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How to Turn Your Group Practice Into an Outpatient Facility Offering IOP or PHP in Texas

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So, you’ve got a successful group practice going in Texas! Congratulations. Now you’re thinking about transitioning your business into an outpatient facility offering IOP or PHP (Intensive Outpatient or Partial Hospitalization programs) for addiction treatment. This can be a very smart move — if you execute it carefully.

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What Are the Most Used Addiction Treatment CPT Codes in Texas?

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The most common CPT codes used in Texas addiction treatment programs also happen to be the most common addiction treatment CPT codes used in the rest of the country. They are: H0001HF, H0004HF, and 96164HF.

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How to Turn Your Group Practice into an Addiction Treatment Outpatient Facility Offering IOP/PHP in California

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Are you a physician or mental health professional in a group practice in California? Amid so much demand and increasing pressure for additional behavioral health resources in the Golden State, have you considered transforming your organization into an outpatient addiction treatment facility?

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Our Top 5 Tips for Addiction Treatment Insurance Billing in California

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Struggling to keep up with all the different requirements and tricks involved with addiction treatment insurance billing in California?

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How is Your Addiction Treatment Center Leveraging National Recovery Month?

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National Recovery Month isn’t just a holiday, it is an opportunity to promote your business and to make connections with other key players in your local recovery community. Are you taking full advantage of National Recovery Month?

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Denial Rates for Addiction Treatment with Centene Corporation (With Level of Care Breakdown!)

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Here’s what the actual rates of denial are with Centene when it comes to behavioral health. We’ll also look at what levels of care are most likely to be denied at Centene and why.

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Looking for the Expedited Appeal Line for Anthem, Inc. Addiction Recovery Claims?

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So you need to file an appeal on a claim decision from Anthem, Inc at your addiction treatment or behavioral health center but you’re not sure where to find the contact information necessary to do so?

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Rhode Island is the Perfect State for Opening an Addiction Treatment Center. Here's Why. 

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The state of Rhode Island makes drug overdose statistics readily available online in an easy to digest geographical format, making it easy to quickly spot “hot spots” where treatment is needed.

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How to Open an Addiction Treatment Center in New Hampshire

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While New Hampshire does have strict addiction treatment center regulations, it is not a CON state, meaning that you do not have to obtain a Certificate of Need proving that your particular treatment center is “needed” in the state.

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How to Open an Addiction Treatment Center in West Virginia

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All “behavioral health centers,” like addiction treatment centers and drug rehabs, must seek licensure with West Virginia according to state law. Some facilities, however, are exempt.

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Here's How to Find the Addiction Treatment Billing Claims Address for Blue Cross Blue Shield of Minnesota

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Blue Cross Blue Shield of Minnesota is still accepting paper billing claims from addiction treatment centers but they are NOT accepting all utilization management forms by mail.

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Where to Find Addiction Treatment Billing Contact Information for Blue Cross Blue Shield of Massachusetts

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Blue Cross MA provides ample information about how to submit original claims on their website. Medical providers - like behavioral healthcare professionals and addiction treatment clinics and centers - can contact provider services for claims, as well. The number to use depends on the nature of your organization.

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Where Can I Find Addiction Treatment Utilization Forms for Premera Blue Cross?

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The primary form addiction treatment providers are required to fill out when dealing with Premera Blue Cross is the prior authorization request form.

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What Reviews are Required for Addiction Treatment Providers Under Blue Cross Blue Shield of Tennessee?

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Today, we’ll examine what utilization management reviews are required of addiction treatment providers working with Blue Cross Blue Shield of Tennessee plans.

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Making Sense of Blue Cross Blue Shield of North Carolina's Average Length of Stay Per Level of Care for Addiction Treatment

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Given what we know about BCBSNC’s poor track record with behavioral health parity, we can assume that their average length of stay per level of care for addiction treatment is below industry standard and likely below the national averages, as well.

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Top 5 Addiction Treatment Diagnosis Codes to Use for URs with Healthfirst Insurance

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There is no “best” addiction treatment diagnosis code (or ICD-10 code) to use when completing URs or authorizations with Healthfirst. All behavioral health diagnosis codes are subject to more or less the same utilization management decision making criteria at Healthfirst.

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Understanding Addiction Treatment Discharges and Discharge Rules at Horizon Blue Cross Blue Shield of New Jersey

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In network providers as well as out of network providers must complete a discharge plan before engaging patients in many addiction treatment services at Horizon Blue Cross Blue Shield of New Jersey.

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What Addiction Treatment CPT Codes Require Pre-Certification at Highmark, Inc.?

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Today, we’ll look at what addiction treatment providers need to know about Highmark Inc, including what CPT codes require pre-certification at Highmark.

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Understanding CareSource Management Group's Shareable Client Information Policies for Addiction Treatment 

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Today, we’ll look specifically at how CareSource Management Group treats PHI, what their shareable client information policies are and how they affect addiction treatment providers.

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Where to Find Addiction Treatment Utilization Forms for L.A. Care Health Plan 

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What Utilization Forms or Utilization Reviews are Needed for Addiction Treatment Centers Working with LA Care Health Plan?