For many psychiatrists and other mental health professionals, the clinical review is the most burdensome and disagreeable part of managed care. In that review clinicians are asked by a representative of the managed care company to justify their patient's need for care and to defend the treatment they are providing. Clinicians usually feel at a disadvantage in these discussions because they are never quite sure what information will convince the reviewer to approve the patient's care. The goal of this text is to teach ...
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For many psychiatrists and other mental health professionals, the clinical review is the most burdensome and disagreeable part of managed care. In that review clinicians are asked by a representative of the managed care company to justify their patient's need for care and to defend the treatment they are providing. Clinicians usually feel at a disadvantage in these discussions because they are never quite sure what information will convince the reviewer to approve the patient's care. The goal of this text is to teach psychiatrists, mental health professionals and administrators how reviewers think and how to present a case in a manner that greatly increases the likelihood that a reviewer will approve the request for care. Beginning with four questions that must be answered in every managed care review, the author demonstrates how to: present effective requests for inpatient, partial hospital, and substance abuse care; negotiate with a reviewer to get approval for your patient's care; respond when you and the reviewer disagree; write clinical notes that substantiate your request for care; deal with unethical reviewers and managed care companies; and appeal denials of care. These and many other important issues are highlighted in brief vignettes illustrating a clinician's presentation of a patient's case and a typical reviewer's comments.
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Add this copy of Negotiating Managed Care: a Manual for Clinicians to cart. $1.92, good condition, Sold by Goodwill of Orange County rated 5.0 out of 5 stars, ships from Santa Ana, CA, UNITED STATES, published 2001 by American Psychiatric Association Publishing.
Publisher:
American Psychiatric Association Publishing
Published:
2001
Language:
English
Alibris ID:
16883780208
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American Psychiatric Association Publishing
Published:
2001
Language:
English
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18169598689
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Fine. Trade paperback (US). Glued binding. 128 p. In Stock. 100% Money Back Guarantee. Brand New, Perfect Condition, allow 4-14 business days for standard shipping. To Alaska, Hawaii, U.S. protectorate, P.O. box, and APO/FPO addresses allow 4-28 business days for Standard shipping. No expedited shipping. All orders placed with expedited shipping will be cancelled. Over 3, 000, 000 happy customers.
Add this copy of Negotiating Managed Care: A Manual for Clinicians to cart. $48.07, new condition, Sold by GreatBookPrices rated 4.0 out of 5 stars, ships from Columbia, MD, UNITED STATES, published 2001 by American Psychiatric Association Publishing.
Publisher:
American Psychiatric Association Publishing
Published:
2001
Language:
English
Alibris ID:
18160544137
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New. Trade paperback (US). Glued binding. 128 p. In Stock. 100% Money Back Guarantee. Brand New, Perfect Condition, allow 4-14 business days for standard shipping. To Alaska, Hawaii, U.S. protectorate, P.O. box, and APO/FPO addresses allow 4-28 business days for Standard shipping. No expedited shipping. All orders placed with expedited shipping will be cancelled. Over 3, 000, 000 happy customers.
