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Reimbursement

Cost Transparency: Communicating the Cost of Care to Patients & Potential Patients

May 4, 2017  |  William McCormick, CEO
article

Patients are demanding cost transparency. Here are a few simple ways the substance abuse industry can deliver.

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How technology improves operations

May 3, 2017  |  Alicia Hoisington
article

Clinical and administrative teams see advantages in today’s customized, digital enterprise systems.

In the Long Run: Models for Supporting Your Patients After Discharge

April 26, 2017  |  William McCormick, CEO
article

The behavioral health industry is looking to improve outcomes by extending the continuum of care. Here are a few of the models being used.
 

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Key Takeaways from Innovations in Recovery 2017

April 19, 2017  |  William McCormick, CEO
article

Key takeaways from Innovations in Recovery, including what to expect from the repeal of the ACA, and new legislative actions the industry should be aware of.

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Fixing the psychiatrist shortage requires multifaceted solution

March 28, 2017  |  Julie Miller, Editor in Chief
article

It’s ironic that as demand grows for psychiatry services, the supply of providers is at a critical low, according to a new report from the National Council for Behavioral Health. Solutions include enhanced reimbursement and more use of telehealth.

Improving Documentation & Streamlining Patient Responsibility Collection

March 9, 2017  |  William McCormick, CEO
article

During the Behavioral Healthcare Executive Panel Series in Nashville, Tennessee, Medivance Billing Service Founder and President, Neisha Zaffuto expressed the importance of maintaining proper and thorough clinical documentation and developing a strategy to...

Simple Recovery sees in-network status as sustainability strategy

March 8, 2017  |  Julie Miller, Editor in Chief
article

The national conversation about addiction is changing, and as more people seek treatment, managed care organizations will likely give providers a closer look—especially the out-of-network providers that are submitting high-priced claims.

Ethics Survey: Behavioral health leaders examine industry conduct

March 1, 2017  |  Julie Miller, Editor in Chief
article

It’s difficult to quantify the prevalence of unethical practices in behavioral health, but most agree it's more a case of criminal enterprise than treatment centers gone bad. See the survey results with expert analysis.

Sovereign Health adds telehealth option

February 28, 2017  |  Julie Miller, Editor in Chief
article

Sovereign Health is rolling out its new eTherapy telehealth option to outpatient clients with future plans to expand the service.

Facing pressure, insurance plans loosen rules for covering addiction treatment

February 23, 2017  |  Kaiser Health News
article

Aetna will stop requiring prior authorization for prescribing medications to treat opioid addiction, following similar moves from Anthem and Cigna.

How to manage bad debt

February 14, 2017  |  Brian Albright
article

With more patients covered under high-deductible plans or Medicaid managed care plans, the new payer mix has shifted more of the burden for payment onto the patient and collection onto the provider.

Christie aims to nix prior authorization for opioid treatment

February 2, 2017  |  Joanne Sammer
article

Legislation advances that would mandate 180 days of inpatient and outpatient substance-abuse treatment without prior authorization.

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