Facility Operations

What is the Intensive Outpatient (IOP) level of care?

IOP stands for Intensive Outpatient.  This type of care is used most in the behavioral health industry for the treatment of substance abuse issues.  It is also utilized for patients with mental health disorders.

Most state licensing departments classify IOP as an outpatient service, requiring an outpatient license.  IOP can be 3, 4, or 5 days per week and normally consists of at least 3 hours per day of programming.

IOP is often used as a step down from a Partial Hospitalization program.  Depending on the program, they can be encouraged to look for employment in this level of care, but that is not a requirement.  In early recovery, it is important to maintain structure for the client, which can be achieved with IOP.

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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

Let’s face it, denials may be the absolute worst thing to find in the mail, especially if you’ve just opened.  It is discouraging and disheartening to find out you won’t be paid for someone’s treatment; even if it is only one date of service.

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.