AppealLettersOnline.com eNewsletter: Reimbursement eNewsletter for the healthcare community

ISSUE 42 May 14, 2007

 

Mental Health Care Appeals: Seeking Compliance with the Mental Health Laws
State and Federal Mental Health Parity laws have given many behavioral health treatment providers hope regarding mental health care reimbursement.  However, a Governmental Accounting Office report studied the effect of mental parity mandates and found that insurance carriers often modify policies to allow more equal coverage for mental health treatment but offset parity costs through higher deductibles, copays, treatment caps and other subtle limitations to coverage. Further, most parity laws specifically state that medical necessity policy provision still apply to coverage availability, thus leaving insurance carriers with this additional avenue of cost control... Read this entire article
AppealLettersOnline Featured Letters
Both New York and Ohio have recently passed mental health parity mandates and new letters have been added at AppealLettersOnline.com citing these laws. AppealLettersOnline.com also has a letter citing the U.S. Mental Parity Act requirements. Look for these and other state-specific mental health care appeal letters under the Topic "Mandatory Coverage By Condition" and the Subcategory "Mental/Nervous Conditions" in the AppealLettersOnline.com appeal letter repository.... Sign up to access these appeal letters
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After receiving numerous requests, we are now offering a monthly subscription plan to AppealLettersOnline.com. The monthly plan allows unlimited access to all the members-only area and appeal letter database for only $27.95 per month. The monthly plan is only available for credit card purchases and requires a minimum 12 month membership term. Sign up at AppealLettersOnline.com.