Documentation, Billing & Coding for SUD/OUD Services in FQHCs & RHCs

Date(s) - 04/28/2021 - 05/12/2021
12:00 pm - 1:30 pm



This 3-part inter-disciplinary training will address how to properly document, code and bill for encounters throughout the SUD/OUD care continuum following CMS billing rules for Federally Qualified Health Centers and Rural Health Centers.  The presenter will:

  • Provide a brief background of the opioid epidemic
  • Discuss how to make the business case and what to do before initiating SUD/OUD treatment services
  • Provide an overview of opportunities and challenges associated with MAT reimbursement mechanisms, including coding and billing for Medicare, managed care, Medicaid, and other third-party payors
  • Explore revenue options for reporting Transitional Care Management, Virtual Communication Services, Telehealth, and Care Management services such as Behavioral Health Integration (BHI) and the Psychiatric Collaborative Care Model (Psych CoCM)
  • Outline clinical documentation, coding, and billing codes for behavioral health diagnostic evaluations and individual/family/group psychotherapy services
  • Review proper staffing and clinical workflows between primary care and behavioral health

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