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
  • BHRC2 - Managing Behavioral Healthcare
  • 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
  • BHRC11 - Delirium; Catatonia
  • BHRC12 - Eating Disorders