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Warning: You May Be Committing Mental Health Billing Fraud

mental health billing fraud

A suburban Chicago doctor was indicted last month, accused of filing nearly $1 million in fraudulent health insurance claims. From 2008 to 2013, the doctor allegedly used some patients’ names without their knowledge and submitted claims for scans that were never performed, the Chicago Sun-Times reported. In one case, the doctor allegedly fabricated a seven-page medical record for a follow-up exam during an office visit in which the doctor only refilled a prescription.

How To Bill For Telehealth Services and Get Reimbursed

how to apply

Telehealth–the remote diagnosis and treatment of patients through telecommunications technology–can offer important benefits to both providers and patients. Some research, for example, suggests that the practice helps eliminate stigma and, therefore, make it more comfortable for clients to seek services. Of course, it can also substantially improve access to care, especially in remote areas.

19 Ways to Encourage Patients to Use the Patient Portal

patient portal

When clients visit any healthcare provider, they must complete multiple forms, usually stacked on a clipboard. The task of filling out those sheets is often even more challenging and time-consuming for visits to mental health and substance abuse treatment centers because they ask for more extensive information. And staff have to enter all that information by hand into an electronic system. It’s a time drain for all involved.

ClinicTracker EHRs Workflow Builder Solves Paperwork Completion Dilemma for Mental Health Agencies


ClinicTracker announces a game-changing innovation to help providers manage overwhelming agency routines and workflows.

Administrators and providers of mental health agencies lose sleep worrying that the next day will bring an unannounced visit from regulators checking for noncompliance and fraud. Failing such a visit can be profoundly disruptive, expensive, and embarrassing.

How to Select a Mental Health EHR for Large Agencies

choosing a mental health ehr for large agencies

Since 2008, the number of office-based physicians using EHRs has more than doubled, from 42% to 87%. Even as healthcare workers grow increasingly accustomed to technology guiding their workflows, practices that provide mental health or substance abuse services still face unique challenges in finding EHRs that offer features designed for their complex billing arrangements and reporting requirements.

ClinicTracker EHR Develops Intuitive Practice Management Tool: Performance Measurement Reports

Performance Measurement

ClinicTracker, the EHR of choice for mental health and substance abuse agencies, introduces an exciting new practice management tool called Performance Measurement Reports. Administrators no longer must remember to check on the health of their operations, as the software automatically emails reports that indicate whether pre-selected parameters fall within or outside established comfort zones. It’s a way for managers to enhance accountability, maximize business performance, improve financial control, and maintain compliance with regulatory requirements. Automated emails serve as a built-in warning system that alerts the administrator when metrics they are tracking go above or below acceptable limits. Of course, administrators can also access those same reports on demand and based on data in real time.

ClinicTracker EHR Announces New Built-in Telehealth Service for Mental Health and Substance Abuse Agencies

telehealth service

ClinicTracker announces their new Telehealth Service that gives providers a convenient method for interacting with patients remotely using an internet-connected desktop, laptop, or other mobile device equipped with a webcam. ClinicTracker makes it simple to set up appointments, conduct sessions, access recordings, and keep records – all within ClinicTracker’s user-friendly environment.

MACRA Promotes Telehealth for Providing Healthcare Services


The latest development in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) includes good news for healthcare practices that offer telehealth – the use of telecommunications technology to provide health services. When the Centers for Medicare and Medicaid Services (CMS) issued its 1,653-page final rule on Nov. 2, its list of ways healthcare practices can be reimbursed for leveraging information technology now includes new payment options for telehealth.

Workflow Builder

Along with Form Builder and Report Builder, the Workflow Builder is designed to help you customize ClinicTracker. Imagine being able to tell the software exactly what should happen when someone calls for an intake, or has been a patient in the clinic for 90 days, or has been admitted to one of your subspecialty programs, or is about to be discharged. With Workflow Builder, you can implement and track routines for everything that transpires during the course of a patient’s treatment.

Nobody has to guess what paperwork is due, which forms they should complete, or who is responsible for documenting clinical events. You write all the rules into ClinicTracker using the Workflow Builder and the system orchestrates the rest. Supervisors or QA/UR staff can always monitor the extent to which staff are in compliance with the requirements you’ve established.

Workflow Builder: How does it work?

Let's say that you want the system to implement these four rules:

  1. Alert the clinician assigned to the case that an initial treatment plan is due 30 days after the switch from intake to patient (and send a reminder in case it’s not completed 5 days before the due date)
  2. Advise the intake clinician to complete an admission summary within 14 days of the switch from intake to patient (and that an additional reminder should go out 2 days prior)
  3. Notify any member of the front-desk staff that the billing sheet (a form you created using Form Builder) is due within 2 days
  4. Direct your billing staff to call the insurance company to obtain an authorization

Compliance Builder Example

Those four rules, along with the Trigger Event (in this case marking the intake as a patient), comprise a Ruleset that establishes a workflow for what happens when a patient is admitted. You would work toward establishing a series of Rulesets based on other Trigger Events that might arise. Maybe the next Ruleset to create would address what should unfold if a patient is injured at your office, or if a patient is discharged. Workflow Builder helps you encode workflows for every essential function of your agency.

Once you’ve instructed ClinicTracker what rules to follow when it detects a Trigger Event, the system stands ready to implement the workflow. It issues Workflow Items for the staff to complete. In our example, it will send the notifications at different “warning intervals" to the provider, the intake clinician, the front-desk staff, and the billing department. It becomes the responsibility of these recipients to complete those Workflow Items on time.

Kno2 Provides Path to Interoperability for ClinicTracker Behavioral Health Clients

Kn02 partnership image

Kno2®, the company that provides Interoperability as a Service™ (IaaS) to everyone in healthcare and ClinicTracker, a mental health and substance abuse electronic health record (EHR), today announced a partnership agreement. Kno2's IaaS provides an immediate path to interoperability, enabling the electronic exchange of patient information between ClinicTracker's behavioral health agencies and other healthcare providers throughout the continuum.

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