Auditing behavioral health records

This article will help get you started on the right foot

When auditing outpatient behavioral health claims, the first step is to understand where all the documentation is located in your organization

One way to tackle this is by having an audit kick-off meeting

Treatment Record Documentation Requirements In accordance with your Agreement, you are required to maintain high quality medical, financial and administrative records (including :,appointment or scheduling books) related to the behavioral health services you provide

The record includes ,documentation of previous suicidal or homicidal behaviors, including :,dates, method, and lethality

The behavioral health history includes ,an assessment of any abuse the member has experienced or if the member has been the perpetrator of abuse

Know what to look for when auditing behavioral health services to keep your organization compliant

One of the best things you can do prior to auditing outpatient and inpatient behavioral health claims is to review federal and state regulations

This article will help get you started on the right foot

When auditing outpatient behavioral health claims, the first step is to understand where all the documentation is located in your organization

One way to tackle this is by having an audit kick-off meeting

Know what to look for when auditing behavioral health services to keep your organization compliant

One of the best things you can do prior to auditing outpatient and inpatient behavioral health claims is to review federal and state regulations

The clinical behavioral health team comprised of a registered nurse, licensed therapist, office and patient coordinator, and psychiatrist are also stakeholders

This team is the most impacted by the implementation of an audit tool

The team had to learn the audit tool and potentially change current documentation habits