It is with great appreciation that I am able to have this opportunity to explore new possibilities within the healthcare industry and to discuss our current psychiatric services opportunities. Our service providers have been providers on all major insurance panels for almost 20 years.
In a sensitive climate, as it pertains to healthcare insurance, we have remained a formidable advocate for insurance payors and ensuring we continued to provide the best care possible regardless of fluctuating contracted rates and frequent nonpayment of services rendered, due mostly to the lack of knowledge of current contract parameters differentiating between Insurance providers. Which you can imagine can become frustrating while continuing to provide services to such a sensitive need base population(MentalHealthOutpatientCare).
In an effort of achieving positive results—and ensuring our organization gets paid what we deserve— it hinges on our ability to confidently advocate for ourselves and our patient’s health. We are frequently forced to make decisions on what services we are able to provide our patients not based solely on the need for care but rather on a valuation analysis of what our reimbursement rates are or the lack thereof based on particular procedural codes. We pride ourselves in providing optimal care to our patients with an integrated approach to behavioral health medicine. Working with our patient’s PCP’s, OBGYN, Neurologist, Internist etc. to coordinate a more effective treatment plan for the patient. We use tools such as the Georgia PDMP to monitor drug abuse of controlled substances. We also provide urine drug screenings to all of our patients who are on controlled substances. This protocol we have implemented has eliminated the possibility of negative drug interactions and side-effects while prescribing medications. Inadvertently assisted with our patient’s census of hospitalizations. Within the past 10 years, we have had 0 hospitalizations while a patient was under the care of our facility. We have a detailed intake screening process that determines if our facility is able to provide them with the best care. We also have had 0 emergency hospital admissions within the past 10 years. All of this is a collaborative effort to decrease liability for our organization as well as decrease insurance cost to the patients.
To create the kind of practice I want for patients, I operate a full-service, “concierge” psychiatry practice, as opposed to an insurance-driven one. This allows me to focus on quality over quantity and on personalized service and accessibility over volume.
Second, your treatment plan is tailored and chosen by us, not any third party. Simply, I work for you, with your best outcome in mind. In insurance-driven models, care is often split between multiple providers, with the psychiatric physician simply prescribing medication, and seeing multiple patients per hour. Though this model works for some patients, for many others, having a single clinician with ample time to listen, as well as the ability to flexibly utilize a variety of different tools (including psychotherapy) is a significant asset.
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