Upcoding, documentation, and medical necessity – what do these three things have in common?
As Mental Health Awareness Month continues, we wanted to share some common compliance stumbling blocks when it comes to psychotherapy and mental health treatment for nursing home residents.
Caring for nursing home residents with psychiatric conditions or depression is critical, and compliance professionals need to be aware of three key areas of potential risk: upcoding, documentation, and medical necessity.
Download our latest eBrief, “Mental Health Series #3: Compliance Pitfalls of Psychotherapy Treatment in Nursing Homes,” for insights from CJ Wolf, MD, on:
- The significant risks associated with inaccurately estimating psychotherapy time
- The central role local coverage determinations play in services that are eligible for reimbursement
- Why even if a service is well-documented, it can still be deemed medically unnecessary