In the latest episode of “Hatching Creativity,” hosted by Mike, a platform where thought leaders discuss real-life challenges and breakthroughs in the behavioral health industry, industry veteran and advocate Devin delves into the ways organizations can leverage their compliance programs to safeguard their business, enhance revenue, and elevate outcomes.
Introduction: “Welcome to Hatching Creativity! This isn’t just another behavioral health podcast. This is where thought leaders come together to tackle real-life challenges, share breakthroughs, and explore pivotal ‘aha’ moments. In today’s episode, I’m excited to have Devin on the show. Devin is a respected consultant in the behavioral healthcare space and a true advocate for the industry. He’s here to discuss how compliance can be harnessed to protect your business, drive revenue growth, and elevate your outcomes.”
About Devin and Circle Behavioral Healthcare Solutions: Devin brings a wealth of experience to the table, with a background in owning and operating treatment centers. He is a key figure at Circle Behavioral Healthcare Solutions, an organization specializing in licensing and accreditation assistance. Their comprehensive approach involves integrating services such as nursing, clinical expertise, and performance tuning, apart from admissions and marketing. Their emphasis on compliance stands out as a cornerstone of their offerings.
The Role of Compliance in Protecting Revenue: “Compliance isn’t just a regulatory requirement; it’s a pathway to financial stability. Accreditation is essential for gaining third-party insurance recognition and establishing credibility within the industry. Furthermore, maintaining compliance safeguards your insurance revenue. But compliance isn’t merely about ticking boxes. It’s about using it as a tool to enhance performance.”
Leveraging Compliance for Performance Improvement: “Incorporating outcome measures is a game-changer. For instance, during my time as a treatment center operator, we conducted a two-year outcome study. This data-driven approach allowed us to showcase our efficacy to payers, ultimately influencing better contract terms. The data wasn’t always rosy, but it provided us the chance to improve and excel.”
Top Metrics to Tie Compliance to Revenue:
- Discharge Categories: Keep an eye on metrics like Against Medical Advice (AMA) and Against Clinical Advice (ACA) discharges. High numbers could signal issues in screening or treatment quality.
- Chart Auditing and Quality Improvement: Consistent chart audits ensure robust documentation, medical necessity, and adherence to timelines. This protects against clawbacks and billing disputes.
- Willingness to Recommend Services: Implement a Net Promoter Score (NPS) to gauge satisfaction and loyalty among clients, families, staff, and referrals. Correlate this score with other survey questions to identify improvement areas.
The Importance of Staff Well-being: “Maeve O’Neil, our national compliance director, will delve into the ‘wholehearted journey’ to compliance and ethics. Focusing on staff well-being is pivotal. People in the helping profession need their own support. By promoting open discussions about burnout and mental health, we can create a culture that translates into better client outcomes.”
Conclusion: “Devin’s insights shed light on the dynamic relationship between compliance, revenue protection, and performance improvement in the behavioral healthcare sector. Remember, compliance is more than a checklist; it’s a strategic tool that, when used effectively, can propel your organization forward. Thank you for joining us today. Stay tuned for more groundbreaking conversations on Hatching Creativity.”
Quotes:
- “Compliance isn’t just a regulatory requirement; it’s a pathway to financial stability.”
- “Using compliance as a tool, rather than something to be afraid of, can yield substantial benefits.”
SEO Keywords: Behavioral healthcare, Compliance programs, Revenue protection, Performance improvement, Net Promoter Score, Staff well-being, Outcome measures, Treatment center operations, Accreditation assistance.
Description: In this episode of “Hatching Creativity,” hosted by Mike, industry expert Devin shares how compliance programs in behavioral healthcare can serve as strategic tools to protect revenue, enhance outcomes, and promote performance improvement. Discover how metrics like discharge categories and willingness to recommend services tie directly to financial success. Learn about the importance of staff well-being and how a holistic approach to compliance can elevate client experiences. Join the conversation today and unlock the potential of compliance in shaping a thriving behavioral healthcare business.
#BehavioralHealthcare #ComplianceMatters #PerformanceImprovement #MentalHealthSupport
