The third party audit: a practitioner's view.
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There is a wealth of information available to you concerning the methods and means of making the hospital a safer place for yourself, employees and clients. In addition, a book could be devoted to the safety of the animal patients. Your insurance carrier can help you spot som potentially dangerous conditions and suggest ways in which you can make the changes necessary to bring your hospital up to safety standards. Remember, a good preventive program is one of the best defenses against litigation.
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Expanded health insurance benefits for the treatment of mental illness have obliged psychiatrists to devote more time to justifying psychiatric treatment to claims reviewers. The author, drawing from experience in utilization review and peer review, summarizes factors contributing to the denial of payment for psychiatric services by health insurers, and gives practical advice on protecting against claims denials and on the process of appealing denials. Psychiatrists should make greater use of peer review committees to justify legitimate treatment services in the face of claims denials. Greater coverage for psychiatric treatment under national health insurance will increase the psychiatrist's responsibility for public accountability. This accountability will require better communication between psychiatrists and claims reviewers.