COMPLIANCE OVERVIEW
What Are Behavioral Healthcare Compliance Consulting Services
At Behavioral Healthcare Ready, we understand the importance of compliance in the behavioral healthcare industry. Our compliance services are designed to help organizations maintain a thorough understanding of industry regulations while turning compliance into an opportunity for growth.
Behavioral Healthcare Ready complicane services include:
- Clinical and Multi-Disciplinary Approach: We offer a comprehensive and multi-disciplinary approach to compliance that helps organizations manage risk and ensure compliance with regulations.
- Evaluation of Documentation: Our compliance specialists evaluate required documentation to ensure conformity with applicable laws and guidelines.
- Mental Health Assistance: We offer help with a variety of mental health concerns that are interrelated.
- Medical Record Documentation Assistance: We provide assistance with the documentation of medical records in a manner that complies with applicable requirements.
- Specialty Areas: Our compliance specialists have experience in a variety of specialty areas, including geriatric psychiatry, adolescent psychiatry, substance abuse, eating disorders, inpatient psychiatry, intensive outpatient treatment, post-traumatic disorders, outpatient services, and partial hospitalization programs, among others.
- HIPAA Compliance Risk Analysis: We finish the HIPAA Compliance Risk Analysis, which makes use of our four-part analysis, including the following: Privacy, Security, Breach Notifications, Transactions, and Code Sets are some of the topics that will be covered.
- Medical Necessity Reviews: We provide reviews of medical necessity to validate the provision of behavioral health services.
- Independent Compliance Review Audit: Our compliance team provides assistance and testimony from subject matter experts in independent compliance review audits.
- HIPAA Compliance Assessment & HIPAA Security Risk Analysis: We provide assessment and risk analysis of HIPAA compliance and security.
- Education: We provide education on various initiatives pertaining to billing and coding, including the connection between documentation, coding, and payment.
- Compliance Plan Implementation & Monitoring: We provide administration and supervision of compliance plans to ensure organizations meet compliance requirements.
Our team of compliance consultants has extensive experience working in the behavioral healthcare industry, and as a result, we are able to assist organizations in meeting the intricate compliance requirements that are associated with this subspecialty. Contact us today to learn more about our compliance services and how we can help your organization achieve compliance and growth.
Behavioral Healthcare Ready’s Experience
Because our team at Behavioral Healthcare Ready has extensive experience working in the behavioral health industry, we can guide your company through the constantly changing compliance regulations and obstacles that stand in the way of accurately billing professional services. Our professionals have in-depth knowledge and years of experience in various fields, such as geriatric psychiatry, adolescent psychiatry, substance abuse, eating disorders, inpatient psychiatry, intensive outpatient treatment, post-traumatic disorders, outpatient services, and partial hospitalization programs.
We have the knowledge and the understanding of the complexities and subtleties involved in compliance, and we can assist organizations in meeting their obligations while simultaneously achieving their business goals. Because of the knowledge and experience that our team possesses in the field of behavioral healthcare, we are able to provide our customers with an exceptional level of service and support.
At Behavioral Healthcare Ready, we are committed to remaining current with the most recent industry regulations, and the expert members of our team have the knowledge and experience necessary to provide the direction and education that businesses require to continue remaining one step ahead of the competition. Get in touch with us immediately to learn more about the compliance services we offer and how we can assist your organization in accomplishing its objectives.
Independent Compliance Review Audit
It is possible to effectively ensure compliance and identify potential areas for improvement through an independent compliance review. We at Behavioral Healthcare Ready know the significance of independent compliance reviews to assist healthcare organizations in recognizing and resolving compliance issues. Our compliance consultants have extensive experience providing healthcare providers, clinicians, and researchers with coding, billing, medical necessity, and other compliance services.
Our impartial compliance review audit aims to assist healthcare organizations in locating any areas of noncompliance and determining the most appropriate course of action to take to mitigate the risk of potential legal and financial repercussions. Our consultants will conduct an analysis of your compliance program and make suggestions to enhance compliance and decrease the likelihood of violations.
The following benefits are available to organizations that conduct independent compliance reviews:
- Determine any potential compliance concerns and then take the necessary corrective action.
- Reduce the possibility of adverse legal and financial repercussions.
They need to upgrade their compliance program and keep it current with the regulations. - Improve their standing in the industry as a law-abiding and ethical company.
At Behavioral Healthcare Ready, we are dedicated to assisting our customers in meeting regulatory requirements and effectively managing any associated risks. Get in touch with us immediately to acquire additional information regarding our independent compliance review audit and our other compliance services.
