Providers

Behavioral Health Plan Providers

Provider Manual, Medical Necessity Criteria, Clinical Practice Guidelines, Treatment Request Forms, CAQH Quick Reference Guide and Provider Agreements.
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DSM V and ICD 10

This transition will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare claims. ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2014. Otherwise, your claims and other transactions may be rejected, and you will need to resubmit them with the ICD-10 codes. This could result in delays and may impact your reimbursements, so it is important to start now to prepare for the changeover to ICD-10 codes. Below are some documents and sources for your educational purposes.Most of the educational material from the American Psychiatric Association (APA).

DISCLAIMER: These resource links are for informational purposes only and are included as a courtesy for our providers. New Directions Behavioral Health has not reviewed, interpreted, or adopted the information available at any external website. These websites do not serve as legal advice and should not be relied upon as such. New Directions is not responsible for the content of the information found at any external website or for provider’s access to that information. For further details or questions, please contact the owner of the information found at the linked external websites. The information contained on this page is subject to change without notice.


Security Risk Analysis Tipsheet: Protecting Patients' Health Information

This tipsheet provides an overview of the security risk analysis requirement. Meaningful use does not impose new or expanded requirements on the HIPAA Security Rule, nor does it require specific use of every certification and standard that is included in certification of EHR technology. You can also find additional information and resources to assist you in learning more about the the HIPAA Security Rule through the the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR).

 

DISCLAIMER: These resource links are for informational purposes only and are included as a courtesy for our providers. New Directions Behavioral Health has not reviewed, interpreted, or adopted the information available at any external website. These websites do not serve as legal advice and should not be relied upon as such. New Directions is not responsible for the content of the information found at any external website or for provider’s access to that information. For further details or questions, please contact the owner of the information found at the linked external websites. The information contained on this page is subject to change without notice.


2013 CPT BEHAVIORAL HEALTH CODE CHANGES

Effective January 1, 2013, several of the most frequently used CPT codes will be discontinued and replaced with other codes. Below are some documents and sources for your educational purposes.  Most of the educational material from the American Psychiatric Association (APA).

DISCLAIMER: These resource links are for informational purposes only and are included as a courtesy for our providers. New Directions Behavioral Health has not reviewed, interpreted, or adopted the information available at any external website. These websites do not serve as legal advice and should not be relied upon as such. New Directions is not responsible for the content of the information found at any external website or for provider’s access to that information. For further details or questions, please contact the owner of the information found at the linked external websites. The information contained on this page is subject to change without notice.


Authorization process for 2014, including pre-notification and pre-certification

Attached is a letter to providers to advise what the process is for 2014. There is not much difference from 2013.
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Employee Assistance Affiliates

Online Affiliate Manual, information about SAP, newsletter, and helpful forms.
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Communications

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