The importance of commercial payer standards and guidelines are often overlooked in behavioral healthcare. Most practitioners and facilities maintain legally required documentation and meet regulatory and accreditation standards for operations and performance. These standards rarely meet the requirement of commercial payer reimbursement. Learn the intricate details of payer requirements and how they can help you to maintain profitability in the ever changing world of healthcare reform. After attending, participants will be able to:
Gain an operational understanding of payer guidelines.
Outline ways to work with private insurance companies to increase revenue.
Summarize how payer guidelines influence clinical interventions and patient care.