Managing Behavioral Health Care; Review Criteria, Care Management
- Detailed behavioral health review criteria guidelines and benefit interpretations for inpatient and outpatient care by diagnostic entity, including office visit edits.
- Strategies for quality-based efficient delivery of integrated effective behavioral healthcare management.
- Adult and children’s behavioral health LOS and CM.
Guidelines
- BHRC1 - Introduction
- BHRC11 - Delirium; Catatonia
- BHRC12 - Eating Disorders
- BHRC13 - Schizophrenia Spectrum and Other Psychotic Disorders
- BHRC14 - Depressive Disorders
- BHRC15 - Anxiety, Phobias & Panic Disorders
- BHRC16 - Dissociative Disorders
- BHRC17 - Personality Disorders
- BHRC19 - Disruptive, Impulse Control, and Conduct Disorders
- BHRC2 - Managing Behavioral Healthcare
- BHRC22 - Utilization Management/Behavioral Healthcare
- BHRC24 - Behavioral Health Medical Records
- BHRC25 - Quality Management & Quality Improvement
- BHRC26 - Behavioral Healthcare Glossaries
- BHRC28 - Bipolar Disorder and related disorders
- BHRC29 - Obsessive-Compulsive (OCD) and related disorders
- BHRC30 - Somatic Symptom and Related Disorders
- BHRC31 - PTSD, Stress and Adjustment Disorders
- BHRC32 - Sexual Dysfunction
- BHRC3 - Addenda
- BHRC4 - Provider Issues
- BHRC5 - Special Populations
- BHRC6 - Case Management
- BHRC7 - Neurodevelopmental Disorders
- BHRC8 - Substance-related and Addictive Disorders
- BHRC9 - Alzheimer’s Disease and Other Dementias
