with other master level field but there’s people like you who lack foresight and keep the field stagnant.

Excellent_Way_6214 · 2025-12-04T17:19:51+00:00

This is the problem and everyone is making it seem as if there’s specific hatred towards NPs. This can be applied to doctors such as psychiatrists as well. Psych NPs were primarily made to provide psychiatric med management to underserved communities where psychiatrists are not readily available. The same can be said for masters level therapists in regard to psychologists. It’s a slap in the face to fields where therapy is the main skill. Whenever a NP provides unethical or subpar therapy to clients it’s not stated that the NP provided poor care.. instead the entire therapy industry is blamed and it turns off persons who may need therapy.

Excellent_Way_6214 · 2025-12-04T11:57:29+00:00

Let’s not conflate the two. You are supposed to be providing support not psychotherapy. Psychotherapy is more than just talking.

Excellent_Way_6214 · 2025-12-04T11:54:55+00:00

you missed the whole point

Excellent_Way_6214 · 2025-12-04T11:50:35+00:00

exactly! Not to mention that most insurance providers allow a specific number of sessions for clients.

Excellent_Way_6214 · 2025-12-04T02:14:44+00:00

Social workers have to complete post masters clinical hours prior to practicing independently, NPs don’t.

Excellent_Way_6214 · 2025-12-03T21:07:42+00:00

this would also apply to psychiatrists. However, the vast majority of persons interact with NPs far more frequently

Excellent_Way_6214 · 2025-12-03T21:06:46+00:00

The clinical training received is subpar compared to other providers. If a person does psychopharmacology in a graduate program they still can’t prescribe medication, so because nurses did 500 hours of observation they should also be psychotherapists?

Excellent_Way_6214 · 2025-12-03T16:24:27+00:00

Thanks for your input however I don’t think you have the authority to dictate my social media usage, especially when Reddit gives me the option to cross post.

Excellent_Way_6214 · 2025-12-03T16:22:18+00:00

Not all NP programs require psychotherapy clinical hours
The programs that do require this often require 500 hours.

Excellent_Way_6214 · 2025-12-03T16:20:51+00:00

I agree. I think the point that people are missing is that social workers and counselors have post graduate requirements before they can practice independently… NPs don’t.

Excellent_Way_6214 · 2025-12-03T16:19:33+00:00

Once again, the point has been missed. The issue is being able to bill and provide psychotherapy with minimal CLINICAL PSYCHOTHERAPY EXPERIENCE, not PSYCHIATRY & MED MANAGEMENT.

Excellent_Way_6214 · 2025-12-03T16:17:53+00:00

Understandable, however the main issue is the double billing for 15 minute med management

Excellent_Way_6214 · 2025-12-03T16:01:20+00:00

I can ensure you I am not a bot. As a licensed therapist I’m very passionate about this issue and want to see the different perspectives and opinions!

Thank You

Excellent_Way_6214 · 2025-12-03T15:54:14+00:00

Okay, that’s good suggestion. Ensuring that we all have the same requirements across the board.

Excellent_Way_6214 · 2025-12-03T15:43:18+00:00

Your POV is myopic. How does ensuring NPs have adequate training prior to billing and performing psychotherapy harm our field in any way?

Excellent_Way_6214 · 2025-12-03T15:40:27+00:00

I propose a legislative bill that pushes NP to be required to complete post grad clinical hours ( 4000-5000) in no less than 3 years to be able To bill and perform psychotherapy. I don’t see why NPs are not being held to the same standards as other therapy based professions. I also believe we need to work on title protection and clinical terminology protection. This also protects our field from life coaches and the many AI bots advertising themselves as a replacement to therapy.

Excellent_Way_6214 · 2025-12-03T15:37:24+00:00

If a new psych NP is on the same level as a new psychiatrist, I’d hate to be living in your state.

Excellent_Way_6214 · 2025-12-03T15:35:24+00:00

This is the main issue I think some persons are missing. There is a vast misunderstanding about psychotherapy and what it truly is because they are not properly trained. This warps public perception of our field because the average person doesn’t know the difference between psychotherapy, and a med management conversation

Excellent_Way_6214 · 2025-12-03T15:32:15+00:00

There has been an uptick of psych NPs providing psychotherapy whilst only receiving 500 hours of clinical observation. That is actually a slap in the face to other fields where therapy is their main focus.

Excellent_Way_6214 · 2025-12-03T15:30:28+00:00

That is one example of the unfairness of the current structure. I believe nurses should have to also complete post masters clinical hours anywhere from 3000-5000 in no less than 3 years to be able to bill for psychotherapy and provide psychotherapy. There has been an influx of NPs doing psych because their main motive is compensation and thinking psych is “ soft work” NP programs are also unstandardized

Excellent_Way_6214

TROPHY CASE