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