Challenges of a Utilization Review Coordinator

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.

Continue Reading

Expanding Services in Addiction Treatment

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.

Continue Reading