Medicare Opioid Treatment Provider (OTP) Status: Everything FQHCs Need To Know
Beginning on January 1, 2020, Medicare recognized opioid treatment programs (OTPs) as a new Medicare Part B provider type. This change broadened coverage for Opioid Use Disorder (OUD) treatment services and expanded access for Medicare beneficiaries.
There are certain benefits to Federally Qualified Health Centers (FQHCs) obtaining dual status as OTPs, including the ability to provide and bill Medicare for a broader scope of medication-assisted treatment and associated services, and the capacity to use a broader variety of clinical professionals.
However, there are also additional compliance considerations to weigh, including state laws and scope of practice regulations, certifications from the Substance Abuse and Mental Health Services Administration (SAMHSA), and enrollment in Medicare under multiple provider types. This webinar will highlight key issues for FQHCs to consider when evaluating whether to enroll as OTP providers in Medicare.
On this webinar, we will provide an overview of the OTP benefit, including:
- The scope of covered OTP services
- Which professionals can provide the services
- How to navigate the Medicare enrollment process
- Key billing codes for OTP services
In addition, we will discuss the ramp-up of OTP programs and what it means for FQHCs, ranging from new clinical and administrative staffing needs to Medicare billing considerations.
- FQHC C-Suite
- FQHC Billing Managers and Revenue Cycle Managers
- FQHC Clinical Leadership
After this webinar, you will be better able to:
- Discuss the scope of the OTP benefit and the range of clinicians who provide services
- Describe units of OTP services and key billing concepts
- Identify potential advantages to enrolling in Medicare as an OTP
Susannah Vance Gopalan
Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
REBEKAH WALLACE PARDECK (ACHIEVE REVENUE MANAGEMENT, LLC)
President and Owner of Achieve Revenue Management, LLC, Rebekah has more than 20 years of coding, revenue cycle management, operations, and training experience. She provides training and revenue cycle management services to federally qualified health centers, rural health clinics, and medical practices and community health centers.
Previously, Rebekah worked for over a decade as a consultant with a national accounting firm and as the director of operations for management service organizations and hospital-owned multispecialty physician practices. She is experienced in consulting on professional revenue cycle analysis and enhancement, medical practice operations, patient flow redesign, business process improvement and development, staffing analysis and redesign, practice efficiency and productivity and educational sessions and training. [Full Bio]
Participants can earn up to 1.20 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.
ATTENDEE REQUIREMENTS FOR CPE CREDIT
If you purchase CPE credit for this webinar you must satisfy the following conditions in order to receive your certificate:
- Answer at least 3 of the 5 polling questions during the webinar
- Complete the evaluation survey after the conclusion of the webinar or in the follow-up email
Upon completion of these requirements, FTLF will email you your CPE Certificate within five (5) business days.
- Prerequisites: None
- Target Audience: FQHC C-Suite; FQHC Billing Managers and Revenue Cycle Managers; FQHC Clinical Leadership
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group Internet Based
- Attendance Requirements: In order to be awarded the full credits, you must respond to three (3) out of five (5) polling questions.
Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).
- 1.00 Certificate of Attendance
Access to the recorded version of this webinar is included in your purchase.
ACCESSING THE RECORDING
The recorded version of this webinar will be available within seven (7) business days after the conclusion of the live event. You will have access to the recording for 180 days after the live webinar has concluded. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in the Recorded Webinar Now Available email. For additional information on viewing and accessing webinars, view our full terms and conditions here.
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