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APA Work Ethics

With psychologists working in or with Health Maintenance Organizations and Other Third-Party Payors, please help me with coming up with the any special concerns and particular benefits as they apply to the APA ethical code. How open are clients to use HMO's and other Third-Party Payors? What role does HIPAA play is any? Thank you for your help?

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(1) With psychologists working in or with Health Maintenance Organizations and Other Third-Party Payors, please help me with coming up with the any special concerns and particular benefits as they apply to the APA ethical code.

As stipulated in the American Psychological Association's (APA, 2002) code of ethics, psychologists who engage in practices to provide unwarranted or undocumented treatment charged to third-party payors such as Medicaid constitutes fraud [Standard 1.03], and is a violation of conduct under Standards 6.04 and 9.01 of the APA rules for ethical conduct. Similarly, if psychologists use third-party "payors" involving managed care centers such as health maintenance organizations they have to inform clients/patients as to how information will be shared with the third party regarding treatment, service notes and diagnoses. Clients must also be informed of limits to confidential if records cannot be kept private. They must inform clients/patients of the transactions of any of their personal information that can be made public ...

Solution Summary

This solution discusses special concerns regarding the APA Ethical codes when working with Health Maintenance Organizations, and/or other third-party payers.

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