NABH Chief: CMS’ Plan to Streamline Psychiatric Hospital Compliance Misses Mark

Psychiatric hospitals that participate in Medicare will soon see changes to the way they’re surveyed for compliance. Currently, providers are surveyed twice to ensure compliance with two different sets of guidelines, or conditions of participation (CoPs). But starting in March, those surveys will be consolidated into one, the Centers for Medicare & Medicaid Services (CMS) […]

UnitedHealth Group Temporarily Avoids Parity Lawsuit

UnitedHealth Group avoided a parity fight Monday, when a California federal judge dismissed a lawsuit claiming the insurer unfairly denied a man his right to receive coverage for addiction treatment. However, the insurer isn’t in the clear just yet, according to Law 360. The class action suit, originally filed last July, stated that the lead […]

Feds Aren’t Proactively Checking for Parity Compliance — But Advocates Say They Should Be

Federal agencies may not be doing enough to ensure behavioral health parity within health plans, according to a recent report from the United States Government Accountability Office (GAO). In response, advocates are calling for more extensive oversight of employer-sponsored group plans. The report found that the vast majority of federal reviews and investigations into parity […]

Why Compliance Programs Are More Important Than Ever for Behavioral Health Providers

Historically, many behavioral health providers have operated on a cash-pay basis out of necessity. But as reimbursement options continue to increase for mental health and substance abuse treatment, that no longer has to be the case. Parity requirements have brought commercial payers more substantially into the mix, while opportunities for providers to be reimbursed by […]