The Accountability Gap in Behavioral Health: Who Owns the Problem
From The Behavioral Health Underground · 39:18
Show by Sonda Kunzi and Gary Humble
CLICK HERE TO SEND US QUESTIONS OR COMMENTS!Who owns the problem when a behavioral health claim doesn’t get paid?Sonda and Gary discuss the accountability gaps that develop when clinical, billing, and administrative teams work in silos. A denial may be the first visible sign of a problem, even when the cause began earlier in the process.In this conversation:• Why billing may be blamed for issues that began elsewhere• How credentialing, eligibility, authorization, documentation, and workflow can affect payment• Why every stage of the revenue cycle needs clear ownership and quality checks• How short, focused “flash meetings” can help teams address problems• Why agencies should build relationships with managed care organizations before a crisis• How to test whether an organization’s internal culture matches what leaders believe is happeningThe challenge for agency leaders: look at the full process, identify where responsibility is unclear, and make it easier for clinical and administrative teams to solve problems together.Have a question or a topic you’d like us to discuss? Send it through our Buzzsprout fan mail.Gary's Links For You:LinkedInWebsiteXSonda's Links For You:WebsiteInstagramFacebookLinkedIn
More episodes of The Behavioral Health Underground
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- Credentialed Does Not Mean Ready to Bill
- Who Owns the Problem? The Accountability Gap in Behavioral Health
- The Claim Was Denied, but the Problem Started Months Ago
- The Revenue Is In the Record
- The Perfect Storm: Prior Authorization, Denials, and Behavioral Health Survival
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