Navigator Healthcare Inc.’s Post

As part of the Centers for Medicare and Medicaid Services’ annual Medicare OPPS and ASC Final Rule, it finalized new Medicare coverage of intensive outpatient program services performed in hospital outpatient departments, community mental health centers, federally qualified health centers, and rural health clinics. Coverage began January 1, 2024. This new coverage is intended to address the gap between the previously covered inpatient and partial hospitalization program coverage and outpatient therapy coverage for behavioral health conditions and substance use disorders. Learn more in “Expansion of Medicare Coverage for Behavioral Health Services,” by Grant Achenbach and Meghan Linvill McNab of Krieg DeVault LLP (Indianapolis, Indiana, USA). The article appears in the Meritas Healthcare & Life Sciences Group Newsletter, published by Meritas’ Healthcare and Life Sciences group. The group offers local and cross-border legal services, in the U.S. and globally, on healthcare-related matters. 🔗 Read the full article: https://lnkd.in/gPEeQdsP #MeritasUSA #IndependentButUnited #HealthLaw #LifeSciences

Really inspiring collaboration happening across Tennessee Crisis Teams, Hospitals and Behavioral Health organizations to evolve the system of care coordination! Welcome aboard Alliance Healthcare Services who has officially joined the XFERALL Patient Transfer Platform. We appreciate all that your teams do to bring services and expedited access to the care to those in need. AB #xferall #behavioralhealth #carecoordination #crisismanagement #emergencymedicine #behavioralhealthcare #988lifeline #crisisresponse

Handspring Health is scaling pediatric behavioral health care with Welkin's automated healthcare CRM. They’ve increased programs by 50%, and 6X their therapist count to date. Download their case study to learn more: https://ow.ly/3fL150QLTN6 #healthcarecrm #scalingcare

#credentialingservices #behavioralhealth Anthem/Carelon Behavioral Health Credentialing/Contracting: Within this last year it has become a living nightmare for Behavioral Healthcare Providers navigating the Anthem changeover to Carelon, who handles the behavioral health side of Credentialing/Contracting for Anthem. Here's How To End This Nightmare All Together: 1) If your practice already has an "existing contract" with Anthem and you need to add a provider to your existing Anthem Contract, you will need to upload a "Roster Update Form" into Availity and it will be submitted solely to Anthem. **Note: the new provider still needs to be Credentialed by Carelon before Anthem adds new provider to your existing contract** 2) If your practice "does not" have an existing Anthem Contract that went into effect before Jan 2023, you will have to initiate enrollment via the Carelon Behavioral Health website. **Contact me directly for the Anthem Roster Template** Availity's Roster Upload in PDM

A small shift in our healthcare model makes all the difference. Our current model of "a pill for the ill" is simply not working. Our elderly population is getting larger and becoming more vocal about the quality of life they wish to have. So gone are the days when we give patients prescriptions and expect them to 'take as prescribed'. Our patients are seeking a chance to be a part of the decision-making process surrounding their health. And we owe it to them to listen and provide all possible options for their care. This is where value-based care deprescribing comes in. Deprescribing clinicians can benefit from a fee-for-service model where they are able to cater to the persons who are seeking their expertise. If you are ready to be paid for the value you bring to your patients through deprescribing, apply for my deprescribing accelerator HERE 👉🏾https://zurl.co/sR7x There are only a few spots left in this Fall Cohort 2024. #deprescribing #patientcare #valuebasedcare #redpill #geriatrx

Scalability and financial sustainability are keys to a successful behavioral health program. Learn how two health systems leveraged telehealth to transform their approach to outpatient care and improve patient outcomes! Download the free resource here: https://lnkd.in/eRXpQS-n #behavioralhealth #telehealth #healthcare 

On November 2, #CMS issued its 2024 Physician Fee Schedule final rule that will implement important changes to improve access to behavioral health care. Read the full blog post below to learn more about CMS' 2024 Physician Fee Schedule. #healthcare #behavioralhealth

A small shift in our healthcare model makes all the difference. Our current model of "a pill for the ill" is simply not working. Our elderly population is getting larger and becoming more vocal about the quality of life they wish to have. So gone are the days when we give patients prescriptions and expect them to 'take as prescribed'. Our patients are seeking a chance to be a part of the decision-making process surrounding their health. And we owe it to them to listen and provide all possible options for their care. This is where value-based care deprescribing comes in. Deprescribing clinicians can benefit from a fee-for-service model where they are able to cater to the persons who are seeking their expertise. If you are ready to be paid for the value you bring to your patients through deprescribing, apply for my deprescribing accelerator HERE 👉🏾https://zurl.co/sR7x There are only a few spots left in this Fall Cohort 2024. #deprescribing #patientcare #valuebasedcare #redpill #geriatrx

According to the new “Costs of Caring” report from the AHA, hospitals and health systems incurred significant underpayments for several essential and complex health care services in 2023, including critical underpayments for inpatient behavioral health services and outpatient burn and wound care. Learn more in AHA’s new Costs of Caring report: https://ow.ly/QHTC50RAsak

Focusing on mental health is crucial. At Athra Systems, we've partnered with organizations nationwide to address behavioral health challenges and serve patients effectively. How can we help your organization grow by meeting its behavioral health needs? Let's work together to find tailored solutions. #AthraSystems #EasyButton #MentalHealth #SolvingChallenges