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.
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.
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:
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.
Topics: Behavioral Health, Mental Health, Community Mental Health, Behavioral Health Professional, Behavioral Health Facility, Elevated Billing, Community Substance Abuse Treatment, Chemical Dependency, webinar
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
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
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."
The combination of substance use disorders and mental illness is a common clinical problem – and a
serious public health concern. Sr. Ann Sulivan, the Commissioner of NYS Office Mental Health writes for Behavioral Health News. In this blog post, Elevated Billing Solutions explores the history of providing care for patients with both substance abuse and mental illness, the partnerships that Dr. Sullivan and other professionals created and collaborated on with universities and state agencies and provides links to free clinical guides and other useful resources for behavioral health specialists and families struggling to help a loved one obtain the treatment that they need.
On January 1, 2019 California Blue Shield eliminated the ability for policy holders and their families to seek services outside of the state of California. This policy change poses substantial obstacles for those seeking mental health and addiction treatment services outside of the state of California. IF YOU CURRENTLY HAVE CLIENTS IN YOUR PROGRAM THAT HAVE THIS INSURANCE CARRIER, AND YOU ARE OUTSIDE CALIFORNIA – NO MORE AUTHS FOR YOU! To avoid this, please have your Utilization Review team call and get your single case agreements for impacted patients AS SOON AS POSSIBLE! There are bound to be some hiccups in this new process. If you have any questions about this process or how it works, please feel free to phone Elevated Billings’ Revenue Cycle Expert – Kendra Allen at 801-644-4014.
Should you worry about getting a letter from a payer asking for information about your facility’s services? Short answer: yes!