Mental Health and Hospitalization
Mental Health and Hospitalization
While the majority of people with mental health conditions will likely not need to spend time in a hospital or treatment center, an individual may need to be hospitalized so that they can be closely monitored and accurately diagnosed, have their medications adjusted or stabilized, or be monitored during an acute episode when their mental illness temporarily worsens. Hospitalization may occur because someone decides it is the best decision for themselves, at the insistence of a family member or professional, or as a result of an encounter with a first responder (EMT/paramedic, police officer, etc.).
Of the 5.4 million people who sought mental health treatment in 1990, less than 7% required hospitalization. More than half of those who needed inpatient-care had schizophrenia, one of the most severe forms of mental illness. If you or someone you know may have a mental illness, the chances are that you will not need hospitalization. But, if you do, the following information will help assure you of the best care possible.
Ask The Therapist
- What can the patient and family expect during the treatment process?
- What can be the expected reactions/behaviors of the patient?
- How should the family respond?
- How can the patient and family prepare for unexpected behavior and possible setbacks?
It can be helpful to talk with your psychiatrist or therapist, or members of area support groups for recommendations when choosing an in-patient or residential treatment facility. If your hospitalization is voluntary, or if your psychiatrist prescribes hospitalization, take the time to learn more about the recommended facility in which you will be receiving treatment. Call the facility in advance to learn about admission procedures, daily schedules, what items you can and cannot bring, and any other day-to-day policies you want to know about. You should also inquire about check-out procedures. Different rules apply depending on how you were admitted.
Financial and Insurance Issues
Ask the treatment center and/or insurance company the following questions:
- Does the hospital accept this type of insurance? If not, what are the alternatives? If it does, what is covered?
- Can coverage be reviewed with a member of the staff?
- Are there separate charges and how much are they for physicians, therapists or caretakers? What may these separate charges be?
- How are fees assessed?
- When will billing occur?
- If insurance only covers part of the cost, what other arrangements can be made for payments?
- Is there other assistance available? Will the facility accept partial payments or payments on a schedule?
Before your treatment can begin, you will undergo a complete physical examination to determine the overall state of your health. The information collected during this examination and the information collected during the initial evaluation will be considered when building your treatment plan.
You have the right to have your treatment explained to you in order to be informed of the benefits and risks, and you have the right to refuse treatment if you feel uncomfortable or if you feel it is unsafe. You also have the right to have your health information protected and kept private through confidentiality. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule gives you rights over your health information and sets rules on who can look at and receive your health information.
We have that this article has given you basic information about mental health and hospitalization. Mental health billing can be challenging when coverage for various hospitalization services is unclear. There is a simpler way, you can contact E2E Medical Billing Services for all your mental health billing requirements. Whether it’s a billing or coding update for your practice specialty, our team of experienced billers and coders are always on top of it. To know more about our mental health billing and coding services you can call us at 888-552-1290 or write to us at [email protected]