Resource Center: Insurance and billing issues, Experienced prescriber

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Physician Clinical Support System - Buprenorphine (PCSS-B)
Description: 
This website is designed to support physicians who prescribe buprenorphine by linking them up with a national network of trained physician mentors.
Source: 
Physician Clinical Support System (PCSS)
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Improving Access to Buprenorphine
Description: 
This is an article written by CIGNA Behavioral Health's (CBH) Senior Medical Director. It describes how CIGNA addressed reimbursement, a major barrier to physician prescription of buprenorphine, by identifying an HCPCS code (H0033) that physicians can use to bill for the services provided during buprenorphine induction visits.
Source: 
Nemecek, Doug. Behavioral Healthcare: November 2007.
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American Psychiatric Association Practice Guidelines for the Treatment of Patients with Substance Use Disorders
Description: 
This website offers comprehensive guidelines for treating patients who have substance use disorders.
Source: 
American Psychiatric Association (APA), 2006
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Opportunities To Use Medicaid in Support of Rural Health Services
Description: 
This PDF offers information on how rural health programs can receive funding from Medicaid for certain services and treatments in order to increase patient access to health care.
Source: 
U.S. Department of Health and Human Services
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The Medicare Coverage Database
Description: 
This database allows physicians to search for local Medicare policies and relevant articles.
Source: 
US Department of Health and Human Services
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Billing for Office-Based Opioid Treatment

Description: 
This page provides the most commonly used billing codes for office-based buprenorphine treatment.

Physicians who wish to go through a patient's health insurance, as opposed to fee for service, often have questions on how the various services involved in buprenorphine treatment should be billed.

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Commonly Used CPT Codes – Primary Care (PDF)
Description: 
PDF of Commonly Used CPT Codes in Primary Care
Source: 
Clinical Tools, Inc.
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Formulary Finder for Prescription Drug Plans
Description: 
This is a database that allows users to search Medicare Prescription Coverage and Medicare Advantage Prescription Drug Plans by State.
Source: 
Department of Health and Human Services
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Commonly Used CPT and HCPCS Codes for Screening Potential Buprenorphine Patients

Description: 
The billing codes that can be used for screening and initial contact with your buprenorphine patients.

Current Procedural Terminology (CPT) Codes used for Buprenorphine Screening

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Commonly Used CPT codes - Primary Care

Description: 
This is a table containing common CPT codes used by primary care physicians for buprenorphine treatment reimbursement.

Coding is either based on complexity of service or time, with four contributing components:

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