Journeys & The Dipoto Counseling Group

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Services For Hospitals, MCOs, CMHCs and Providers
Cost-Efficient Services for Consumers who:
  • Over-Utilize Emergency or Acute Services
  • Have Limited Resources and Taxed Support Systems


Journeys offers several specialized services via contract, case rate, or hourly to providers and agencies to ensure the efficient and most responsible use of resources for consumers. 

We focus on the small number of clients that may consume a disproportionate amount of provider and community resources. 

Combined, these services ensure that your Behavioral Health Service continues to contribute positively to your organization's financial viability - and consumers will be able to benefit from your care for many years to come.

  • Crisis Team Resource Consultants

  • Intensive Mobile Case Management & Intervention

  • Appeals and Denial Management
For more information eMail the Provider Services Division here or call 816-304-3251

Reduce Length of Acute Hospitalization:
Crisis Team Resource Consultants
Consumers with limited resources provide a unique challenge as many of the standard aftercare options are not as readily available.  In the hospital setting this has three likely outcomes:
  1. Consumers stay longer than medically necessary because it takes more time to arrange the logistics of an effective discharge plan with limited resources.
  2. Large amounts of time and energy are expended by the hospital social worker, often at the cost of neglecting other duties.
  3. Unnecessary delays in discharges over the weekend because community based services are not open to make appointments.

Crisis Team Resource Consultants
consist of a team of experienced clinicians who come to the hospital and spend the time and energy necessary to ensure that all barriers to an effective discharge are overcome.  We work hand in hand with your staff and doctors.  We'll respond seven days a week, spending large amounts of time with the consumer, their family and support systems to provide your treatment team with a viable discharge plan and then help execute the plan.  
  • Team responds on site, same day you identify a resource challenged consumer.
  • Years of experience and intimate knowledge of the community means that the Team can think outside the box.
  • Weekends, evenings, days.. its all the same to us.
  • Team can provide transportation and even a next day outpatient appointment in one of our offices to ensure that consumers follow through with their discharge plans.
Reduce Unnecessary Acute Readmissions:
Intensive Mobile Case Management & Intervention
Challenging consumers or those with limited resources often over utilize emergency department services and under utilize more appropriate lower levels of care.  This results in:
  1. Frequent Emergency Department visits in response to an emotional or social crisis.
  2. Higher rate of readmission to acute services.
  3. Poor outpatient compliance and thus no crisis prevention management.
Community Agencies and Managed Care Organizations can reduce unnecessary readmissions and the dependence on expensive Emergency Department services.

Intensive Mobile Case Management & Intervention is available to targeted consumers with two levels of intensity:
  1. 24/7 Mobile Crisis Intervention: A crisis intervention specialist will respond directly and promptly to meet the consumer or their family at their home, office or emergency department - wherever they end up.
  2. 24/7 Intensive Case Management: Immediate telephonic response to consumer or family needs along with same day or next day office appointment to determine the best resolution to the crisis at hand.
A menu of case management services is available for both levels of intensity to allow you to customize the services to your particular consumer's needs.  Among these are Coordination of Outpatient Services, Transportation and Logistical Arrangements for Treatment, Psychotherapy, Group Therapy, and a whole range of support services.



 Recoup payment for Medically Necessary Care:
Appeals and Denial Management
Unfortunately, it is not unusual for the hospital and the MCO or payor to disagree with the level of care medically necessary to meet a consumers needs. This leads to clinical denials.  Additionally, the inherently complex nature of behavioral health carve-outs frequently leads to technical denials.

Although both Clinical & Technical Denials can be overturned, it takes time, experience, diligence and tenacity.

We find that Medical-Surgical Hospitals who have to deal with large numbers of claims often find that they must allocate their staff's time and energy where they can get the greatest return for their energy it takes to appeal a denial.  This means that behavioral health charges, usually much smaller in comparison to large medical procedures, are often a lower priority thus leaving behavioral health revenue on the table.

With combined many years of experience and track records, Journey's Appeals and Denial Management team can spend the time and energy to write the letters, make the phone calls, send in the charts and whatever it takes to overturn an unjust denial.  This frees your hospital resources to chase bigger fish and still keeps your behavioral health services from racking up bad debt, aging receivables, and frequent write offs.

Often we are able to identify problematic patterns during the appeal process, and as part of the service, we will help you identify and improve the processes internally and externally.

This service pays for itself many times over. Some hospitals and providers may retain this service on a regular basis, while others may decide to use this service for a limited time as a "catch up" campaign.