Facility Operations

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Your Top 3 Questions About HIPAA Violations and Cloud-Based Behavioral Health Management Systems

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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.

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3 Secrets of Efficient Insurance Billing for Drug Rehabs

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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.

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Quick Start Guide to Choosing a New Addiction Treatment CRM

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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.

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3 Ways Your Behavioral Health EHR is Slowly Driving Your Team Crazy

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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.

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Intensive Outpatient Program (IOP): A Comprehensive Guide

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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.

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The Importance of Accreditation

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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.

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Denials:  The bane of every treatment center’s existence

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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.

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Verification of Benefits 101: who, what, where, when and why?

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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.