Mental Health Providers To Pay Nm For Overbilling

Presbyterian Medical Services serves about 3,400 New Mexicans through Medicaid, and is not affiliated with Presbyterian Healthcare Services or Presbyterian Health Plan. YDI provides behavioral health services to nearly 260 New Mexicans through Medicaid. “In the interest of resolving all differences between YDI and HSD amicably, and in order to avoid the time, trouble, expense, delay and uncertainty of the time litigating this matter we believed this was the most prudent path for YDI to take,” Klarissa Pena, YDI’s special projects director, said of the settlement. She said the repayment to the state represented about 8 percent of what had been billed for services during the past three years. As part of the settlements, both companies are severing ties with another provider, TeamBuilders Counseling Services Inc., which also remains under investigation. The department said YDI and Presbyterian Medical Services were not among the companies with what it described as the most serious whistleblower complaints, which include allegations that some providers told workers to bill for services that weren’t provided or to use the wrong billing codes to receive more Medicaid payments.
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Study: Time to include mental health services in disaster response

North told PoliceOne that different disaster-affected populations will have different mental health needs that will vary with regard to the characteristics of the disaster and to their exposures to it. North said nine out of 10 people are likely to experience trauma in their lifetimes. For example, she said, it is important to distinguish between those who experience normal distress in a disaster and those in whom psychiatric disorders such as post-traumatic stress are triggered so that people can be treated appropriately. North said her literature review showed PTSD to be the most common disorder associated with most disasters, that nearly one-third of all those exposed to severe disasters will show signs of PTSD, and that nearly one-fourth will exhibit other signs, such as major depression, bereavement and substance abuse. North also said assessment procedures depend on the exposures and pre-existing vulnerabilities of those being assessed. Triage and referral must be grounded on a careful assessment, North said. North said evidence-based treatments are available for patients with active psychiatric disorders, but psychosocial interventions such as psychological first aid, psychological debriefing, crisis counseling, and psycho-education for individuals with distress have not been sufficiently evaluated to establish their benefit or harm in disaster settings. Future research is needed to determine the benefits of formal psychiatric treatments applied to disaster survivors and of the psychosocial interventions designed to serve those who experience distress, she said.
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