Behavioral Health Provider
Frequently Asked Questions

You asked, JCC’s external consultant and expert, Dr. Derek Jones, answered.

About the Expert: Dr. Derek Jones is a Board-Certified Fraud Examiner (CFE), Forensic Consultant (CFC), and Medical Investigator (CMI-V). He is a member of the Advisory Council to the Association of Certified Fraud Examiners and is a Fellow of the American Board of Forensic Examiners. Dr. Jones holds a PhD in Forensic Psychology, specializing in behavioral analysis.

Dr. Jones is the principal and co-founder at The Compliance Consortium His experience includes conducting risk analyses, performing due diligence and leading internal investigations for large companies in healthcare and government. He consults directly to State Medicaid Authorities, Health Lawyers, Health Plans and provider trade associations. His publications include three recent books and dozens of articles in peer-reviewed journals.

FAQ Table of Contents

Please click on a bulleted item to expand.

  • Billing / Coding Definitions

  • How Do I Bill, and When?

  • Corrected Claims

  • Billing Services

  • Record Keeping

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