used Health Assets Recovery for collection..., which I thought
would be uncollectable. Today I received a check ... for the entire
amount of ... debt. I am impressed with the effectiveness of their
service and plan to use them in the future when such services
Alan Cohen, LCSW, BCD, ACSW, LP NY, NY
Working in the Age of Managed Care
Don't trust your relationships and reputation
to anyone except another mental health professional
Making the decision to become a mental health provider
was an easy one, Devotion to learning,, helping people with problems
and maintaining the highest ethical values were the ideals that
inspired you. Working as a private practitioner or part of a group
offered the opportunity for self-directed growth and independence.
Demanding patients, unexpected client emergencies and
constantly making sure that you are always offering the best care
are part of the reality of being a mental health professional.
Unpaid claims, co-pays that never come and a growing amount of
money you are owed was not what you expected nor what you should
Health Assets Recovery was conceived by mental health
professionals facing the same problems as you. Dealing with non-responsive
patients on co-pays or private fees can be frustrating and extremely
time consuming. Managed care companies that offer denial of claims
instead of thanks for your work and devotion are demoralizing
and consume time and energy that you want to offer your patients
or take for yourself.
HAR shares your ideals about caring and respect for your
patients. We use a non-confrontational, supportive approach to
collections. We work with you and your clients in collecting overdue
We have the experience, staff and ability to deal with
managed care companies that deny, or overly delay, paying valid
claims. Our claims recovery specialists have experience on both
sides of the claims system. They have worked within managed care
systems as well as in private practice.
The officers and directors of HAR include mental health
professionals with managed care experience including HMO mental
health director and CEO and director of care management for behavioral
health managed care.
Connect with HAR and get paid for your work:
Health Assets Recovery
465 Broadway, Kingston, NY 12401
845-334-3680 Fax 845-340-7314
toll free 866-524-9862
Be Sure To Document
Case record audits are rare
but be ready when they happen
We all maintain both clinical and other
documentation on our patients and our encounters with them.
The manner that we maintain our records must meet federal and
state regulations and laws and, more and more often, health
It is relatively rare for charts to be
audited for actual clinical reasons but audits to make sure
that all legal and health plan requirements are met have become
more common. Chances are that the companies you do business
with must pass guidelines from NCQA (National Committtee on
Quality Assurance) and, more rarely, JCAHO (Joint Commission
on Accreditation of Healthcare Organizations).
When you trained as a mental health professional,
documentation was considered essential. Since then, the field
and it's needs for health plan documentation may have changed.
Below is a simple summary of some rules
of the road to follow in documenting the care you give your
Medical record documentation is required
to record pertinent facts, findings, and observations about
an individual’s care including the past and present illnesses
or problems, evaluations, tests, treatments, and outcome. The
medical record chronologically documents the care of the patient.
The medical record should be complete and legible. Proper documentation
* The ability of the mental health professional to evaluate
and plan the patient’s immediate treatment, and to monitor
his/her mental health status and care over time.
* Communication and continuity of care among the mental health
and other health care professionals involved in the patient
* Accurate and timely claims review and payment.
Basic Principles of Documentation:
Documentation for each patient should include:
* Chief complaint and/or reason for mental health care.
* Relevant history, evaluation findings and prior diagnostic
or treatment results.
* Assessment, clinical impression or diagnosis and plan of care.
* Dates and legible identity of health care professionals.
* The CPT and ICD-9-CM or DSM-IV codes reported on the health
insurance claim form or billing statement must be supported
by the documentation in the medical record.
* The confidentiality of the medical record should be fully
maintained consistent with the requirements of medical ethics
and of law.