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The Complexity of Substance Abuse Facility Billing
Billing for services can often be intricate and prone to costly errors. This course aims to empower participants with the essential knowledge and skills needed to navigate the complexities of substance abuse facility billing. Topics covered include submitting clean claims, understanding the financial implications of registration errors, coding, diagnosis and medical necessity, as well as effective documentation practices.
This course is for information only and does not award board approved continuing education for license renewal.
This course will award 1 continuing education hour.
Please see the board approval box for course approvals.Course Objectives
1. Understand the Importance of Clean Claims: Participants will learn to identify and address common errors that lead to claim denials or delays, ensuring the submission of clean claims to optimize reimbursement processes.
2. Analyze Financial Impacts of Registration Errors: Participants will explore case studies and scenarios to assess how registration errors affect revenue streams and operational efficiency within Substance Abuse treatment facilities.
3. Apply Coding and Diagnosis Skills: Participants will practice applying ICD-10 coding guidelines specific to Substance Abuse disorders, ensuring accurate code selection to reflect patient diagnoses and treatment modalities effectively.
4. Evaluate Medical Necessity Criteria: Participants will examine criteria for establishing medical necessity in Substance Abuse treatment, including documentation requirements and regulatory standards, to support claim submissions.
5. Enhance Documentation Practices: Participants will develop strategies to improve documentation accuracy and completeness, focusing on essential elements such as treatment plans, progress notes, and discharge summaries, to meet compliance standards and enhance claim approval rates.
Course Author
Board Approvals
State Approvals
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California Consortium of Addiction Programs and Professionals CCAPPProvider approved by CCAPP-EI, Provider # OS-21-336-0623
Information
- Content Level: Intermediate
- Course Format: This course is offered as a self-paced distance learning format (reading-based online activity)
- System Requirements: This course is offered online. Internet connection required.
- Course Completion Information: To earn continuing education credit, professionals must register and pay the fee for the course. They must read the content and demonstrate understanding by earning a minimum score of 70 percent on testing materials. The certificate of completion will be able to be downloaded after the above is completed. Refunds will be granted upon request with the withdrawal of credit for the course. For questions, concerns, or to request special accommodations, please call 866-863-4225 or email [email protected].
- CEBroker Course ID: NA
- Credit Hours: 1
