Documentation and Chart Compliance – Cornerstones for protecting your Medical Billing reimbursements
It all begins with Documentation and Chart Compliance when it comes to protecting your medical billing reimbursements. Documentation and Chart Compliance are the cornerstones for protecting a patient’s need for addiction treatment services. Protecting the addiction treatment center’s position in insurance reimbursement and revenue cycle management is also a direct correlation between proper documentation of a client’s clinical and medical care, demonstrating medical necessity and translating the information to the insurance payer source.
To insure documentation is compliant with all licensing and levels of care and meets insurance payer’s guidelines, routinely complete internal chart audits.
Documentation of Medical Necessity includes Completed and Accurate:
* Admission/Intake Documents
* Psychological Evaluation
* Medication Orders
* History and Physical
* Vital Signs and other physical conditions
* Initial Treatment Plan
* Master Treatment Plan
* Additional Treatment Plans (as needed or in 30 day intervals)
* Individual, Group, and Family Notes
* ASAM Assessment/6 Dimensions
* Discharge Plan
Documentation is the key to maximizing reimbursements and is quite often the main source of claims denials and collections management.
Contributor, Karen Corcoran-Walsh CAP, ICADC, MFT, ASAM
Karen is nationally known as an expert in the treatment of mental health and drug or alcohol abuse and addiction, also known as Dual Diagnosis, with a specialty in working with teenagers. Karen is renowned as an adolescent addiction treatment center professional. She has worked in the professions of education and drug treatment for approximately 20 years. Karen appears as a Guest Speaker on Television Shows, Conferences, and provides consultation on the topic of “Ethical Business & Revenue Practices for Addiction Treatment and Medical Billing Companies.” Karen was recently on the Dr. Phil Show, where she is a frequent guest. She provided addiction advice for a mom whose daughter suffers from severe alcohol abuse.
For more information on medical billing, please contact Urgent Medical Billing, 800 868-8772 or visit the web site at www.urgentmedicalbilling.com