Medicare

Top 5 questions we get asked about Joint Commission certification for addiction treatment

TJC certification not only raises your organization’s profile within the behavioral health community, in many states it also makes your organization eligible for Medicaid and Medicare reimbursements.

2024 - Most Commonly Used Addiction Treatment and Behavioral Health CPT Codes for Billing and Reimbursement

When the CMS drops a new update to existing codes, it’s considered a “new codeset” - a shiny new box of codes that addiction treatment billers can use to communicate about services rendered with insurance payers. 

How to Turn Your Group Practice Into an Addiction Treatment Outpatient IOP or PHP in Illinois

If you’re thinking of launching an outpatient program at your group practice in Illinois - whether that’s an IOP or a PHP style program - congratulations!

Answers to Your Top Questions About Addiction Treatment Billing in Illinois

So, you’ve How to Open an Addiction Treatment Center in Illinois and now you’ve got questions about insurance billing in the state. Billing in Illinois is complicated, but it doesn’t have to be a mystery.

How to Quickly Appeal a Centene Corporation Health Addiction Treatment Claim Denial Using the Expedited Appeal Line

Understanding how to request an expedited appeal from big addiction treatment insurance providers - like Centene Corporation - is a key component to advocating for SUD patients.


How to Determine the Medical Necessity of Addiction Treatment Services for UnitedHealth Group, Inc

Got questions about working with addiction treatment and UnitedHealth Group Inc when determining the medical necessity (or if treatment is medically necessary)? Here’s how it works.

Colorado Needs More Addiction Treatment Centers. Here’s How to Open One. 

Colorado ranks among the worst states in the nation for mental health and addiction issues. The remote nature of many parts of Colorado also means that access to quality, evidence-based addiction treatment in the state is compromised in many areas.

How to Open a Certified Addiction Treatment Center in North Carolina

While North Carolina has some drawbacks as a home for your certified addiction treatment center, including CON laws that limit the number of providers allowed to open in the state, it also has a real need for providers, especially in more rural areas.

Should Your Addiction Treatment Center Accept Public Payers like Medicaid and Medicare?

About 12% of patients with Medicaid insurance have a substance abuse problem. 

If your center isn’t accepting public payer plans—like Medicaid and Medicare—then you’re missing out on a massive pool of potential patients. Still, many centers decide to pass on public payer insurance and only accept private insurance and self-pay patients—and for good reason.