You can find the entire range of CPT codes accepted for addiction treatment billing at MassHealth in Subchapter 6 of the MassHealth Substance Use Disorder Treatment Manual, under the header, “Substance Use Disorder Treatment Service Codes.”
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Insurance Is Supposed to Cover Addiction Treatment, But It's Still a Nightmare (Vice)
During an overdose epidemic so large that it is cutting overall life expectancy in the US, you’d think that insurance companies and the healthcare system would be bending over backwards to get people into evidence-based treatment—especially since we have two drugs that are proven to cut the death rate by at least half. In reality, they are doing the opposite. And the barriers they place in the way of treatment are killing people.
The Importance of Accreditation
Accreditation is an important piece of the behavioral health industry puzzle. Treatment Centers should seek accreditation as soon as they can for many reasons. While most insurance payers don’t require Treatment Centers to be accredited, some payers have already made the shift to requiring accreditation before they will pay for the service rendered. Treatment Centers can choose accreditation at the state level through CARF. They can also opt to become accredited through JCAHO, which is accreditation at the national level.
Editorial: Opioid overdose deaths: A national catastrophe - Chicago Tribune
…Last year, according to a preliminary estimate from the Centers for Disease Control and Prevention, 72,000 lives were lost to overdoses. That’s 197 people dying every day — more than enough to fill a Boeing 737 passenger jet. It’s an increase of more than 6 percent over 2016.
To be in-network or not to be?
To be in-network or not to be? This is a question for which many behavioral healthcare facilities struggle to find an answer. There are so many things to consider before signing any contract, but it can be difficult to know what those things are. Ultimately, it comes down to the choice of the facility decision-makers, but there are a few things to consider during the process of making a decision.