|To view the regulations for your state, click here|
The phrase, "does not meet medical necessity" seems simple, but the implications for patients and treatment centers are profound. When you hear or see this phrase, it means that you either will not continue to be paid for the care you are providing, or that the money that you have already been paid may be recouped. Further, it may put an additional unnecessary financial burden on your patients and affect their ability to secure appropriate treatment.
When it comes to clinical documentation, proper preparation and the implementation of adequate protocols are the keys to avoiding costly mistakes. Once you receive a letter informing you of a pending insurance investigation, it's too late. A letter from an insurance company requesting recoupment for previously paid claims may seem straightforward, however, it may be a sign that your treatment facility is under investigation and could be a precursor to referral by the insurance company to law enforcement.
The goal of this seminar is to inform about what is really at stake when your clinical documentation is inadequate, and to empower you and your treatment facility to implement changes to your documentation processes now in order to avoid costly investigations in the future. This panel-style presentation is an opportunity for treatment centers to come together and learn important strategies to help them protect themselves, their patients, and their financial solvency from costly mistakes resulting from poor clinical documentation practices.
You don't know what you don't know, and what you don't know about appropriate clinical documentation could definitely hurt you, your patients, and your company. Prudent mental health and substance abuse treatment providers know that prevention is the best way to avoid unnecessary and costly documentation mistakes. View Details
When: Wednesday, December 6th from 10:00am-1:30pm PST (lunch included)
Where: Nelson Hardiman Conference Facilities, West Los Angeles
Kathryn Russo Edgerton, Esq. , Nelson Hardiman
Elizabeth Irias, LMFT
Lee Arian, Esq.
In this webinar, Dr. Louise Stanger discusses the delivery of ethical treatment in the behavioral healthcare industry and the roles of behavioral healthcare professionals. Exploring the current state of ethics, Dr. Stanger will revisit the meaning of ethics, what it means to your organization, what it means to you as an individual, and what it means to the consumer. The difference between ethics and the laws will be highlighted as well as standard of care considerations. Special attention will be paid to the use of social media in the delivery of ethical practices and safeguards to protect your onsite identity.
Dr. Stanger will review some hot ethical topics including marijuana legalization for recreational use, insurance companies and healthcare fraud, and misrepresentation of services. What, if any, are the ethical issues that surround using cannabis for opiate withdrawal? What, if any, are the ethical issues that every home should have Narcan for opiate withdrawal? Dr. Stanger will also sample ethics from three different perspectives as an individual practitioner (doctors, nurses, social workers, psychologists, marriage family therapists, addiction counselors, interventionists, etc.), treatment owner, and the consumer. View Details
When: December 12, 2017 at 10:00 AM - 11:00 AM PDT
Where: Online Event
Dr. Louise Stanger, Ed.D, LCSW, CDWF, CIP