Expanding telehealth provisions bring escalating compliance risk

Behavioral healthcare providers who bill Medicare will continue to see significant changes in telehealth as they implement new provisions allowed under the Medicare Physician Fee Schedule (MPFS) Final Rule for CY 2024.

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New SDoH assessment code requires attention to compliance details

As CMS broadens its whole-person health initiative, we’re seeing new payment policies for behavioral health services addressing Health Related Social Needs. The effective use of these new HRSN payment policies includes a new G code, which took effect on Jan. 1, 2024.

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CCBHCs can leverage quality data under new certification criteria

Certified Community Behavioral Health Clinics (CCBHCs) are working to meet timelines for compliance with new certification criteria based on their CCBHC expansion grant status and state demonstration pilot requirements. Revised certification criteria was issued by the Substance Abuse and Mental Health Services Administration (SAMHSA) in March 2023.

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Why your organization needs a HIPAA Privacy Assessment

You’ve done your homework, appointed a HIPAA Privacy Officer, ensured regular HIPAA training takes place, reviewed all the HIPAA privacy, security, and administrative data standards set out by the OCR. But how would your organization’s policies hold up under the scrutiny of a HIPAA audit?

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Behavioral healthcare providers need to tighten clinical documentation for new RADV audits

Behavior health providers doing business with Medicare Advantage need to shore up their clinical documentation with greater diagnosis specificity and accurate documentation as they face a new type of audit.

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Compliance risks are escalating for behavioral health providers in 2024. Here’s why.

If you’ve been paying attention, you’ve noticed more than a few signs that regulatory scrutiny has been tightening for all healthcare providers since 2022. Now, as we head into 2024, behavioral health providers in particular are facing the hot seat due to major changes affecting compliance.

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