Health Information Management

Considerations for behavioral health services

HIM-HIPAA Insider, June 29, 2015

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Incentives posed by the Institute for Healthcare Improvement’s Triple Aim Initiative and value-based purchasing emphasize treating the whole person to include preventive, medical, dental, post-acute, community, mental health, and addiction services. Unfortunately, mental health and addiction services—collectively termed behavioral health services—are often not discussed with regard to clinical documentation improvement, coding, and ICD-10. As more organizations move toward accountable care, these services will gain increasing focus due to their high utilization, recidivism, and low, if not negative, margins.
This article explores some background on behavioral health services, some current operational and reimbursement challenges, and some tactics to consider, particularly in light of ICD-10 and value-based purchasing.
Continue reading "Considerations for behavioral health services" by Stephen Duckett, MPH, a senior consultant at Navigant Consulting in Seattle, and Valerie Rinkle, MPA, an associate director at Navigant, on the HCPro website. This article originally appeared in the June issue of Medical Records Briefing.

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