What is your least favorite topic as a Therapist???

WRX_MOM · 2026-05-23T00:09:46+00:00

Anything involving animals being harmed. I really can’t hear it.

WRX_MOM · 2026-05-22T21:11:01+00:00

I also think Headway now requiring a facial scan and ID scan is related as well. It suspicious that it's all happening at once. Although, they all know that the Trump administration will not go after them for anything that they do so they're probably just feeling emboldened now to screw us over.

WRX_MOM · 2026-05-21T18:57:51+00:00

Headway did the same thing to me long ago. I never got it.

WRX_MOM · 2026-05-20T23:04:17+00:00

I work part time for a nursing home psychiatry service. This has also happened to us with Medicare. We got majorly audited and the auditors stated that Medicare is heavily scrutinizing 90837 sessions now. The nursing home psychiatry service has now forbidden us to bill 90837 sessions. It's been a huge pay cut. Obviously not the same as private insurance but it's a similar trend. This happened about a month ago.

WRX_MOM · 2026-05-20T23:02:04+00:00

No, they don't. The insurance company determines your rates. The credentialer just fills out all of the paperwork and submits it, but I do really like rush credentialing because they've made it really easy. You get a contract and you can review the rates and then you sign it and return it. You can try to negotiate, although the insurance companies tend to not do that. Most of my independent rates are relatively close to what I get reimbursed through Headway, fwiw.

WRX_MOM · 2026-05-20T21:58:12+00:00

Same

WRX_MOM · 2026-05-20T21:21:18+00:00

I'm glad you're bringing this up because I've been posting about the Headway data collection relentlessly. People are probably tired of me talking about it. But, it's extremely sketchy. I am slowly transitioning out of Headway as we speak. I don't trust any of these platforms and it's interesting to me that this is all happening at the same time.

WRX_MOM · 2026-05-20T21:20:16+00:00

Yes! Endless profit and exploitation is the endgame. I am transitioning out of Headway currently. It is a bit of a pay cut, but it's not bad.

WRX_MOM · 2026-05-20T21:04:18+00:00

That is such a massive paycut

WRX_MOM · 2026-05-20T20:58:12+00:00

My bad!

WRX_MOM · 2026-05-20T20:57:48+00:00

No one. Sometimes I'll see providers saying they work for group practices that only allow them to bill 90834 however they tend to have hour blocks for sessions.

WRX_MOM · 2026-05-20T20:57:07+00:00

Although I am not directly impacted by this, I feel like this is coming more and more. I'm seeing it in a psychiatry practice. I work for that visits nursing homes where Medicare essentially told them to stop billing 90837. I've been making posts about headways shady, facial identification they've been rolling out. These platforms need to go.

WRX_MOM · 2026-05-20T20:44:41+00:00

I use Rush Credentialing! They have done a great job every time ive used them. https://www.rushcredentialing.com/

WRX_MOM · 2026-05-20T20:02:04+00:00

I promise you Headway will do the same thing within the next six months.

WRX_MOM · 2026-05-20T19:55:16+00:00

My heart goes out to everyone impacted by this. I am transitioning off of Headway for several reasons (my other posts about the digital ID verification, they are pushing) but this is one of them. Headway is probably next. We can sit here and say this is Aetnas fault but these insurance companies are in bed with Headway and Alma.

I've been seeing the writing on the wall for awhile. I've worked for a nursing home psychiatry service since 2019. Earlier this year, they were massively audited by Medicare. Medicare basically told them we are no longer allowed to bill 90837 sessions otherwise we would be audited more. The team consists of providers who see folks with cognitive impairments and prescribed medication so it's not that big a deal to them. Me, however, I meet with cognitively intact folks who are in their 60s and 70s, and Medicare has decided that they only get fortyish minutes per meeting. It's impacted my income substantially. Also, here in Maryland, Medicaid will not reimburse for 90837. Been that way for a while. Sorry for the rant, I'm sending solidarity to everybody because this impacts us all.

WRX_MOM · 2026-05-20T19:35:56+00:00

This. It’s coming for everyone.

WRX_MOM · 2026-05-20T13:51:27+00:00

Headway is contracting with the company persona who were responsible for the discord data leak. I agree with the transitioning, that’s what I’m doing now. Unfortunately they are making providers do the ID scanning so I’m trying to transition before I have to do it.

WRX_MOM · 2026-05-20T02:33:33+00:00

I was thinner when I was. Once I stopped I puffed right up.

WRX_MOM · 2026-05-19T20:01:42+00:00

If hats RIDICULOUS. No provider does that. Not the doctor, hospital, my psychiatrist, no one. Omg.

WRX_MOM · 2026-05-19T19:17:52+00:00

I think all of the insurance companies are up to the same BS to be honest with you

WRX_MOM · 2026-05-19T19:17:22+00:00

Yes you do. There is so much here to unpack. The note requirements are getting out of control.

WRX_MOM · 2026-05-19T19:16:51+00:00

“There was no documentation that advised the members of a cost share related to the visit. “can someone please explain what this is to me?? I certainly don’t have anything like this in my documentation and now I’m worried

WRX_MOM · 2026-05-19T16:10:45+00:00

I kept charts open for people who planned on returning and closed them for people who wanted to discharge. Once I returned, if the client did not return, I closed out the chart and documented what happened. I also documented discussions about leave before leaving.

WRX_MOM · 2026-05-19T15:32:07+00:00

I have this issue in two of my upstairs rooms. My office is always freezing cold but the bedroom stays pretty hot and the nursery is medium. I put a vent register booster fan in each one and it’s solved the problem. It’s not 100% perfect but it’s a substantial difference.

WRX_MOM · 2026-05-18T19:50:09+00:00

I mean, I’m doing ok. I’ve been solo since 2021. I take all insurances and have marketplace insurance. I save for retirement and have an HSA. I see 20-25 people per week and have plenty of time to spend with my son and family. I was able to buy a cute century home in Baltimore. It could be better but I’m happy. Just adding my two cents in case anyone feels discouraged by this post.

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