Insurance Referrals: Where do They Really Come From and How do you Get Them?
Congratulations! You have successfully completed the insurance credentialing and contracting process and are now an in-network provider with one or more insurance companies. That is a huge achievement in itself, but you haven’t “arrived” just yet. One of the primary benefits of your hard earned in-network status is your ability to accept referrals… So why aren’t you getting any? The short answer is because your prospective referral sources don’t know you, they don’t know what
Preparing for your UBH Audit: Tips and Lessons Learned for Autism Treatment Providers
The final step in the contracting process with United Behavioral Health (UBH)/Optum is an audit. Depending on the type of agency, the audit may involve either a site visit by an auditor or a remote audit in which the autism treatment provider must send in documentation demonstrating that their practice and practitioners meet with UBH’s requirements. The UBH website offers prospective “auditees” access to the actual audit tools the auditors use. UBH has established a performa
If You Can’t Keep the Lights On, No One Benefits!
Many behavioral health agencies, and in particular those focused on autism treatment, are established out of a desire for clinical freedom. The founders of these agencies are rarely MBAs or suit-clad business men or women, but rather clinicians frustrated by working for someone else. What this means is that caring and passionate clinicians are now “business owners” burdened with the everyday administrative, managerial and financial headaches they likely didn’t take into accou
