Affirmative Statement About Incentives
BHPI adheres to the following principles related to the Utilization Management decision making:
- Utilization Management decision-making is based only on appropriateness of care and services and existence of coverage.
- BHPI does not reward practitioners or other individuals for issuing denials of coverage.
- There are no financial incentives for Utilization Management decision makers that would encourage decisions that result in under utilization. BHPI expressly prohibits such services.