Navigating the Billing Waters of Tobacco Use Treatment

Lesson Materials

Most health care providers ask their patients about tobacco use and document the status into their electronic health record, however few bill for tobacco cessation services.  While the majority of people who use tobacco want to quit, most will try to quit multiple times before succeeding.  Providers in a variety of settings play a critical role in helping patients to quit successfully, especially those who treat patients with behavioral health conditions.  An important component of integrating tobacco use treatment into these settings, is ensuring that providers are compensated, which can be confusing and challenging at times.

This webinar will provide an overview of the current tobacco cessation coverage for various payors, review the available billing codes for tobacco cessation treatment, and provide guidance on how behavioral health providers can maximize reimbursement.

LEARNING OBJECTIVES:

  • Compare the differences in tobacco cessation coverage between Medicare, Indiana Medicaid, and private health insurance plans.
  • Discuss the details of billing for tobacco cessation counseling in behavioral health settings.
  • Review the billing codes applicable for tobacco cessation treatment and how to use behavioral health codes to increase tobacco cessation services.

Click here to download the presentation slides

Speaker: Sharon A. Shover, CPC, CEMC, Manager of Reimbursement Policy and Payor Relations, Indiana Hospital Association

Ms. Shover is the Manager of Reimbursement Policy and Payor Relations with the Indiana Hospital Association. She has proven experience in all aspects of revenue cycle management. Her experience includes revenue generation, billing/coding and third party reimbursement for hospitals, FQHCs, RHCs and physician office settings. Ms. Shover’s areas of expertise include practice management, RHC conversion, clinical documentation improvement, chart auditing, coding, the accounts receivable cycle from patient access to collections, and development of policy and procedures.

IMPORTANT: Once you have finished watching the video, a quiz box will appear below the video box which will allow you to complete the associated quiz.