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Aftercare Plus Medicare AdvantageBehavioral Health Concurrent Review Form for Inpatient, RTC, PHP and IOP This communication applies to the Medicaid and Medicare Advantage programs for Anthem Blue

How to fill out behavioral health concurrent review

How to fill out behavioral health concurrent review

1. Gather all necessary documentation including medical records, progress notes, treatment plans, and any other relevant information.
2. Contact the insurance company or managed care organization to initiate the concurrent review process.
3. Clearly document the patient's symptoms, diagnosis, treatment history, and current treatment plan.
4. Submit the required forms or documents to the insurance company within the specified timeline.
5. Follow up with the insurance company to ensure that the review process is completed and a decision is made in a timely manner.

Who needs behavioral health concurrent review?

1. Individuals receiving behavioral health services such as therapy, counseling, or psychiatric treatment may require behavioral health concurrent review to ensure that their treatment is medically necessary and appropriate.
2. Providers, including therapists, counselors, and psychiatrists, may also need to undergo behavioral health concurrent review to receive approval for ongoing treatment for their patients.

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What is behavioral health concurrent review?

Behavioral health concurrent review is a process of reviewing the medical necessity, appropriateness, and efficiency of behavioral health services being provided to a patient in real-time.

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, the services being provided, and the expected outcomes.

What is the purpose of behavioral health concurrent review?

The purpose of behavioral health concurrent review is to ensure that the services being provided are necessary, appropriate, and delivered in a cost-effective manner.

What information must be reported on behavioral health concurrent review?

The information reported on behavioral health concurrent review typically includes the patient's diagnosis, treatment plan, progress notes, and any changes in the patient's condition.