Assuring Medicare Compliance for Behavioral Health Services

Cheryl Krusch , Director of Clinical Documentation Improvement and Coding, BerryDunn.

Natalie Laaman , Manager, BerryDunn.

Robyn Hoffmann, Senior Manager , BerryDunn.

2023-10-10

  • Classify the groups of behavioral health professionals that are eligible for Medicare reimbursement and identify the categories of other behavioral health practitioners who are eligible to render services based on incident-to guidelines

  • Develop a succinct telehealth training checklist for behavioral health clinicians, including the relevant Medicare timeline for when in-person visit requirements must be implemented

  • Create a Plan-Do-Study-Act (PDSA) model and an internal audit tool using Medicare's Checklist for Outpatient Psychiatric Services, to help assure that documentation meets the necessary program and patient criteria for Partial Hospitalization Program (PHP) and for Community Mental Health Center initial evaluations, treatment plans, and discharge plans

This document is only available to subscribers