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A number have deeming power for Medicare and Medicaid.. American Association for Accreditation of Ambulatory Surgery Facilities [2] (AAAASF); Accreditation Association for Ambulatory Health Care (AAAHC)
Credentialing is the process the healthcare facility or managed care organization/health plan uses to collect and verify the “credentials” of the applicant. This includes verification of many elements including licensure, education, training, experience, competency, and judgment.
Medicare is the largest health care program in the United States and currently recognizes psychiatrists, psychologists, clinical social workers and psychiatric nurses for outpatient mental health services, but does not reimburse LPCs or MFTs for behavioral health services. [5]
The centers alleged that UBH wrongfully denied $5 million in behavioral health treatment claims for self-insured and fully insured employer health plans for residential and outpatient treatment from 2011 to 2017. The case involves claims for 157 employer group health plan members, including children.
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, [ 2 ] which made it the highest ranked (by revenues) company based in Kentucky .
Since July 2024, he has been chief executive officer (CEO) of Humana, a healthcare company. [1] Rechtin is a Kentucky native. [2] He earned a bachelor's degree from DePauw University, and an MBA from Harvard Business School. [3] Rechtin worked for Bain & Company for over a decade, and was then president of UnitedHealth Group's subsidiary Optum. [1]
Certification came about because of many ethical issues with behavioral interventions being delivered including the use of aversive and humiliating treatments in the name of behavior modification. [12] American psychological association offers a diplomate (post Ph.D. and licensed certification) in behavioral psychology. [13]
The National Association for Behavioral Healthcare (NABH) is a non-profit organization based in Washington, D.C. and established in 1933. NABH educates health care providers on issues like behavioral health , mental disorders , and substance use.