(Recorded Webinar) 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 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]
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Read more about maintaining an attendance record in our FAQs.
- 1.00 Certificate of Attendance
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