Posted by Behavioral Health Billing Solutions, LLC.

Adapting to the changes from the Ohio BH Redesign and Managed Care carve in – November 7th, 2018

On November 7th, 2018, Behavioral Health Billing Solutions, LLC (BHBS) hosted our first seminar open to all Ohio Behavioral Health agencies. We had over 200 attendees and the feedback has been very positive, with the only negative being not enough focus on billing. Out of respect for our subject matter experts and a desire to provide a wealth of information, I gave up my ability to present billing information in detail and my goal is to rectify that as soon as possible.

Our hope is to partner with other subject matter experts to provide continuing informational sessions as we transition through these changes and there will be significant billing information provided in these sessions. Lesson learned, if we can’t bill correctly, we can’t get paid correctly. BHBS has that information and our goal is to share that with as many as possible. 

One of the goals for all presenters, vendors and MCO’s that participated in “Adapting to Change” was to make this information available to ALL Ohio agencies in the event they were unable to attend. All presentations from the seminar are available here.

Questions that we didn’t have time to answer during the event are responded to here by our team of presenters and involved participants. 

Additional information including pictures from the event is available here.

We just sent out a follow up email to attendee’s that included all presentations, a link to our new you-tube channel where the video of the presentations are loaded, as well as a list of questions asked through our Menti application during the event that we were unable to get answered due to a very tight schedule. 

We are now making all of this information available to everyone so that you can benefit from the information presented as well because our goal, as always, is to help as many agencies as possible. Below is the email that went out to attendees.  

Good afternoon,

Thank you again for attending “Adapting to the changes from Redesign and MCO Carve in” hosted by Behavioral Health Billing Solutions, LLC on November 7, 2018. We hope you had a wonderful Thanksgiving!

As promised, below is a link to our YouTube channel where you can find the video recordings from the 11/7 seminar. The videos are being uploaded throughout the day today (11/30) and should be completely uploaded by 7pm this evening. Also, attached you can find a list of the outstanding questions with answers from our presenters and vendors.

Thank you for your patience as we pulled together these resources.

In addition, the seminar may be complete but Behavioral Health Billing Solutions wants to remind you that, as experts on the Ohio BH redesign and MCO carve-in billing changes, we are available to consult with your agency to make sure that:

  • You are being reimbursed for the services you provide

  • You are set up on an electronic health record software (EHR) to more efficiently manage and bill for those services

  • And that you understand how to best utilize your EHR to bill and be paid correctly, every time.

Please feel free to reach out to Teresa Heim via email at or 614-395-0136 if you are in need of Billing Consultation/Evaluation, training, Electronic Healthcare record Implementation Services or billing training.

Finally, next week, BHBS will be attending an important meeting at the state to discuss the status and impact of the MCO Carve in. We know where our clients are; we would like to know how you are doing. If you would like to provide details about the status of your agency post July 1st, please answer the short survey below. The information you provide will be included in the discussion next week.

We thank you for your time and hope you have a happy holiday season!

Many agencies that thought they were prepared, were taken off guard by the fact that not all MCO’s or ODM were on the same page with regard to claim adjudication, coding requirements, the prior authorization process and an overall lack of communication that has resulted in delayed payment, incorrect payment, pended claims and financial instability throughout Ohio with many behavioral health agencies. 

This is your opportunity to be heard. Take 5 minutes and complete the survey link.

If you are experiencing serious financial stability issues and don’t know where to turn, please reach out to me directly. Our team at BHBS will do whatever we can to ensure that as many as possible behavioral health agencies survive these challenges so that access to care does not decrease. Since Ohio is in a statewide Opioid epidemic that is impacting communities from Cleveland to Portsmouth and all in between, we can’t afford to decrease access to care.

I would like to include a special thank you to our presenters, vendors and the MCO’s participating for agreeing to be part of such a special event. 

Presenters included:

Teresa Lampl, Ohio Council of Behavioral Health and Family Services Providers

Todd Charest, Chief Product Officer of Qualifacts, CareLogic Behavioral Health and Human Services EHR Platform

Sonda Kunzi, President of Coding Advantage

Christine Smalley, President of Smalley and Associates

Chistopher Wolf, President of TLC Consulting and Executive at Connect-A-Voice

Vendors included:

Ohio Council for Behavioral Health and Family Services Providers

EMS HealthCare Informatics

Etactics Clearing House

Qualifacts (CareLogic Software)

AltaServe Coffee Service

Hidrate Spark 2.0

And of course, a special thanks to all the Managed Care organizations that sent representatives to meet with attendees, schedule meetings and really make connections with a number of agencies severely impacted by these changes. Making time out of your day to be available to our attendees was invaluable.

In closing, I would like to state some facts that we are finding in dealing today within our client base.

ODM is stating 90% reimbursement. Our clients are billing correctly and reimbursement is between 50-75% max.

The Managed Care organizations are working very closely with us and many agencies to correct these issues. It is not going to be an overnight fix. It will take time and diligence to correct and get Ohio back on the right track.

Have a safe and happy holiday season!