Behavioral Health Quality Management

Behavioral Health Compliance & Quality Improvement Consulting

LSP assists mental health and substance use disorder organizations with quality assurance and quality improvement, compliance, chart audit review, utilization review, medical necessity documentation, risk management, and performance improvement.

Quality Review Chart Audits, Utilization Review & Medical Necessity
Quality Systems QA/QI, Compliance, HIPAA & Risk Management
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Quality Review & Improvement

Turn Quality Findings Into Clear Priorities

LSP assists mental health and substance use disorder organizations with chart review, quality assurance and quality improvement, utilization review, compliance, risk management, and performance improvement activities based on the agreed project scope.

Behavioral health professionals reviewing compliance records and quality improvement findings
01

Quality Assurance & Chart Audit Review

Review clinical records and quality findings to identify deficiencies and support more consistent documentation and service delivery.

  • Periodic chart audits and record review
  • Identification and reporting of deficiencies
  • Quality assurance and quality improvement processes
02

Utilization Review & Medical Necessity

Support utilization review processes and documentation used to demonstrate level of care and medical necessity.

  • Utilization review process development or restructuring
  • Medical necessity and level-of-care documentation review
  • Review of assessments, treatment plans, progress notes, and related records
03

Compliance, Risk & Performance Improvement

Develop or strengthen plans and measures used to monitor compliance, risk, service quality, and performance improvement.

  • Compliance, HIPAA, and Risk Management plans
  • Outcome measures, service standards, and benchmarks
  • Trend analysis and performance improvement reporting
Relevant Experience

In prior leadership roles, Dr. Pham oversaw quality assurance and quality improvement, utilization review, compliance, risk management, medical records, licensing, and accreditation functions. Her documented experience also includes ongoing chart audits, quality committee leadership, outcome measurement, and reporting trends to executive management.

Compliance & Quality Improvement FAQs

Practical Answers About Quality Review and Compliance

Learn how LSP may support chart audit review, utilization review, medical necessity documentation, quality assurance and improvement, compliance, risk management, and performance improvement.

Depending on the agreed project scope, LSP may assist with chart audit review, quality assurance and quality improvement processes, utilization review, medical necessity documentation, compliance, HIPAA, risk management, outcome measures, service standards, benchmarks, and performance improvement reporting.

Yes. LSP’s documented services include chart audit reviews, periodic evaluation of care, and reporting identified documentation deficiencies. Depending on the engagement, review may include assessments, treatment plans, progress notes, discharge documentation, continuing-care records, and other clinical documentation relevant to the program.

Yes. LSP’s documented experience includes developing or restructuring utilization review processes and providing medical necessity documentation training. Support may address level-of-care documentation, assessments, treatment plans, progress notes, ASAM criteria, and related records based on the program and project scope.

Yes. LSP’s source materials specifically identify development of Compliance, Quality Assurance and Quality Improvement Committee, HIPAA, and Risk Management plans and programs. LSP may also assist with related policies, procedures, forms, and documentation.

Yes. Dr. Pham’s documented experience includes developing service standards, outcome measures, and benchmarks for performance improvement. It also includes collecting and analyzing performance outcomes, reviewing patient-satisfaction results, and reporting quality trends to executive leadership.

Findings may be documented, organized, and reported so the organization can understand the issues and establish priorities. Depending on the engagement, support may include recommendations for documentation, forms, policies, procedures, quality processes, or appropriate follow-up actions.s

In prior behavioral health leadership roles, Dr. Lorna Pham oversaw quality assurance and improvement, utilization review, compliance, risk management, medical records, licensing, and accreditation functions. Her documented experience also includes conducting chart audits, chairing quality committees, reviewing performance outcomes, and reporting trends and deficiencies to executive management.

Improve Service Quality

Strengthen Compliance Through Practical Quality Improvement

Whether the need involves chart audit review, utilization review, medical necessity documentation, quality assurance and quality improvement, compliance, HIPAA, risk management, outcome measures, or performance improvement, LSP can provide focused support based on the agreed project scope.

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