Resources
Reference guides for people who run programs.
Longer than a blog post and built to be kept open: utilization review, revenue cycle measures, compliance programs, intake and implementation, end to end.
Nothing gated. No forms, no email capture, no gated PDFs.
Guides
Every guide, in full.
Compliance
Seven compliance elements, sized for a real program
The seven elements in HHS-OIG compliance guidance, translated for addiction treatment and mental health programs of 20 to 200 staff, with the records that show each one is working.
Revenue cycle
Revenue cycle KPIs: what to count and how to count it
Clean claim rate, denial rate by reason, days in A/R, unbilled services and underpayment rate: definitions, counting rules and what each one points to upstream.
Revenue cycle
Utilization review, from first auth to appeal
Initial authorization, concurrent review, step-down, peer-to-peer and appeal: what each reviewer is looking for, and the records that answer them.
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