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Psychiatric providers tell committee $4.3M is outstanding under PAS model, cite assessment delays and claim denials

PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE · July 8, 2019
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Summary

Providers representing inpatient psychiatric hospitals told the committee they face $4.3 million in accounts receivable under the PAS managed‑care model, with about $2 million over 30 days overdue, citing slow assessments by Optum, beneficiaries being dropped from PAS coverage and coding/account mismatches as core problems.

Representatives of Arkansas inpatient psychiatric providers told the Senate Public Health, Welfare and Labor Committee that they are experiencing significant billing, authorization and payment problems under the PAS managed‑care model.

"As of close for our books June 30, we had more than $4,300,000 in AR balances from the 3 pass organizations," Shane Frazier, CEO of Pinnacle Point Behavioral…

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