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How To Increase Behavioral Health Facility Revenue

WEBFluctuations in insurance reimbursement is not new to the mental health and substance abuse industry – especially for out-of-network providers. That’s why it’s …

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Behavioral Health Guide to Quick and Accurate Claims Processing

WEBBilling for behavioral health services, or any medical care, is a complex process. To ensure your claims are paid, you need reliable billing processes, detailed …

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How to Prove Medical Necessity to Reverse a Claim Denial

WEBAt the top of the letter, include the client’s name, policy identification number, and the claim number that you are appealing. List the name of your facility and the NPI …

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The Benefits of Health IT for Behavioral Health Patients and …

WEBIn today’s world, technology plays a role in almost all aspects of life, including health. Health information technology (Health IT) is a rapidly expanding field …

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Growing Reimbursement Opportunities for Behavioral Telehealth …

WEBThe new Centers for Medicare and Medicaid Services Congressional Report highlights the growing opportunities for behavioral health providers to offer telehealth …

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Transition to Electronic Health Records

WEBElectronic health records (EHRs) are part of the future for all health providers, including behavioral health facilities. Most facilities and providers currently …

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Standardized Tools to Track Results and Outcomes for Behavioral …

WEBNow that the Joint Commission has revised their standards for behavioral health providers, all facilities must use a standardized tool to measure patient outcomes. The goal of this …

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How Treatment Centers Can Increase Revenue with Medicare and …

WEBBefore the Affordable Care Act, most uninsured adults did not have access to Medicaid coverage. Even those who did have Medicaid, likely did not have coverage …

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Joint Commission Standards Require Behavioral Health Facilities to

WEBAs part of accreditation by the Joint Commission, behavioral health facilities have always had to track patient outcomes. Facilities could track outcomes in a variety of ways. …

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Are carve outs impacting your bottom line

WEBIf you're experiencing higher than average claim denial rates for mental or behavioral health, then it's time to look into how carve outs might be affecting your …

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How-to Get Your Behavioral Health Facility IMS Certified

WEBWhy Your Facility Should Seek CertificationBeginning in 2016, residential detox facilities were given the option to apply for IMS (incidental medical services) …

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New Reimbursement Codes For Opioid Abuse Telehealth Treatment

WEBAs telehealth becomes more and more common, especially for treatment of substance abuse disorders, the Centers for Medicare and Medicaid are introducing new …

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Payor Contracts-the pros and cons of going in-network

WEBReimbursement rates for all medical services, especially behavioral health services, have changed over the last few years. In the past, many treatment facilities …

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Top 5 Things to Know Before Calling for a Prior Authorization

WEBUtilization Review The Utilization Review process bridges the gap between all parties including providers, payers, and patients. This process involves the use of …

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UNDERSTANDING THIRD-PARTY PAYER AUDITS

WEBMedical record and coding audits are conducted by third-party companies who report the results to a government-mandated agency such as Health and Human …

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Increase your revenue with Medication Assisted Treatment (MAT)

WEBImplementing medication-assisted treatment is just one way to improve your bottom line. For more ideas on increasing revenue for your addiction treatment center, …

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Offsets and Take-backs

WEBCourt cases as recent as 2013 and 2014 have found that take-backs and offsets violate the ERISA rights of plan participants. If an insurer does not provide a …

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7 Things to Look For in a Medical Billing Company

WEBOutsourcing or changing billing companies can be a lot of work. In fact, many providers stick with a mediocre billing service simply to avoid the work that goes into the …

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Itemized Bill Requests for Residential Treatment Facilities

WEBEach payor now has different requirements for when an itemized bill is used. While typically any bill over $20,000 will require itemization, Cigna and United …

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