All Kinds of News for October 09, 2019
ViewPoint Center does everything in their power to help families afford assessments and treatment for their teens, by accepting insurance and successfully billing out of network benefits for many families. ViewPoint Center supports families throughout the insurance appeals process and employ a full-time, seasoned Utilization Reviewer.
Insurance Review Process to Assist Familes
Each insurance company has a utilization review process for determining 'medical necessity'. About 98% of insurance companies will not approve admissions until their licensed practitioner has assessed the patient. They want up-to-date clinical information and a face-to-face assessment. Before the insurer makes the phone call, they always have the child’s full history; this would include relevant information from the parents & ViewPoint Center's licensed Practitioner.
Most families insurance coverage averages 25-30 days of the patient's 6 to 7 weeks (average length of stay). This means that families who successfully receive insurance coverage are able to get the majority of their child assessment covered by insurance.
In 2018 ViewPoint Center received a total of 2650 days covered by insurance billing. Other highlights:
- 131 Total Insurance Utilization Review Cases
- 119 Cases Received Authorization
- 12 Cases Denied upon 1st Attempt (0 Days)
- 90.83 General Success Rate
- 22 Avg # of Days/Per Authorized Case
- 425 Acute Days Authorized
- 222 RTC Days Authorized
The process of getting approved and receiving benefits takes time and oversight through our seasoned Utilization Reviewer. The 2650 total days that were covered by insurance in 2018 is a number that the ViewPoint Center is aiming to surpass in 2019.
About the ViewPoint Center
ViewPoint Center, a mental health assessment center for teens ages 12-17, is located just outside of Salt Lake City, Utah. With a program lasting 6-7 weeks, ViewPoint Center provides superior assessment, diagnosis, treatment, and stabilization for teens struggling with mental and behavioral issues such as suicidal ideation, anxiety disorders, and eating disorders. In a safe, personalized environment, ViewPoint helps teens focus on the healing process.