Inner Circle Billing Inc.

05/12/2025

Did you know...

🧠 Women are three times more likely to be affected by mental health issues than men
🧠 Women are twice as likely as men to be diagnosed with depression
🧠 Women are more likely to struggle with both mental health conditions & substance use disorders than men

Women view social support as paramount to their health and well-being. Research has confirmed that ongoing, consistent, and accessible recovery support allows women with mental health issues and substance use disorders to manage their conditions more effectively and with greater success.

You don't have to recover alone, especially this Mental Health Awareness Month. We're here to support you!

01/21/2025

Stigma keeps people from accessing the substance use disorder treatment that could save their lives—as a provider, you can make a difference. Let’s break the stigma and spread awareness that treatment works, and recovery is possible: samhsa.gov/medications-substance-use-disorders/provider-support

01/10/2025

Keeping all the people impacted by the California fires in our thoughts and prayers.

01/09/2025

Why is it important to verify patient benefits?

Verification of insurance benefits is the first and most critical stage in revenue cycle management. Verifications done properly and on time lead to a smoother claim submission process. This results in fewer claim denials and a steady cashflow to the facility, which improves its financial security.

If a facility doesn’t have an efficient way to collect, store, and update a patient’s information, the facility could provide incorrect information when calling the patient’s insurance company. What happens next is all too familiar — a claim rejection. Resubmitting a claim is a hassle and consumes valuable time and resources.
Moreover, an efficient and proper benefits verification process can significantly improve patient satisfaction because you can notify patients about how much they will need to pay for services before they are rendered. When patients are aware of the cost in advance, they are more likely to come ready to pay or have a payment plan prepared.

01/07/2025

01/06/2025

is a time when people take a break from drinking and examine their relationship with alcohol. If you plan to participate in Dry January, here are some tips to help keep you on track: https://go.nih.gov/TLVejqX

01/02/2025

10/17/2024

Mental Health Reminders 🎃 bit.ly/2SqcgPh

10/17/2024

How is your going? Need an affirmation to motivate you? We’ve got you covered!

07/17/2024

The ASAM levels of care:

Level 0.5: Called Early Intervention. Early intervention can consist of assessment and education for people at risk of developing a substance use disorder, or programs like DUI classes for people arrested for driving under the influence. The goal of .5 services is to intervene before a person develops a substance use disorder.
Level 1: Outpatient treatment consists of treatment for substance use that is less than 9 hours a week. Level 1 is appropriate for people with less severe disorders, or as a step-down from more intensive services.
Level 2.1: Intensive outpatient services consisting of at least 9 and no more than 20 hours per week of treatment. These programs typically offer medical care 24 hours a day by phone or within 72 hours in person.
Level 2.5: Partial hospitalization, which is at least 20 hours a week but is less than 24-hour care. This level of care provides structure, and daily oversight for people who need daily monitoring, but not 24/7 care.
Level 3.1: iClinically managed low-intensity residential treatment. Residential services at this level consist of a setting, such as a group home, where people live. However, treatment is only required to be 5 hours per week, which helps people with such topics as relapse management.
Level 3.3: Clinically managed high-intensity and population-specific services. These programs are targeted for providing treatment designed to move at a slower pace, for people with cognitive functioning issues, including people with traumatic brain injuries, the elderly, or people with developmental disabilities.
Level 3.5: Clinically managed residential services. These services are designed for people with serious psychological or social issues who need 24-hour oversight and are at risk of imminent harm.
Level 3.7: Medically managed high-intensity inpatient treatment These services are for people who need intensive medical or psychological monitoring in a 24-hour setting but do not need daily physician interaction.
Level 4: Know as acute detox. Provides 24-hour nursing care and daily physician visits. People in this level of care need daily physician monitoring, along with 24-hour oversight.

07/08/2024

Part 1: About ASAM

The ASAM Criteria provides one common language for assessing patient needs and describes the continuum of addiction treatment care.

The ASAM Criteria provide a framework for organizing the addiction treatment system. Implementation requires coordination across clinicians, payors, and policy makers:

Patients entering addiction treatment should receive a standard multidimensional assessment that covers all six dimensions described in The ASAM Criteria.

The ASAM Criteria Dimensional Admission Criteria should be used to interpret the assessment and match the patient to the right level of care to meet their treatment needs.

Payers and managed care organizations should use the same Dimensional Admission Criteria to determine what level of care will be covered for an individual patient.

The treatment program should meet the service characteristic standards (eg, staffing, support systems, services, etc.) for the level(s) of care that they provide.

The treatment system should provide access to all levels of care in The ASAM Criteria care continuum.

Patient’s should be re-assessed regularly and the ASAM Criteria transition and continued service criteria should be applied as the patient progresses through treatment to determine when they should transition to another level of care (either more or less intensive depending on the individual’s progress and evolving needs).

Healthcare providers and utilization review managers should be well-trained in The ASAM Criteria to support effective decision-making.