Reimbursement

Synonyms
Billing
Coding
Funding
Evaluation and Management
Payment
CPT Codes
HCPC Codes
Medicare
Medicaid
ICD-10
DSM-V
Provider Reimbursement
Rates

Center for Financing Reform & Innovation (CFRI)

The Center for Financing Reform and Innovation (CFRI) is a SAMHSA contract that seeks to understand financing mechanisms of behavioral health care to identify opportunities, innovations, and challenges to service delivery and access. Learn about behavioral health financing mechanisms, options, and innovations through CFRI reports and webinars using the CFRI website.  
Posted Date
02/09/24

HEPATITIS C 2022 National Summary Report June 2022 State of Medicaid Access

Hepatitis C: State of Medicaid Access is a collaboration between the Center for Health Law and Policy Innovation of Harvard Law School (CHLPI) and the National Viral Hepatitis Roundtable (NVHR). The project evaluates hepatitis C (HCV) treatment restriction policies across state Medicaid programs, including all 50 states, the District of Columbia, and Puerto Rico (referred to in this report as “states”). The goal of this project is to encourage states and empower advocates to work toward improved access to curative HCV treatment across all Medicaid programs, in order to ensure that every Medicaid enrollee who can benefit from this treatment is able to access it.
Posted Date
10/25/22

Documentation, Coding, and Billing for SUD/OUD via Medication Assisted Treatment: A Focus on Rural and Community Health

In partnership with JBS and through the RCORP-TA project, the Association for Rural & Community Health Professional Coding (ArchProCoding), has developed a training course on clinical documentation, professional coding, and compliant medical billing for substance use disorder/opioid use disorder (SUD/OUD) treatment services with a focus on medication-assisted treatment (MAT).

Posted Date
10/26/21

RCORP 2021 (Region 5 Meeting):Documentation, Coding, and Billing for SUD/OUD via MAT: A Rural and Community Health Focus

The presenter outlined the steps needed to effectively document, code, and bill for services including screening for SUD/OUD and providing care during the induction, stabilization, and maintenance phases of MAT. Individual state Medicaid issues are too numerous and were not specifically referred to on a state-by-state basis. Gary Lucas, MSHI, Arch Pro Coding
Posted Date
10/14/21

Business Plan for Medication-Assisted Treatment (MAT)

New medications for office-based treatment of opioid addiction are comparable in efficacy to other chronic conditions such as diabetes, asthma, and hypertension when combined with other interventions and as part of a comprehensive care plan. They are safe, highly effective, can be prescribed and/or administered at the Community Health Center, with a sustainable business plan.
Posted Date
05/17/21

Introduction to Documentation, Coding, and Billing for SUD/OUD/MAT Services: A Focus on FQHCs/RHCs Materials

Participants will be provided an overview on how to appropriately document, code and bill for encounters throughout the SUD/OUD continuum of care following CMS billing rules for FQHCs/RHC. An overview of the opportunities and challenges associated with MAT reimbursement mechanisms including coding and billing for Medicare, managed care, Medicaid, and other third-party payors will also be presented as will a brief description of revenue options for reporting Transitional Care Management, Virtual Communication Services, Telehealth, and other care management services such as Behavioral Health Integration and the Psychiatric Collaborative Care Model.
Posted Date
05/10/21

Western Regional Meeting (Regions 8, 9 & 10): Documentation, Coding, and Billing for SUD/OUD via Medication-Assisted Treatment (MAT): A Rural and Community Health Focus

Documentation, Coding, and Billing for SUD/OUD via Medication-Assisted Treatment (MAT): A Rural and Community Health Focus The presenter will outline the steps needed to effectively document, code, and bill for services including screening for SUD/OUD and providing care during the induction, stabilization, and maintenance phases of MAT. Individual state Medicaid issues are too numerous and will not be specifically referred to on a state-by-state basis.
Posted Date
03/25/21