Step Downs: When & Why to Step Patients Down to a Lower Level of Care

Posted by Elevated Billing on Mar 17, 2020 10:14:25 AM

“Discharge planning starts day one."

Read More

Topics: Behavioral Health Billing, Behavioral Health, Insurance Billing, Mental Health, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Industry, Healthcare

Insurance Policy Exclusions to Watch Out for in 2020

Posted by Elevated Billing on Jan 17, 2020 10:47:09 AM

As we enter a new year and a new decade, keeping up with insurance policy changes is no longer just best practice, but essential to your business.  Sadly, with each new year, insurance requirements continue to increase, and guidelines become more and more strict. To help you stay on top of the changes, we have compiled a list of the current exclusions and requirements we have seen increasing as we head into 2020. Also, at the end of this blog post you'll find a FREE PDF cheat sheet--a simplified list of these bullet points that you can refer to anytime!

Read More

Topics: Behavioral Health Billing, Behavioral Health, Insurance Billing, Mental Health, Community Mental Health, Behavioral Health Professional, Elevated Billing, Community Substance Abuse Treatment

The Wit Case - Why it Matters

Posted by Lisa Gingerich on Nov 18, 2019 4:30:00 PM

Lisa M. Gingerich
Michael Best

The Wit v. United Behavioral Health decision (issued by Judge Joseph Spero of the United States District Court in the Northern District of California on March 6, 2019) will impact how managed care coverage decisions are made.  The case addressed claims by several United Health Group members whom UBH denied coverage for behavioral health care.  The lawsuit was based on UBH’s alleged breach of fiduciary duties to its members, under the Employee Retirement Income Security Act (ERISA), when UBH (i) applied coverage guidelines that are far more restrictive than those that are generally accepted (by CMS, American Society of Addiction Medicine and evidence-based medical guidelines) and (ii) prioritized cost savings over members’ interests. 

Read More

Want To Avoid Takebacks?  Here's What You NEED to be Documenting:

Posted by Katie Burton on Nov 6, 2019 11:30:00 AM

Obtaining authorizations for your patients is just one step toward insurance compensation. This can provide funding up front, but if documentation and charting is not kept up outside of utilization reviews and assessments, this could lead to considerable take-backs and force a facility to refund all or part of the reimbursement back to the insurance. Charting often appears excessive and often time consuming for the therapists treating the patients.

Read More

Point Of Care (Urine Screen) Billing Insights

Posted by Kendra Allen and Cymbri Tsosie on Oct 23, 2019 4:15:00 PM

Are POC's Even Billable Anymore?

Having trouble getting POC’s to pay? Stuck in an audit with insurance companies for this service? Follow these guidelines to ensure you get the most out of POC billing without jeopardizing another and/or future audit. 

Read More

Topics: Insurance Billing, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, Chemical Dependency, Documentation

4 Reasons to Start Tracking Your Outcomes NOW

Posted by Joanna Conti on Oct 11, 2019 2:00:00 PM

Joanna Conti, Founder & CEO
Vista Research Group, Inc.


The number of addiction treatment centers now monitoring their patients during treatment and
following up with them post-treatment has reached a critical mass. Commercial programs who continue
to hold off on quantifying their outcomes are risking being left behind.  Tracking your outcomes is becoming invaluable for a number of reasons:

Read More

Topics: Behavioral Health, Mental Health, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, webinar

Outcomes = Income Webinar

Posted by Joanna Conti on Sep 13, 2019 3:33:23 PM
By Joanna Conti
CEO, Vista Research Group, Inc.

 

In this time of tremendous industry upheaval, your ability to convince key payers of the unique value your addiction treatment center provides is crucial to your ability to stay in business.

Read More

Topics: Behavioral Health, Mental Health, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, Chemical Dependency, webinar

Keep Your Future Payments - Prepare For The 'Value Based Care' Model

Posted by Kendra Allen on Sep 9, 2019 9:03:00 AM

The value-based payment (VBP) model is indeed a real thing, and it is quickly becoming the standard for quality health care. In 2019 many payers are emphasizing VBP, and behavioral health providers will eventually be expected to make the transition as well.

Read More

Topics: Behavioral Health Billing, Behavioral Health, Insurance Billing, Medicaid, Mental Health, US Government, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, Chemical Dependency, Co-Occurring Disorders

Group therapy Names Matter - They Impact Your Income

Posted by Kendra Allen on Aug 29, 2019 3:14:25 PM
 
Read More

Topics: Behavioral Health Billing, Behavioral Health, Insurance Billing, Medicaid, Mental Health, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, Chemical Dependency, Co-Occurring Disorders

URGENT HEALTHCARE NEWS - WILL THE ACA BE STRUCK DOWN?

Posted by Jenn Munson on Apr 1, 2019 4:15:56 PM

As recently reported in Modern Healthcare News the United States Department of Justice has initiated additional legal against the legality of the Affordable Care Act, more broadly known as "Obamacare". The federal agency called on the 5th U.S. Circuit Court of Appeals to affirm a District Court ruling invalidating the entire Obamacare law, saying it "is not urging that any portion of the district court's judgment be reversed."

Read More

Topics: Behavioral Health Billing, Behavioral Health, Insurance Billing, US Government, Elevated Billing