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Aftercare Plus
Medicare AdvantageBehavioral Health Initial Review Form for
Inpatient and Partial Hospital Programs
This communication applies to the Medicaid and Medicare Advantage programs for Anthem
Blue
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How to fill out behavioral health concurrent review
How to fill out behavioral health concurrent review
01
Gather all necessary information and documents related to the patient's mental health history, treatment plans, and current condition.
02
Contact the insurance company or managed care organization to initiate the concurrent review process.
03
Submit the required forms and documentation to the insurer, including the patient's diagnosis, treatment goals, and progress reports.
04
Follow up with the insurer to provide any additional information or answer any questions they may have.
05
Keep detailed records of all communication and documentation related to the concurrent review process.
Who needs behavioral health concurrent review?
01
Individuals receiving mental health or substance abuse treatment that require ongoing monitoring and review of their treatment plans.
02
Licensed behavioral health providers who are seeking authorization for continued services for their patients.
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What is behavioral health concurrent review?
Behavioral health concurrent review is a process of reviewing medical necessity and appropriateness of behavioral health treatment services while the patient is receiving care.
Who is required to file behavioral health concurrent review?
Healthcare providers, insurance companies, and managed care organizations are required to file behavioral health concurrent review.
How to fill out behavioral health concurrent review?
Behavioral health concurrent review can be filled out by providing detailed information about the patient's condition, treatment plan, and progress during treatment.
What is the purpose of behavioral health concurrent review?
The purpose of behavioral health concurrent review is to ensure that patients receive appropriate and necessary behavioral health treatment services.
What information must be reported on behavioral health concurrent review?
Information such as patient demographics, diagnosis, treatment plan, progress notes, and treatment goals must be reported on behavioral health concurrent review.
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