Question

If a therapist is on an insurance panel, and the insurance conducts an audit requesting client records, what should the therapist do?

1) Provide the requested client records to the insurance
2) Refuse to provide the client records
3) Seek legal advice before providing the client records
4) Contact the client to inform them of the audit

Answer 1

If a therapist is on an insurance panel and the insurance conducts an audit requesting client records, the therapist should provide the requested client records to the insurance but also seek legal advice before doing so.

Step-by-step explanation:

If a therapist is on an insurance panel and the insurance conducts an audit requesting client records, it is important for the therapist to handle the situation in a legal and ethical manner.

The therapist should provide the requested client records to the insurance as the insurance company has the right to conduct audits to verify the appropriateness of claims.

However, the therapist should also seek legal advice before providing the client records to ensure compliance with laws and regulations regarding patient privacy and confidentiality.