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News & Press: Clinical Alerts

Beacon Updates - Fall 2018

Tuesday, September 11, 2018   (0 Comments)
Posted by: Jamie Klufts
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Hi all,

 

As you may remember, thanks to your consistent feedback, NASW-MA and our partners advocated on your behalf to halt the Beacon clawback process this past winter/spring. At that time, clawbacks were suspended until October 1, 2018, and clinicians were given an opportunity to appeal.

 

We are excited to share that Beacon will not resume audits this October as originally planned, and audits will be “business as usual” in terms of checking for compliance with state and federal laws. Additionally, Beacon terminated its contract with Nokomis in June, so all audits and appeals will be done in house by Beacon directly. As you know, audits come with the territory of being an independent practitioner, but we hope that these changes will reduce the chance of clawbacks.

Beacon is also taking the following steps to improve their operations:

  • Establishing a hotline solely for NASW-MA members, giving members direct access to Beacon. This is set to launch in the fall.
  • Hiring a LICSW to their payment integrity staff to better assist social workers with clinical and billing issues.
  • Meeting with NASW-MA and other professional membership associations on a quarterly basis to establish a direct line of communication to address issues as they arise and to keep us abreast of other changes.

Additionally, we’ve been working with MassHealth, providers, and managed care companies to create a bulletin about documentation, audits, and related processes. Expect to see this in November.

 

As always, please reach out to me with any clinical/insurance-related issues or concerns. Thank you for your membership!

 

Sincerely,

 

Jonas Goldenberg

Director of Clinical Issues and Continuing Education

NASW-MA

jgoldenberg.naswma@socialworkers.org

 

 


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