Psychiatric News May 7, 2004
Volume 39 Number 9
© 2004 American Psychiatric Association
p. 17
Psychiatric Practice & Managed Care
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APA Meets With Oxford on Audits
APA participated in a second meeting with Oxford Health Plans on April 5. The meeting was a follow-up to a January meeting convened by Oxford following its aborted attempt to collect hundreds of thousands of dollars from psychiatrists and mental health professionals on the basis of invalid audit results (Psychiatric News, November 7, 2003).
State and national representatives from APA, the American Psychoanalytic Association, the American Psychological Association, and the National Association of Social Workers have attended both meetings.
After Oxford made the decision to discontinue its audits and refund the monies it had collected—largely as a result of APA’s collaborative efforts with the New York State Psychiatric Association—Oxford decided to work with representatives of the clinicians who provide services on the development of documentation guidelines.
Oxford’s new guidelines will establish the minimum amount of information that clinicians need to record when providing mental health care to Oxford-insured members. The guidelines will also establish the maximum amount of information Oxford can require for the purposes of paying a claim without the company obtaining contemporaneous patient consent for the release of further information.
Rebecca Yowell, assistant director of the Office of Healthcare Systems and Financing, who attended the meetings, said that draft guidelines have been written, and discussions with Oxford and the clinician groups are continuing in an effort to reach consensus on a final version. 
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