The appropriate billing of intensive outpatient programs (IOPs) for psychiatric services is essential to ensuring the compliance and integrity of healthcare payments. As the demand for mental health and substance use treatment grows, IOPs have become a vital bridge between inpatient care and traditional outpatient therapy. But the complexities of IOP billing in per diem structures can create opportunities for errors and fraud, waste, and abuse (FWA). Understanding how to bill these services properly can help prevent costly mistakes and protect health plans from improper payments.
The appropriate billing of intensive outpatient programs (IOPs) for psychiatric services is essential to ensuring the compliance and integrity of healthcare payments. As the demand for mental health and substance use treatment grows, IOPs have become a vital bridge between inpatient care and traditional outpatient therapy. But the complexities of IOP billing in per diem structures can create opportunities for errors and fraud, waste, and abuse (FWA). Understanding how to bill these services properly can help prevent costly mistakes and protect health plans from improper payments.
