By Gary Humble | December 30, 2019

What Areas Should Your Organization be Focused at the Beginning of this New Year?

It's hard to believe that we are now almost 20 years into the "new" millennium! And, as we prepare for a new year, is your organization focused on your revenue cycle process to minimize any "hiccups" to cash flow going forward?  What are some time tested activities your administrative staff should be involved in now to make [...]

By Gary Humble | December 17, 2019

Preparing for Medicaid Managed Care Organization Clinical Audits

Nothing brings terror to the heart of an Executive Director than to hear that a Managed Care Organization is coming to conduct a clinical audit! Remember, the Managed Care Organizations (MCOs) are charged with among other things, to "bend the cost curve" for their client, The Ohio Department of Medicaid.  Their mission is to ensure [...]

By Gary Humble | November 15, 2019

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 Gary Humble | October 15, 2019

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 Gary Humble | September 24, 2019

How Should Behavioral Health Practices Prepare for the Future: Understand the Trends!

As of this writing, we are almost three quarters through 2019!  Where does time go?!  As we continue to take care of clients and immediate issues that are in front us, do not forget about your business planning for 2020 and beyond. As a private practice, you and your team have seen its fair share [...]

By Gary Humble | August 15, 2019

Questions from the Field: Understanding How MarketPlace Products Work

From time to time, I receive some real good questions from the field on various administrative issues.  Here is a question I received recently regarding a client's MarketPlace product: Question: I have had a number of clients come in with individual policies only to discover that most of these payers were actually being offered by [...]

By Gary Humble | July 1, 2019

Welcome to G&M Consulting!

Welcome to the G&M Consulting website! This website is dedicated to enhance the administrative practices of behavioral health providers. Our world is becoming more and more complicated. Many clinicians are being overwhelmed with administrative requests (billing, authorization, credentialing) taking precious time away from what they wanted to do when they began down this career path- [...]