What is DSRIP? | The Sticker Shock of Medicaid Reform

We’re all familiar with the concept of a deadline and a reward based on performance. It’s been ingrained in us since elementary school where we were given homework to be completed the next day and the best ones got a sticker. New York’s Delivery System Reform Incentive Payments (DSRIP) is just like those elementary school […]

Keeping it Simple | Data Presentation & Bar Graph Readability

Before reading this text, I’m guessing you’ve already peeked at the bar graph below.  It’s human nature for our eyes to be drawn towards a visual – that’s why they’re great for depicting data!  Take a fresh look at this graph, but this time be cognizant of where your eyes go to process the details. […]

Overcoming the Myths of Outcomes Management [TCOM Webinar]

EVENT DETAILS Managing the Business of Helping: Overcoming the Myths of Outcomes Management Use the button below to register and access the recording! Dr. Lyons has 35 years of experience in the pursuit, approach and implementation of outcomes management. Over the course of these experiences he has learned that many of the ideas about the […]

Know Your Insurance Payer Mix: 5 Reasons to Predict The Future

Everyone wants to know the future, especially when it comes to forecasting revenue for your behavioral health agency.  You can try complicated revenue projection models or business analytics tools, but there is a far simpler way to help you maintain a firm grasp on your agency’s future. Know your payer mix! I know it sounds […]

Treatment Plan Management | 5 Steps for Successful Treatment Planning

The administrative burden placed on Behavioral Health agencies that accept Medicaid or commercial insurance payments is substantial.  You are being asked to document everything, and it can seem overwhelming and cumbersome.  But the penalties for missing your Treatment Planning requirements are real, and they’re harsh. First, consider how a Medicaid audit works.  Medicaid comes to audit a […]

The Top 4 Reasons to Measure Payment Write-offs Every Day

Merriam-Webster defines a “write-off” as follows: 1. To eliminate (an asset) from the books: enter as a loss or expense. When an insurance company pays you less than you expected for a service, do you really believe that you should have incurred a loss? Do you believe the service your agency provided is any less of an asset? […]

Billers Can’t Be Shy with Contractual Charges vs Contractual Payments

There’s no time to be bashful when your job is to bill claims on behalf of a behavioral health agency. To ensure your agency is getting paid for all the services you’re providing it is imperative that you’re willing to pick up the phone and make a call.  But before you can start making calls, […]

Ensure your First Time Claim Acceptance Rate is above 95%

Submitting claims to insurance companies is your agency asking for money – getting the claim accepted is your agency getting paid.  The percentage of claims that are accepted by insurance companies for payment the first time is your First Time Claim Acceptance Rate. It is important that behavioral healthcare agencies measure and monitor the percentage of […]

Key Behavioral Health Outcomes Measures You Should Be Tracking

If you want to succeed in the Behavioral Healthcare business you need to be turning toward a data driven analytical approach to your decision making if you aren’t already.  The introduction of Managed Care has solidified the need for agencies to track, report, and improve on key metrics in order to justify the amount you […]