G&M Consulting Offers a CAQH Maintenance Subscription Service to the Behavioral Health Community

For most clinicians, administrative tasks are not what they went to school for!  They are interested in working with their clients and their clients' families. Unfortunately, administrative tasks are a fact of life in our practices and to neglect them invites revenue disruption! Many third party payers (both Medicaid and Commercial) have streamlined their credentialing [...]

By |2021-02-24T09:25:22-05:00February 19th, 2021|

Is Your Agency Exploring Contracting with Commercial Insurance Plans? Here are a Few things to Ponder!

Is Your Agency Exploring Contracting with Commercial Insurance Plans?  Here are a Few Items that should be on Your Punch List. Most Community Behavioral Health Centers (CBCs) have been focused on the administrative and clinical implementation of behavioral health carve services for their Community Medicaid Managed Care Plan (MCP) clients.  At the same time, many [...]

By |2021-02-24T09:26:32-05:00January 15th, 2021|

Making Lemonade out of Lemons: What New Opportunities exist after Our Organizations get through this Crisis?

What New Opportunities exist after Our Organizations get through this Crisis? I know all of our organizations have been scrambling in wake of this pandemic to meet the needs of our clients. Ohio Medicaid as well as many commercial payers moved quickly to accommodate TeleHealth services implemented by agencies around this State. As of this [...]

By |2021-02-24T09:51:24-05:00October 27th, 2020|

Is Your Organization Developing a Managed Care Mindset?

The smoke has cleared and Ohio's Behavioral Health Design initiative is now reality.  The new code sets, new Medicaid covered services and billing requirements are now in place.  Our system has now had approximately eighteen months to adjust to our new world.  But there is no rest for the weary! Behavioral Health agencies have a [...]

By |2020-07-28T10:52:19-04:00May 15th, 2020|

Managed Care Contracting: Beware of Unintended Consequences

OK!  You Are Now Contracted with Medicaid Managed Care Organizations (MCOs)!  So, Where does Your Organization Go from Here?! The dust has settled..... the Ohio Medicaid MCO credentialing & contracting frenzy is now a distant (or not so distant!) memory for many behavioral health agencies.  So where do you go from here? Much of your [...]

By |2019-12-14T10:27:51-05:00November 15th, 2019|
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