Posted and filed under Fraud, Medical Record Auditing.

Behavioral Health Billing Errors

A 2017 audit fronted by Massachusetts State Senator Suzanne M. Bump revealed over $190 billion dollars in improper or ambiguous payments within MassHealth’s Behavioral Health program. The audit uncovered years of questionable billing practices, lack of administrative oversight, and conflicting understandings of requirements, regulations, and internal policies. The Senator went on the record explaining the…

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Posted and filed under Compliance, Healthcare.

The Hopeful Future of Sharing Behavioral Health Data

The Colorado Regional Health Information Organization (CORHIO) is launching a pilot program to improve patient information exchange between providers and caregivers. This program is designed in a way that once consent is given by patients, their Behavioral Healthcare Information will be shared with long term care providers and hospitals. The newly accessible documents will summarize…

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