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Managed Care 

Psychiatrists today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals.  To best deliver high quality mental health care in a managed care setting, psychiatrists should understand:

  • Clinical monitoring and evidence-based standards of care – the process that managed care companies use to determine whether a patient’s care is appropriate and cost-effective
  • Clinical review – effective presentation and defense of clinical decisions before a care reviewer
  • Procedure coding – the importance of complete and accurate CPT coding and documentation for both good patient care and reimbursement

By arming themselves with measurable results, psychiatrists can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families.

Practical Guides to Managed Care

American Psychiatric Publishing (APPI), a division of the American Psychiatric Association, publishes practical guides that help clinicians navigate the intricacies of managed care and stay abreast of changes to the health care system.

Healthcare Reform: A Primer for Psychiatrists

Healthcare Reform: A Primer for Psychiatrists is a collection of articles that appeared in a special section of Psychiatric Services on The Patient Protection and Affordable Care Act. The articles address the information which psychiatrists need to know about the provisions of the law in order to best serve their patients.

Procedure Coding Handbook for Psychiatrists

Procedure Coding Handbook for Psychiatrists, Fourth Edition, provides essential CPT coding and documentation guidance in an easy-to-read format.

Improving Managed Care: Commitment to QualityImproving Managed Care: Commitment to Quality covers the challenges today’s clinicians face in providing optimal mental health care, proven techniques for quality measurement, and case reports of quality improvement projects.

View a complete list of books related to managed care.