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How Do Your Treatment Completion Rates Compare?

Friday, September 7, 2018,
Categories: Business View
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One of the most critical elements for an addiction treatment program to manage effectively is the percentage of patients who successfully complete treatment.

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What’s the “Secret Handshake” to Match Client Coverage to Care?

Saturday, March 24, 2018,
Categories: Business View
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Clinicians in private practice have a lot of autonomy. But none of us “go it alone” - we work with a network of other providers, support services, community resources and institutions. When a client has an urgent need for additional help, we are often the “front line” in making that connection - in fact, we may be the only professionals that distressed person talks to. Of course we want to get them to the best care possible, but too often clinicians end up trying to navigate the same maze clients and families get trapped in, between shady marketers and obdurate insurers, trying to assess facilities without direct interaction. Sometimes it seems like the whole process is in the way. Getting clients the care they need means negotiating with insurers, employers and sometimes the client themselves. Winning the insurance battle can be frustrating, time consuming - and essential to effective client care. Often it feels like we need a “secret handshake” to get through the door. What follows are some of our best tricks of the trade for getting it done.

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Boosting UR Outcomes and Quality of Care: Capturing Client Quotes

Wednesday, April 19, 2017,
Categories: Business View
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As any Utilization Review (UR) clinician will tell you that pleading a client’s case with a managed care company can be an exhaustive, disconcerting process.  Those of us in this field were likely drawn to the work due to our desire to help others; we explore, we nurture, and we advocate.  It’s a rare day to come across a clinician who enjoys paperwork or delights in the UR process… it is tedious.  Utilization Review occurs behind the curtain, often with clients and families unaware of the importance this process plays in their care, though an enormous amount of the client’s treatment depends on this procedure.  Behavioral health providers want the best outcomes for their clients, and the documentation process can sometimes seem daunting; cutting corners in this area may negatively affect your client care, your overhead, and auditing results.  There are a few simple changes that can help you improve this process, both to better the outcomes for your clients and help the financial stability of your organization.  I like to call them ‘UR gold’: Direct client quotes and straightforward descriptions. 

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Government Helps Those Who Help Themselves

Monday, December 12, 2016,
Categories: Business View
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The California substance use treatment industry is under attack. An unsustainable California model, reimbursements that do not support the infrastructure required by the Department of Healthcare Services, the Joint Commission and insurance companies, direct payments to clients that are often uncollectable, and blatant mental health parity violations, what can a facility owner do? Fight.

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The New Normal? Avoiding Risk and Preparing for Growing Scrutiny of Addiction Treatment

Monday, December 5, 2016,
Categories: Business View
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Recent weeks have brought headlines of law enforcement crackdowns on addiction treatment: federal, state, and local raids on sober living and residential rehab operators, arrests, and charges of fraud or other misconduct.  National news also reflects a trend of growing federal and local law enforcement coordinating to prosecute fraud by laboratories, addiction treatment marketers, and others in the industry.  Is this the “new normal”?

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What Marketing Is and Is Not

Sunday, January 11, 2015,
Categories: Business View
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pax house banner