Integrated care is becoming increasingly vital in healthcare, particularly for addressing complex needs at the intersection of mental health, substance use disorders, and primary care. For provider organizations aiming to deliver comprehensive and sustainable integrated care services, understanding the financial landscape is paramount. This is where specialized Tools For Integrated Care come into play, offering essential support in navigating the complexities of healthcare financing.
One such invaluable resource is the Decision Support Tool (DST). Designed specifically to empower provider organizations, the DST serves as a compass in the often-intricate world of Medicare and Medicaid revenue. By utilizing this tool, organizations can gain clarity on potential revenue streams associated with various integrated care services. This includes crucial areas like community mental health, substance use treatment, and integrated primary care settings. The DST meticulously outlines eligible billing codes, service types that qualify, professional disciplines covered under these codes, necessary documentation, and time-related requirements. This detailed breakdown allows for more effective financial planning and resource allocation when implementing integrated care models.
To further streamline the financial strategy, a suite of integrated care billing modules are available as companion resources to the DST. These modules offer focused guidance on optimizing financing across six key integrated care service types. These encompass:
- Medication for Opioid Use Disorder (MOUD): Strategies for billing and reimbursement related to MOUD services.
- Screening: Guidance on billing for various screening procedures integral to integrated care.
- Care Coordination: Optimizing financial strategies for care coordination services, a cornerstone of integrated care.
- Metabolic Monitoring: Addressing billing aspects of metabolic monitoring, crucial for certain patient populations in integrated care.
- Treatment for Tobacco Use Disorder: Financial pathways for delivering and billing for tobacco use disorder treatment within integrated care settings.
- Health-Related Social Needs (HRSN): Navigating the evolving landscape of billing for services addressing health-related social needs.
For those new to the DST and billing modules, introductory primers are available to facilitate a smoother onboarding experience. These tools for integrated care represent a significant step forward in enabling healthcare organizations to not only provide integrated care but to do so in a financially sustainable manner. By leveraging these resources, providers can focus on delivering high-quality, integrated services that improve patient outcomes and community health.
