Navigating Payment Pathways Part 1

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This free CME webinar series is designed to prepare physicians and their billing staff for the basics of modern healthcare payment models and methods of incorporating these models into addiction treatment practice. Presented by a healthcare reimbursement expert, viewers will learn the language used by health payers to improve understanding of billing and coding techniques. Some tips about determining patient coverage for services, handling prior authorization requests, and submitting claims to payers will be included.

The first in the series created to examine some of the basic and advanced issues that many may face when working with insurance companies and other health payers. The second webinar will be held on March 7th, and the third session will be a panel discussion held at the Annual Conference with ASAM members employed by health insurers.


This webinar is primarily intended for addiction medicine specialists; medical office billing staff; opioid treatment program providers; DATA-waived providers

At the conclusion of the webinar, participants should be able to:

  • Recognize health care reimbursement models and common terms used by most health care payers
  • Explain how health care payers make coverage decisions and discuss how that relates to their practice
  • Explain recent or upcoming policy changes and identify implications or areas for provider involvement
  • Assess the importance of utilization management requests, appeals, and compliance protections to make informed decisions in their practice
  • Synthesize information to assist patients and staff with coverage questions and appeals
  • Evaluate billing best practices to appropriately bill for tasks performed in basic or advanced situations
  • Create a set of resources/list of best practices that can be used to support the participant's practice
  • Analyze information about payers/reimbursement models to develop a plan for personal engagement with payer to positively impact their practice.

ACCME Accreditation Statement
The American Society of Addiction Medicine (ASAM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.

 AMA Credit Designation Statement:
The American Society of Addiction Medicine designates this live activity for a maximum of 1 AMA
PRA Category 1 Credits™
.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.


CME Committee

Name

Disclosure Information

Adam J. Gordon, MD, MPH, FACP, FASAM, CMRO, Chair

None

Catherine Friedman, MD, Vice Chair, Reviewer

None

Noel Ilogu, MD, MRCP

None

Herbert L. Malinoff, MD, FACP, FASAM

Nonr

Edwin A. Salsitz, MD, FASAM, Reviewer

Reckitt-Benckiser: Honorarium, Speaker

 

John C. Tanner, DO, FASAM, CCFC, MRO

Orexo: Honorarium, Speaker

BDSI: Honorarium, Speaker & Consultant

Planning Committee

Disclosure Information

Gordon Schatz, JD

Quorum: Consulting (No services or products consumed by or used on patients) Honorarium, Speaker

Dr. George Kolodner, MD, DLFAPA, FASAM

None

Frank James, MD, JD, FASAM, FACLM

Optum: Honorarium, Speaker

Anne Fernandez, MD

None

Faculty

Disclosure Information

Gordon Schatz, JD

Quorum: Consulting (No services or products consumed by or used on patients) Honorarium, Speaker


Gordon Schatz JD

Gordon Schatz JD, President of Schatz Reimbursement Strategies LLC,
represents medical innovators, health care professionals, and manufacturers of
medical devices, drugs, and diagnostics on coding, coverage and payment. He has
worked with ASAM on coding issues. Over the past 25 years, he has improved billing
and reimbursement policies for innovative health care services/products by
CMS/Medicare, other government and private payers, at the national and local levels.

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Navigating Payment Pathways Part 1
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CME Evaluation
15 Questions
Medical Certificate
Up to 1.00 medical credits available  |  Certificate available
Up to 1.00 medical credits available  |  Certificate available 1 Credits