Whether you call it a transition, a switch or a migration, changing from one EMR to another is one of the most dreaded administrative tasks in behavioral healthcare.
Addiction Treatment Parity Laws May Get an Update Soon - Here's What to Expect
What's the Top EMR System for Behavioral Health and Addiction Treatment in 2023?
Can Your Behavioral Health EHR Handle Medication Management and Med Pass Workflows?
Here's How to Find the Addiction Treatment Billing Claims Address for Blue Cross Blue Shield of Minnesota
Understanding Addiction Treatment Discharges and Discharge Rules at Horizon Blue Cross Blue Shield of New Jersey
How to Complete Insurance Registration with Florida Blue for Addiction Treatment Centers
How to Handle Utilization Reviews with Blue Shield of California for Addiction Treatment
While they’ve done things like make nominal financial contributions to the cause of diversifying the mental healthcare profession, Blue Shield of California is part of a general trend in managed care to minimize costs for insurers by limiting the scope of “medical necessity,” especially when it comes to addiction treatment.
Doing a Pre-Certification or Prior Authorization with Molina HealthCare for Addiction Treatment? Here's What You Need to Know.
How to Use Humana's Clinical Guidelines for Behavioral Health in Your Addiction Treatment Center's Billing Department
5 Tips for Easy Implementation of Your New Behavioral Health EHR
Insurance Is Supposed to Cover Addiction Treatment, But It's Still a Nightmare (Vice)
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.
3 Ways Your Behavioral Health EHR is Slowly Driving Your Team Crazy
The SUPPORT Act and Healthcare Providers—A First Look
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.
The Importance of Accreditation
Accreditation is an important piece of the behavioral health industry puzzle. Treatment Centers should seek accreditation as soon as they can for many reasons. While most insurance payers don’t require Treatment Centers to be accredited, some payers have already made the shift to requiring accreditation before they will pay for the service rendered. Treatment Centers can choose accreditation at the state level through CARF. They can also opt to become accredited through JCAHO, which is accreditation at the national level.
Denials: The bane of every treatment center’s existence
Verification of Benefits 101: who, what, where, when and why?
A verification of benefits is the first vital piece of admitting a patient to your facility. If they don’t have benefits for the treatment they receive, there will be no reimbursement. There are a number of things that can be found out on a verification call; information about patient responsibility, what services are covered, etc.
To be in-network or not to be?
To be in-network or not to be? This is a question for which many behavioral healthcare facilities struggle to find an answer. There are so many things to consider before signing any contract, but it can be difficult to know what those things are. Ultimately, it comes down to the choice of the facility decision-makers, but there are a few things to consider during the process of making a decision.