If your behavioral health agency is using an electronic health record (EHR) system to measure outcomes and report data, you know that there are numerous reporting techniques.
Payers like Medicare, Medicaid, and private insurers use these reporting techniques to measure client outcomes. This allows the payer either to provide bonus payments under incentive programs, or withhold payments for undesirable outcomes. In this way, healthcare systems are migrating from fee-for-service (FFS) to value-based payment (VBP) models.
Different reimbursement programs require different types of reporting. Unfortunately, the “alphabet soup” of acronyms for different reporting methods can be confusing and overwhelming. Let’s decipher some of these reporting types.