How to Accept Health Savings Accounts in Private Practice (HSA) and Why You Should do it - YouTube

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Though at any given time about a third to half of my private practice clients
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pay for counseling using a health savings account, I'm always surprised to
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find how many of my fellow clinicians don't realize how super easy it is to
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accept payment in this form and still receive your full fee. In this video I'm
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going to go over why you need to accept payments through HSA accounts and show
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you how to do it.
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Welcome to Private Practice Skills. I'm Dr. Marie Fang, psychologist in
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private practice. I post videos offering tools I learned the hard way about
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starting and growing private practice so that you don't have to. You guys, in case
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you didn't notice already I think health savings accounts or HSAs are the
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bomb.com. But I'm not going to be super great at explaining what HSAs are so
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I'm going to link to a brief video that does a much better job than I can
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explaining what they are. You can watch it somewhere over here or find it in the
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description box. In short, HSAs are savings accounts that allow
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individuals to set money aside tax-free that can be used exclusively for medical
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expenses not covered by insurance. So this can cover things like chiropractor
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bills, prescriptions, glasses, and yes, mental health care! This means that for
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clients with health savings accounts they can pay for some or all of their
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therapy tax-free. And if you've looked at your taxes lately, that saves you a bunch
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of money! If this is coming across like it just sounds too good to be true, don't
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worry, I felt the exact same way when I first learned about it. But it's one
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hundred percent true and it's really easy to accept payments through a
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client's HSA. There are two primary ways that a client can apply money from their
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HSA to pay for therapy: First, the old-fashioned way. You see a client for
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therapy, they pay you your fee out-of-pocket directly, you offer them a
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detailed receipt, and they submit that receipt to their HSA for reimbursement.
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Snd number two: the 21st century way where you just swipe their HSA card
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straight through your credit card reader. Now I feel strongly that there's no
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reason why all therapists shouldn't be charging credit cards when you're
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working in private practice. I mean, imagine if you're at the grocery store,
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you fill up your shopping cart, you make it to the checkout line, only to find
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that they only accept cash or check. I mean, what an outrage, right? I feel the
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same way about therapy. However, I realize that the majority of my friends and
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colleagues who are therapists in private practice don't accept credit
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cards so I will save the rest of my credit card rent for another day. Since
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many of you fellow clinicians out there watching likely also don't accept credit
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cards, I will oblige to explaining how to get reimbursement through HSA the
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old-fashioned way. This process is really similar to how your client can apply for
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out-of-network insurance benefits. So your client pays your full fee
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out-of-pocket, you offer them a detailed superbill receipt, and they submit that
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receipt to insurance for any reimbursement they might receive. The
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same thing happens for HSA accounts. Some day I'll do an entire video just on
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superbill receipts. If you're not familiar with what a super bill is, it's
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essentially a detailed receipt including your NPI number, tax ID number, your
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client's name, date of birth, date of service, CPT code, and the amount your
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client has paid. Now most health savings accounts don't actually require this
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amount of detail on their receipt, however I've come upon some snags where
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a few HSA providers really did expect all of this information so it's better
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to just go ahead and fill out the detailed receipt rather than needing to
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send something to your client again. One note is that if a client is submitting
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for HSA reimbursement I don't include their diagnosis code on
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the receipt. And the reason for that is because first of all, HSA really doesn't
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need their diagnosis for reimbursement, and that is just such personal protected
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health information. Though this old-fashioned strategy totally works and
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is completely worth offering to your clients rather than nothing, I'm going to
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show you a much better way that is much easier to use. Most clients with an HSA
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or FSA account receive a debit card with the account or they're able to request
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one. Now this card only works with approved healthcare providers so that
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they can't just charge that card any old place. The good news is, therapists are
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approved providers. Sometimes you just need to do a little bit of work on the
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back end with your credit card service in order to
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show that you are who you say you are. I use square, which I love. This is not
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sponsored at all, I've just used square for the last four years since I've
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gotten licensed and I love it. All you have to do in order to get HSA approval
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through square is when you go through the signup process, just be sure to mark
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yourself in either the "medical services" category or the "medical practitioner"
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category and then you'll automatically be approved to swipe those HSA cards
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through your app. If you somehow selected a different category when you signed up
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with square, you can still address the issue. Simply contact square and they
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should be able to fix the issue within 24 hours. I actually had this issue when
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I first signed up with square because I was a little confused what category I
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was supposed to mark myself as and square fixed it really quickly. Just to
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demonstrate how easy it is to charge your client's HSA card, here is a
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dramatization of it in action:
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I used this card because, you know, credit card fraud. Of course, not every client
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has an affiliated magstripe card with their HSA account or they may simply
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prefer to receive a superbill, so it's helpful to keep the superbill option
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available just in case your client prefers it. Just as an FYI, although I've
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primarily spoken about health savings accounts in this video, pretty much
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everything about what I said also applies to Flex spending accounts as well.
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Hopefully this video has encouraged you to start accepting HSA payments if you
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haven't been doing so already. Until next time, from one therapist to another, I
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wish you well. If you like this video don't forget to subscribe for more
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videos like this one, or watch another video over here.
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Pick one to do, yeah yeah!