Treatment FAQ

what is "day treatment per diem"

by Dr. Caitlyn Wuckert Published 2 years ago Updated 2 years ago
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What is Sud per diem treatment?

SUD Residential Treatment A major component of the behavioral health redesign project specific to substance use disorder (SUD) treatment is the implementation of discrete coverage of SUD residential treatment using a per diem payment methodology. In order to assure SUD residential treatment programs are able to bill the correct

How much does a per diem practitioner charge for opioid treatment?

practitioner overseeing treatment in rendering field $392.86 Unit Value Per diem Permitted POS 55 Telehealth allowed with GT modifier for dates of service on and after March 9, 2020. GT modifier is required when service rendered via telehealth. 93 | Page SECTION 6 Opioid Treatment Programs (OTPs)

How much does it cost to be a per diem nurse?

SUD Service Provider Type Code Practitioner Modifier Procedure Modifier Rate Withdrawal Management Hourly ASAM 2 WM RN H0014 $127.68 RN H0014 - AT $338.35 LPN H0014 - - $90.16 LPN H0014 - AT $238.92 Withdrawal Management Per Diem ASAM 2 WM MD/DO CNS CNP PA H0012 $360.36 Unit Value H0012: Per diem

How much is the per diem for a CNP in PA?

Management Per Diem ASAM 2 WM MD/DO CNS CNP PA H0012 $360.36 Unit Value H0012: Per diem H0014: 1 hour H0014 AT: 2-3 hours Permitted POS 11, 55, 57 Telehealth allowed with GT modifier for dates of service on and after March 9, 2020. GT modifier is required when service rendered via telehealth. 89 | Page SECTION 5

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H2020 HCPCS Code Description

The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs.

H2020 HCPCS Code Pricing Indicators

Code used to identify instances where a procedure could be priced under multiple methodologies.

H2020 HCPCS Code Manual Reference Section Numbers

Number identifying the reference section of the coverage issues manual.

H2020 HCPCS Code Lab Certifications

Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).

H2020 HCPCS Code Cross Reference Codes

An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).

H2020 HCPCS Code Coverage, Payment Groups, Payment Policy Indicators

The 'YY' indicator represents that this procedure is approved to be performed in an ambulatory surgical center. You must access the ASC tables on the mainframe or CMS website to get the dollar amounts.

H2020 HCPCS Code Type Of Service Codes

The carrier assigned CMS type of service which describes the particular kind (s) of service represented by the procedure code.

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