Substance Use Disorder Claims and Billing for Federally Qualified Health Centers Recording

Mastering Substance Use Disorder (SUD) coding and billing is essential for Federally Qualified Health Centers (FQHCs) looking to expand access, remain compliant, and optimize revenue cycle management. In this comprehensive training session from the Health Insights Hub by Hess III Consulting, learn step-by-step how to accurately document, code, and bill SUD treatment services while navigating the Prospective Payment System (PPS) rate. What You’ll Learn: FQHC Prospective Payment System (PPS) Mechanics: Understand how SUD encounters qualify under the PPS reimbursement methodology, including qualifying visit criteria and encounter rate alignment. SUD Coding Essentials: Practical guidance on selecting the correct CPT, HCPCS, and ICD-10 codes for addiction treatment, intensive outpatient treatment (IOP), and Medication-Assisted Treatment (MAT). Same-Day Billing Rules: How to manage and document distinct, qualifying physical health and behavioral health/SUD encounters occurring on the same day without triggering claim denials. Who Should Watch: FQHC Billing and Coding Specialists Community Health Center Revenue Cycle Directors Clinical and Operational Leadership Behavioral Health & Addiction Medicine Providers Compliance and Quality Improvement Teams