Medical Billing Blogs

  On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) released its final rules for the Physician Fee Schedule (PFS) and Outpatient Prospective Payment System (OPPS) for Calendar Year 2024. The new guidelines bring significant updates to substance use disorder (SUD) treatment, focusing on expanding access to services, addressing reimbursement rates, and incorporating new billing codes. These changes aim to improve the quality of care for Medicare beneficiaries with substance use disorders and address the ongoing opioid and mental health crises in the U.S. Let’s have a look at the latest CMS guidelines for SUD billing: CMS Guidelines for Substance Use Disorder Billing 1. Expanded Coverage for Mental Health Counselors and Marriage and Family Therapists: Starting January 1, 2024, mental health counselors (including addiction counselors) and marriage and family therapists can enroll in Medicare to treat beneficiaries with mental health conditions and substance us...

  Every substance abuse treatment facility’s purpose is to assist patients in recovering from substance use disorders. These practices, unfortunately, must also deal with the difficulties of Medical Billing for Your Substance Use Disorder (SUD).   Substance abuse billing   presents particular issues, causing physicians to spend valuable time chasing payments rather than providing good quality care. Getting paid swiftly is essential for every business, especially in the medical field. Unfortunately, the wait between receiving services and receiving payment can often be months. You need to be aware of some medical billing suggestions for your SUD practice to help you speed up the process and boost your cash flow. These medical billing tips will help you expedite your interactions with insurance and patients, allowing you to get reimbursement for your services more promptly. Tips to Ensure Accurate SUD Medical Billing Your medical practice’s success relies heavily on an effi...