FREE TO NEVADA FEDERALLY QUALIFIED HEALTH CENTERS - ALL OTHERS WILL BE CANCELLED

• Times: 10:00am - 2:00pm PST
• INSTRUCTIONS TO ACCESS THIS TRAINING WILL BE SENT OUT THE DAY BEFORE ON 7/26/2021

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The Association for Rural & Community Health Professional Coding (Arch Pro Coding) has developed a comprehensive training course on clinical documentation, professional coding, and compliant medical billing for Substance/Opioid Use Disorder (SUD/OUD) Treatment Services with a focus on Medication Assisted Treatment (MAT). This educational session will focus on training clinical providers, facility/program managers, revenue cycle staff, and other relevant stakeholders to maximize reimbursement for Substance/Opioid Use Disorder Treatment and Mental/Behavioral Health encounters through proper coding and billing across insurance types to ensure financial sustainability of services. 

Additionally, it will provide recommendations related to clinical and revenue cycle workflows to further integrate and support the delivery of SUD/OUD via MAT and mental health services, including virtual care modalities. 

Audience - The priority of organizations for the sessions are: RHC/FQHCs, Critical Access Hospitals , Substance Use Disorder Clinics, and Community Mental Health organizations. Particularly, RHCs and FQHCs have unique billing challenges that will be a focus of the session since the often have to bill using different claim forms and receive different types of payments from Medicare, Medicaid, and commercial insurers. 

• All clinical staff members who document in medical records. 
• Appropriate administrative, practice managers, medical directors, program/grant staff who manage people, processes, and/or technologies related to the revenue cycle. 
• Revenue cycle staff (i.e. coders and billers) 

Course Overview  - We anticipate the course duration to be 4 hours which allows for ample time to review the following: 

• Integrating and managing primary care and behavioral health services for SUD/OUD. 
• Overview of the opportunities and challenges associated with variable reimbursement mechanisms, including coding and billing for Medicare, managed care, Medicaid, and other third-party payors. 
• Clinical documentation challenges and opportunities. 
• Compare and contrast diagnostic terms used in the DSM-V versus the ICD-10-CM. 
• Documentation, coding, and billing for MAT services. 
• Capturing and reporting of non-face-to-face services including telehealth, virtual communication services, online digital visits, Behavioral Health Integration (BHI), and the Psychiatric Collaborative Care Model (Psych CoCM). 

Integrating Primary Care and Behavioral Health Services + the Foundations of SUD/OUD Coding/Billing 

• Delineate the basic rules and regulations that guide fee for service billing and coding for behavioral health integration (BHI). 
• Identify key resources for tracking changes in coding and/or billing. 
• Identify some of the alternative methods of reimbursement or calculating “value” beyond basic fee for service billing. 
• List key steps managers and leaders can take in creating and sustaining a business model that aligns with the clinical model for BHI. 

Screening for Substance/Opioid Use Disorders + Induction, Stabilization, and Maintenance of MAT 

• Tools to identify and screen individuals who are at risk of SUD/OUD (ex. SBIRT). 
• MAT Pre-Induction Visit, Induction Visit, and Stabilization/Maintenance Visits. 
• Administrative requirement for obtaining DATA 2000 waiver and recent updates! 
• Understanding Medicaid H-code options for SUD/OUD/MAT treatments. 
• Tracking and reporting patients with SUD/OUD who also have additional associated conditions (ex. HIV, endocarditis, viral hepatitis) and are "PWID" (people who inject drugs). 
• Overview of the ICD-10-CM’s “Official Guidelines for Coding and Reporting” 

Mental/Behavioral Health Integration and Treatment Services and Telehealth/Virtual Visits 

• Counseling and coordination of services with MAT BHPs. 
• Proper documentation for psychiatric diagnostic evaluative services, health assessments, and psychotherapy. 
• Limitations and opportunities related to reporting group therapy. 
• Capturing clinical staff time in between visits for Behavioral Health Integration and the Psychiatric Collaborative Care Model. 
• Transitional Care Management, telehealth, online digital E/M, and virtual visits.