Search results
Results from the WOW.Com Content Network
On September 13, 2019, three addiction and mental health treatment centers sued United Behavioral Health (UBH), UnitedHealthcare's mental health subsidiary. 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 ...
United Behavioral Health, the behavioral health subsidiary of medical insurer UnitedHealth Group; Uriah Butler Highway This page was last edited on 31 ...
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
A Certified Community Behavioral Health Clinic (CCBHC) is a type of health clinic in the United States that treats mental health and substance abuse disorders regardless of the patient's health insurance status and ability to pay for care. [1] [2] [3] CCBHCs are funded through Medicaid or SAMHSA grants. [2] [4]
Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7]
Behavioral health providers in primary care settings have an opportunity to directly impact health care disparities by designing "…strategies to enhance cooperative or healthy behavior". [39] "The premise is that mismatches in models (i.e., expectations about illness and health interactions) between the patient and the health provider may ...