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Posting Date: 08/16/2022
Payment Rates
Payment Rates Medicare-enrolled OTPs are paid flat dollar payment rates for the codes describing the OTP bundled services (HCPCS codes G2067 through G2080, and G2215 to G2216). Payment rates are based on the OTP provider’s geographic location. [...]
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Posting Date: 08/16/2022
Claim Submission Instructions
Claim Submission Instructions Use the instructions on the Billing/Payment section of the CMS Opioid Treatment Program (OTP) web pages. Reviewed 9/3/2024
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Posting Date: 08/16/2022
Billing and Payment for Dual Eligible Beneficiaries
Billing and Payment for Dual Eligible Beneficiaries A person who is eligible for both Medicare and Medicaid at the same time is “dually eligible”. Medicare is the primary payer for OTP services delivered to dually eligible beneficiaries. [...]
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Posting Date: 09/04/2024
Psychotherapy Services
Psychotherapy Services Table of Contents Regulations and Targeted Probe and Educate Resources Medicare Regulations CMS TPE Resources NGS Resources Psychotherapy Treatment Plans Required Treatment Plan Components [...]
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