Appeals Assistance & Expert Testimony
One of the compliance services that Behavioral Healthcare Ready provides is assistance with appeals and expert testimony. Our compliance consultants are able to provide organizations with expert testimony and support in the event of an appeal in the event that Medicare or Medicaid decides to investigate the behavioral health services that they provide more closely. We have a proven track record of being successful in winning appeals related to behavioral health and providing robust and defendable arguments in court.
Our team has extensive experience providing expert testimony and is familiar with the nuances involved in complying with the numerous regulations that govern the behavioral health industry. We are aware of the difficulties that may arise as a result of an appeal being turned down, and as a result, we put in a lot of effort to ensure that our clients receive the most favorable outcome.
The following are some of the advantages that our Appeals Assistance and Expert Testimony service provides:
- Help in navigating the intricate appeals processes
- Courtroom testimony from specialists.
- A demonstrated history of success in winning appeals related to behavioral health
- Assistance from knowledgeable compliance consultants
Our company is dedicated to assisting our customers in maintaining regulatory compliance while also successfully navigating the complexities of appeals processes. Get in touch with us right away to learn more about our Appeals Assistance and Expert Testimony service, as well as the ways in which we can help your organization.
Assessing HIPAA Compliance and Identifying Security Risks
HIPAA compliance is a critical aspect of healthcare organizations’ operations. At Behavioral Healthcare Ready, we understand the importance of maintaining the privacy and security of protected health information, as non-compliant entities can face significant monetary penalties under HIPAA-HITECH regulations, which can damage their reputations.
Our HIPAA Compliance Assessment & HIPAA Security Risk Analysis is a comprehensive compliance program designed to help organizations maintain the privacy and security of protected health information, avoid penalties, and protect their reputations. We conduct a thorough assessment of our clients’ systems and identify any controls, threats, and vulnerabilities relevant to regulatory requirements.
Our compliance experts offer the following services:
- Conducting a comprehensive HIPAA compliance assessment to ensure that our clients are meeting all regulatory requirements
- Performing a system-wide HIPAA security risk analysis to identify potential threats and vulnerabilities
- Offering recommendations and assistance with the implementation of necessary changes to ensure compliance
- Providing education and training to ensure that employees are fully aware of HIPAA regulations and their responsibilities regarding protected health information
- Ongoing monitoring and support to ensure that our clients remain in compliance with HIPAA regulations.
At Behavioral Healthcare Ready, we are committed to helping our clients maintain HIPAA compliance and protect the privacy and security of protected health information. Contact us today to learn more about our HIPAA Compliance Assessment & HIPAA Security Risk Analysis services.
Education
At Behavioral Healthcare Ready, we understand the importance of education on documentation, coding, and payment for providers in the behavioral healthcare industry. With the emphasis that payers place on accurate documentation, it is crucial for providers to stay up-to-date on the rapidly changing billing and coding initiatives. Our team provides education and compliance services to ensure that providers can effectively utilize the correct coding and documentation to receive appropriate reimbursement.
We provide education on the relationship between documentation, coding, and payment, with a focus on ICD-10-CM coding, which is accepted by third-party payers. Our client service team is experienced and nationally recognized for providing education and compliance services in provider settings across the country. We work closely with providers to ensure that they understand the necessary documentation and coding requirements, and can effectively bill for their services.
Our education services include:
- Instruction on the connection between documentation, coding, and payment.
- Education on the use of ICD-10-CM coding for accurate reimbursement.
- Assistance with understanding coding initiatives and annual coding changes.
- Training on how to effectively utilize documentation to support medical necessity for services.
Our team is committed to helping providers stay up-to-date on the latest coding and documentation requirements, and to ensure they receive appropriate reimbursement for their services.
Contact us today to learn more about our education and compliance services.
Compliance Plan Implementation and Monitoring Services at Behavioral Healthcare Ready
At Behavioral Healthcare Ready, we understand that a successful compliance program is a combination of clinical and regulatory expertise. Our compliance consultants have experience helping behavioral health organizations meet the complex compliance demands of this specialty. We assist organizations in detecting and preventing inappropriate conduct while emphasizing their legal and ethical values.
Our compliance plan implementation and monitoring services include:
- Developing and implementing a comprehensive compliance program tailored to the unique needs of your organization.
- Conducting ongoing monitoring and evaluation of the compliance program to ensure its effectiveness and identify areas for improvement.
- Providing guidance on internal investigations and responding to compliance-related concerns and incidents.
- Offering education and training to staff and leadership to ensure they understand compliance requirements and their role in maintaining compliance.
- Helping organizations meet the reporting requirements for compliance violations and the self-disclosure protocol.
We believe that an effective compliance program not only helps organizations avoid legal and financial penalties but also contributes to their overall success and growth. Contact us today to learn more about our compliance plan implementation and monitoring services.