HealthStream Brands

Behavioral Health Compliance

Millions of behavioral health visits are paid to physician offices, hospital outpatient and hospital emergency departments each year. Government scrutiny for fraud and abuse continues to increase in this area. Inpatient Psychiatric Facilities (IPFs) face a plethora of complex regulations including IPF classification criteria, care and documentation requirements, and compliance with quality reporting mandates.

This course covers the regulations specific to inpatient behavioral health services, hospital-based outpatient behavioral health services and community mental health centers services that are covered by Medicare.

1 to 100 Learners?

Number of Learners:

More than 100 learners?

Course Outline

  • Inpatient Behavioral Health Services
    • Potential consequences of failure to meet standards
    • Criteria for classification
    • Care requirements
    • Documentation requirements
    • IPF quality reporting
    • Government enforcement actions
  • Outpatient Behavioral Health Services
    • Partial hospitalization programs
    • Care requirements
    • Documentation requirements
    • Government enforcement actions
  • Community Mental Health Centers
    • Partial hospitalization programs
    • Care requirements
    • Documentation requirements
    • Enforcement actions

Target Audience

  • Administrators/Corporate Officers
  • Behavioral health service managers and directors
  • Behavioral health physicians
  • Patient care staff, including psychologists, therapists, counselors and nursing staff
  • Non-clinical administrative staff
  • Medical records
  • Coding
  • Billing