Understanding Behavioral Health Audits and Take-Backs
Course Objectives:
* Discuss 5 steps an organization can take to lower risk
* Explore OIG updates in audit provisions for Behavioral Health Services and Telemedicine
* Discuss best practices for assessing risk behaviors in current documentation, appeal rights and setting up structures to ensure passing of audits
* Outline common problems with Mental and Behavioral Health Services documentation and discuss practical solutions to avoid catastrophic outcomes
* Explore strategies to overcome medical necessity denials and the importance of DSM-5 criteria to justify the ICD-10-CM recorded and submitted on claims
* Examine how missing documentation elements could put the entire course of care and/or individual encounters at risk of recoupment
Course Objectives:
* Discuss 5 steps an organization can take to lower risk
* Explore OIG updates in audit provisions for Behavioral Health Services and Telemedicine
* Discuss best practices for assessing risk behaviors in current documentation, appeal rights and setting up structures to ensure passing of audits
* Outline common problems with Mental and Behavioral Health Services documentation and discuss practical solutions to avoid catastrophic outcomes
* Explore strategies to overcome medical necessity denials and the importance of DSM-5 criteria to justify the ICD-10-CM recorded and submitted on claims
* Examine how missing documentation elements could put the entire course of care and/or individual encounters at risk of recoupment
Course Objectives:
* Discuss 5 steps an organization can take to lower risk
* Explore OIG updates in audit provisions for Behavioral Health Services and Telemedicine
* Discuss best practices for assessing risk behaviors in current documentation, appeal rights and setting up structures to ensure passing of audits
* Outline common problems with Mental and Behavioral Health Services documentation and discuss practical solutions to avoid catastrophic outcomes
* Explore strategies to overcome medical necessity denials and the importance of DSM-5 criteria to justify the ICD-10-CM recorded and submitted on claims
* Examine how missing documentation elements could put the entire course of care and/or individual encounters at risk of recoupment