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Focused Clinical Denial Audit of Behavioral Health Services December 1, 2006 through January 31, 2007 Final Report April 11, 2007
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Document Date: 2007-05-09 20:24:07


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City

Albuquerque / /

Company

NMMRA / VONM / HSD / NMAC Standards / developed using NMAC / /

Event

FDA Phase / /

Facility

Residential Treatment Center / /

IndustryTerm

audit tool / scheduled audit / consistent applications / descriptive tool / data collections tools / completed audit tools / care coordination services / audit tools / standardized data collection tools / utilization management / care services / prior audits / acute inpatient services / /

MedicalCondition

performance deficiency / /

MusicGroup

Superior / /

Organization

Medical Assistance Division / NM Behavioral Health Collaborative Agency / VONM’s UM / New Mexico Human Services Department / New Mexico Medical Review Association / Medicare / /

Position

NMMRA EQRO program director / medical director / ongoing physician / director IRR process and file documentation requirements / Physician / EQRO medical director / Representative / EQRO program director / /

Product

EQRO / /

ProvinceOrState

New Mexico / /

SocialTag