New (and Stricter) Regulations Affecting the Addiction Treatment Industry
The addiction treatment industry has expanded rapidly over the last 5 years. This quick growth led to increasing competition among...
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- Oct 15, 2022
- 3 min
Payer Desire for Value-Based Reimbursements
Insurance companies are working to find new ways to reimburse for behavioral health care, in order to ensure the money being paid is...
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- Oct 15, 2022
- 3 min
Why So Many Treatment Centers Are Failing
Within the last year, dozens of addiction treatment centers have gone out of business, even though the demand for treatment continues to...
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- Oct 15, 2022
- 3 min
Offsets and Take-backs - MENTAL HEALTH INSURANCE LAWs
Insurers are always looking for reasons to deny claims—and keep their provider payouts to a minimum. The most recent tactic is through...
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- Oct 15, 2022
- 3 min
HOW TO WIN INSURANCE APPEALS (& GET PAID)
Resolving denied claims is time consuming, labor intensive and without the correct knowledge, usually unsuccessful. Unfortunately for...
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- Oct 15, 2022
- 3 min
PAYOR REIMBURSEMENT TRENDS - IN VS OUT OF NETWORK
Reimbursement rates for behavioral health services have changed dramatically in the last few years. It is reported that rates for...
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- Oct 15, 2022
- 2 min
IMS Certification for Behavioral Health Facilities
Prior to 2016, residential treatment centers were not able to legally treat medically related issues in their facilities. Patients who...
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- Oct 15, 2022
- 2 min
Are carve outs impacting your bottom line?
If you're experiencing higher than average claim denial rates for mental or behavioral health, then it's time to look into how carve outs...
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- Oct 15, 2022
- 2 min
How ASAM Certification May Help Your Behavioral Health Facility Increase Reimbursement
The new Level of Care certification from the American Society of Addiction Medicine has completed its first pilot phase, giving seven...
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- Oct 15, 2022
- 2 min
The Keys to Success for Payor Reimbursement Management
Many healthcare providers are seeing higher numbers of claims denials as well as reductions in reimbursements from insurance companies....
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- Oct 15, 2022
- 3 min
Third-Party Pricing Problems: Underpriced Claims From Viant
When you participate in-network with a payor, your reimbursement rates may be lower than fair-market prices, but they are typically fixed...
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- Oct 15, 2022
- 2 min
How to Identify a Correct Cost of Service for Your Behavioral Health Center
Within the last year, many addiction treatment centers have gone out of business due to decreasing reimbursement and financial hardship....
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- Oct 15, 2022
- 2 min
Should Your Facility Offer Telemental Health Services to Schools?
A Texas program to expand mental health care in schools is receiving new national attention thanks to a bill brought before the House of...
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- Oct 15, 2022
- 3 min
Why Verification of Benefit Checks Are More Important Than Ever
Out-of-network providers are seeing a steep drop in reimbursement rates for services. Overall, rates have fallen around 20 percent over...
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- Oct 15, 2022
- 2 min
Itemized Bill Requests for Residential Treatment Facilities
Insurance companies continue to change policies around how they reimburse claims and and how they want to see services billed. In the...
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- Oct 15, 2022
- 2 min
Physician Burnout in the Mental Health Field
Rates of physician burnout are on the rise across the country and especially within the mental health care field. Physicians are facing...
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- Oct 15, 2022
- 2 min
Bundled Payments in Healthcare
The shift to value-based care models are leading many payors to adopt a reimbursement model that has long been popular in mental health...
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- Oct 15, 2022
- 2 min
Why It’s Time to Go In-Network
Over the last few years, trends in healthcare payment have led many facilities and providers to move “in-network” with payors to ensure...
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- Oct 15, 2022
- 2 min
The Insurance Industry's Role in the Opioid Crisis
The opioid crisis continues to rage in the United States, killing almost 40,000 people per year. While communities and legislators rush...
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- Oct 14, 2022
- 2 min
Level of Care Criteria for Addiction Treatment Centers
Determining Level of Care Have you checked with insurance companies lately to determine which criteria they are using to determine level...
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