In an unprecedented move, a Connecticut-based health maintenance organization is seeking hundreds of thousands of dollars in repayment from New York area mental health professionals, claiming their notes did not support charges made during the past five years. Oxford Health Plans looked at notes and records of 300 therapists during the last two years and […]Continue Reading ...
–from “The Pillar of the Cloud” by John Henry Newman Paul A. Arbisi, Ph.D., had received a few calls already even before the autumn end of Daylight Savings Time. The gloom of another Minnesota winter was approaching, and there would be more calls soon. Arbisi is an assistant clinical professor at the University of Minnesota […]Continue Reading ...
Whether psychiatric in-patient and rehabilitation facility stays meet criteria for medical necessity are among the targets for scrutiny by the Office of Inspector General (OIG) in its 2004 Work Plan issued October 1. According to the Workplan, a blueprint for OIG projects determined annually, “Prospective payment (PPS)-exempt psychiatric units and specialty psychiatric hospitals received over […]Continue Reading ...
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