In Part 1 of this series, we covered how to get an addiction treatment center licensed in California, Arizona, Kentucky, Maine, North Dakota, Montana, Wisconsin, and West Virginia. Be sure to check out that post if you are looking for how to get your center’s launch off to the right start in those states.
“Playing nice” with insurance companies is one of your most important jobs as an addiction treatment provider. Organizations that master the art of interacting with insurance providers reap major rewards in terms of happy patients, strong revenue cycles, confident clinicians, and flawless documentation. Organizations that struggle with “insurance speak” grapple with angry patients, poor cash flow, unmet patient responsibility payments, and wary clinical staff.
With the opioid crisis still grinding along, now is a great time to open an addiction treatment center. But navigating the licensing requirements of each state is tricky—they are all different and each plays by its own rules. Because there are no federal guidelines for addiction treatment center licensure, every state’s regulatory body is unique.
Getting insurance companies to fairly reimburse for services rendered is one of the biggest struggles for many addiction treatment providers today. Between an initial verification of benefits, pre-authorizations, concurrent reviews, and even retrospective reviews, it’s easy to get lost in the insurance authorization labyrinth and spend a lot of your organization's time (and money!) fighting with insurance companies.
Biopsychosocials (or “BPS” for short) are often one of the first pieces of documentation addiction treatment counselors complete with their patients. Although busy clinicians might dread writing these lengthy and time consuming tomes on each client, the BPS is more than just a mandatory insurance form.
SOAP (Subjective, Objective, Assessment, and Plan) notes have been the cornerstone of medical documentation since Lawrence Reed introduced the “Problem Oriented Medical Record” in the 1950’s. Before the dawn of SOAP notes, medical practitioners of Reed’s time had no standardized method of record-keeping. Instead, each provider would scribble notes in their own fashion, making insurance reimbursement, coordinated care, and chart review difficult and time-consuming.
There’s a lot at stake when your organization decides to implement a new Electronic Health Record (EHR) system. Bringing a new EHR online is more than just an update of your record keeping process—it’s a huge cultural shift for your organization.
Patient portals—online dashboards where patients can access their EHR, view test results, review treatment plans, track referrals, and message their providers—have been around for years.
The adoption of patient portals in the addiction treatment industry was slow, but as more and more providers realize the benefits of these powerful patient engagement tools, patient portal adoption rates at addiction treatment centers and sober living homes are soaring.
Got low reimbursement rates?
So many providers in the addiction treatment community tell us that one of the biggest struggles in the industry is battling insurance companies for reimbursement.
We hear it from our clients all the time: treating patients for SUD is easy, but getting patients into treatment is hard.
For many of the providers we work with, filling beds and keeping them filled seems to be taking more and more staff time, slowly cutting into their businesses’ bottom line. That’s why we created BehaveHealth Bridge—a platform to help you connect with new clients.
The US government recently reported that millions of health records are breached every year. For behavioral health organizations, each breach translates into massive fines for violations of the Health Insurance Portability and Accountability Act (HIPAA) laws.
HIPAA fines, which range from $100 to $50,000 per record, can easily bankrupt an organization.
Cloud computing has been around for nearly 20 years or longer, depending on your definition.
But to many, “saving it to the cloud” is still a novel concept.
People in the behavioral health industry are usually passionate about helping others—but they’re not usually passionate about completing paperwork.
Very rarely do we hear our clients utter the words “I love medical billing!”
But the truth is, insurance billing is the lifeline of any behavioral health organization. Do it well, and your business has a chance to succeed. Do it poorly, and you definitely set yourself up for failure.
Congratulations on your decision to explore a new CRM (customer relationship management system) for your addiction treatment center!
You’re making a smart move to protect your bottom line by enhancing the efficiency and productivity of your organization.
During an overdose epidemic so large that it is cutting overall life expectancy in the US, you’d think that insurance companies and the healthcare system would be bending over backwards to get people into evidence-based treatment—especially since we have two drugs that are proven to cut the death rate by at least half. In reality, they are doing the opposite. And the barriers they place in the way of treatment are killing people.
How does your team feel about your EHR?
When you ask for feedback, do you hear buzzy praise or stifled groans?
If it’s the latter, you’re not alone. EHRs are tools. They’re supposed to work for your team, but many providers feel their EHR is the enemy.
The newly enacted SUPPORT Act’s wide-ranging provisions take aim at the entire healthcare continuum, including providers, who will be on the front lines of change as the new law takes effect. The law includes amendments to Medicare and Medicaid, and changes affecting program integrity and transparency reporting of provider payments by drug and device manufacturers and the disposal of unused medication.