62nd Annual Meeting

October 26 - 31, 2015

Clinical Consultation Breakfast 1 (sold out)

How to Ethically and Rationally Deal With Managed Care in the Treatment Resistant Case

Child and adolescent psychiatrists benefit from an understanding of the practices employed by managed care and how to use that knowledge to better advocate for their patients. Topics include: understanding Level of Care Guidelines as outlined by the managed care companies and their application to inpatient, residential, and partial hospital treatment; best techniques for interfacing with managed care programs and personnel to effectively advocate for your patient; administrative issues that influence payment for psychiatric care; appeal, grievances, fair hearing, external review, and complaint options; ethical issues in managed care, including payment decisions, non-covered services, confidentiality, and dilemmas arising when multiple stakeholders cross purposes.