New Hampshire insurance department to present early findings on substance abuse disorder claims — 5 notes

The New Hampshire insurance department will reveal its preliminary finding on Fri., Feb. 19, on its examination into how insurance companies are handling abuse disorder claims, according to New Hampshire Union Leader.

Advertisement

Here are five notes:

1. The department’s investigation and willingness to add a consumer advocate to better ensure people with substance abuse disorder and mental illness receive the same access to treatment as those with medical illnesses helped curtail a bill that would have required the agency to conduct an investigation and report its findings.

2. A number of people testified during meetings of the legislative drug abuse task in December and at a public hearing earlier this year that insurers often deny claims for addiction treatment and recovery programs, although by state and federal law, substance abuse and mental illness coverage should be identical to insurance for medical issues.

3. Sen. Dan Feltes (D-Concord) sponsored Senate Bill 502, which would have mandated the insurance department investigate whether insurance companies were complying with the federal act.

4. The department’s examination looks specifically at how health insurance companies handle preauthorization, claim denials and utilization review practices for substance use disorder claims.

5. After completing its review of the substance abuse treatment parity, Sen. Feltes said the department will consider a similar examination of mental health services.

More articles on coding, billing & collections:
Group of Minnesotans feel cheated by state’s insurance exchange — 4 takeaways
AAFP implores Congress to expand site-neutral physician payment — 7 key points
Did Wellmont Health System try to ‘destroy’ IPA? 5 things to know

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.