The Commission on Accreditation of Rehabilitation Facilities (CARF) identifies Partial Hospitalization Programs as
Medicare Part B will potentially reimburse for these services if there is agreement between the PHP and referring doctor.
The Office of the Inspector General in the United States of (North) America issued report that outlines nine characteristics of questionable billing in PHPs based on past input from the Centers for Medicare & Medicaid Services (CMS) staff. Data was used from Medicare claims between 2009 to 2010 and were from the National Claims History File. The first sentence of each of the nine characteristics:
The report that authored these nine characteristics also determined if the percentage of Community Mental Health Centers with questionable billing changed based on whether states had 'license or certification requirements'.