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Mental Health Provider's Guide to Managed Care
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Industry insiders reveal how to successfully participate and profit in today's system.
Managed care dominates mental health practice. This book guides mental health providers through the basics (credentialing, liability issues) and on to more complicated issues (reimbursement delays, claims denials and appeals), of the system, helping clinicians make managed care work for them so that they can work more for their patients.
PRODUCT DESCRIPTIONS:
Binding: Hardcover
Dewey Decimal Number: 362.20425
EAN: 9780393705041
ISBN: 0393705048
Label: W. W. Norton
Manufacturer: W. W. Norton
Number Of Items: 1
Number Of Pages: 224
Publication Date: 2006-10-20
Publisher: W. W. Norton
Studio: W. W. Norton
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CUSTOMER REVIEWS:
An outstanding survey covers all major points, from obstacles to success. -





MENTAL HEALTH PROVIDER'S GUIDE TO MANAGED CARE: INDUSTRY INSIDERS REVEAL HOW TO SUCCESSFULLY PARTICIPATE AND PROFIT IN TODAY'S SYSTEM is a book recommended for both college-level health libraries and physicians who want to know about the pros and cons of working with managed care systems. In particular, it surveys how the managed care system can work for a doctor by considering the inner workings of the managed care system, combing nearly forty years of the authors' combined expertise and experience in the field to demonstrate how to work within such a system. An outstanding survey covers all major points, from obstacles to success.
Diane C. Donovan
California Bookwatch
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This book is a sad joke. It is written by two individuals who have everything to gain by venerating the MC system. The irony is that it is written FOR the people who have everything to lose by playing the game. This bad book perpetuates victimhood of mental professionals and of the lives covered by these detestable MCO's.
Managed care is all about controlling the purse strings and denying care.
First of all, we are licensed mental health "Professionals" (psychologists, clinical social workers, psychiatrists), and NOT "Providers".
Second of all, where is the need for a guide to a system that is as corrupt and evil as WW II era Vichy France? You cannot cooperate with a system that has your slavery and destruction as its end goal. Cooperate in your own decimation!
The publisher of this book must have suffered from temporary cortical blindness because there is nothing here that is offered that is real.
These truths are self-evident and this book runs roughshod over them:
1. You cannot "market" yourself to MCO's. MCO personnel do NOT lay awake at night wondering if Joe Blow got to just the right psychologist!
2. Managed care companies are notorious for randomly losing your "provider applications" and also, your submitted claims!
3. "Provider relations" is all about in reality, Master-slave relations.
4. These authors have no integrity by writing a book such as this. They would show more integrity if they never wrote this lie, if they pulled the book (which perpetuates a cruel and destructive hoax), and if they just sat back and did their MCO jobs and collected their checks!
5. The chapter on "communicating with MC: Getting services approved" is another joke. The question is: how can we facilitate an utterly wasteful process? Do we really believe that treatment plans ever get read?
This book is all propaganda propagated by Joseph Goebbels type bureaucrats who are long winded on pathetic recommendations about what MH "Providers"/Professionals CAN do, but very short on TAKING RESPONSIBILITY for the evil system that mismanages and mangles patient care.
Dr. Bruce Eimer
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