Many treatment centers, both for-profit and not-for-profit, have discovered that onboarding an experienced Utilization Review Coordinator bridges the gap between Admissions, Accounting, and Clinical departments. Having a trained staff member that can interact with a payer and provide documentation of medical necessity is one of the wisest staffing decisions a facility can make. If you are frustrated with poor results from having an outside billing company fill these shoes consider what it takes to have that person on staff. This does not mean you have to do your own billing, but it does pave the way to control a bit more of the outcome.
Are mountains of paperwork contributing to high staff turnover rates and exhaustion for loyal team members? Studies show inefficient workflow within the clinic may produce burnout symptoms, even if you have a great reward package and an otherwise supportive company culture. Every therapist knows that emotional exhaustion manifests itself in myriad ways, including the dehumanization factor which puts clients at risk, too.
Tackling Two Crisis Points Simultaneously
In September 2017, the Health Resources and Services Administration (HRSA) released more than $200 million to encourage healthcare providers to tackle the opioid crisis head-on. This financial incentive to improve access to treatment and recovery services include funding for providers expanding or implementing new telemedicine offerings.
In the U.S. alone there are over 20,000 overdose deaths related to prescription pain relievers, and almost 13,000 related to heroin, making drug overdose the leading cause of accidental deaths. Opioid addiction is driving this epidemic with approximately 91 daily deaths. As addiction rates have reached epidemic proportions nationwide, payers, providers, and patients are struggling with finding a compelling solution.
If you own or manage an addiction treatment center, do not make the mistake of purchasing a generic electronic medical/health record software! Addiction treatment and behavioral healthcare professionals have a unique workflow. Your EHR needs to support this process and be designed to fulfill your everyday needs.
After participating in an addiction treatment program, it can be difficult to go back to normal life with its stressors, triggers and access to substances. In many cases, participants attended the program for a short period of time and have not fully addressed addiction-related problems. Many people end up facing relapse, but this is where an aftercare program can help. To support patients as they continue with recovery, facilities and programs can provide routine check-ups as an aftercare program. This helps people feel supported and keeps them accountable.
On December 12, 2017, the House Energy and Commerce Oversight and Investigations Committee held a hearing regarding patient brokering and addiction treatment fraud facilities from referring patients to sober homes that are not certified through the state.
How true. For many individuals and corporations that have dedicated resources of time and money to open, acquire or grow an opioid addiction treatment business there is a growing market demand. Is it a good business to be in? Yes. Is it a growing industry? Yes. Has demand slowed or peaked? No. It is the best of times to serve individuals that have opioid addiction issues.
The Joint Commission has revised some aspects of CTS.03-01-09 and that, unless otherwise stated, those revisions become effective January 1, 2018.
If your Addiction Treatment/Behavioral Health Center is already JCAHO Accredited, you clearly recognize that Accreditation: