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Behavioral health practices lack robust patient collections processes

Does your behavioral healthcare practice have a formal collections process in place to recover payment from insurers, payors, and patients? Despite the impact of unpaid balances on the overall financial health of an organization, healthcare practitioners in general — and behavioral healthcare providers in particular — tend to shy away from patient collections. Smaller, standalone,…

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Data reduces audit risk for behavioral health providers

Billing errors, aberrancies top red flags for audits Is your behavioral health organization effectively monitoring its own data to determine the risk of a Medicare or Medicaid payment related audit? Monitoring the right data can help behavioral health providers identify and correct trends and patterns that trigger program integrity or payment related audits by Medicare…

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Increasing audits create need for full compliance assessment

Medicare and Medicaid program integrity and payment-related audits are on the increase with Medicare contractors searching out providers who took advantage of the pandemic to step outside the rules, cheat the system, or pad their pockets. And it’s not just the unscrupulous who are feeling Medicare’s renewed zeal for uncovering fraud and abuse. Almost all…

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