2025 Medicare Updates: Transforming Behavioral Health Practices

Course Description

The 2025 Medicare updates bring transformative changes to behavioral health services, expanding access and enhancing care delivery. This webinar will provide a comprehensive overview of the new policies finalized under the Physician Fee Schedule (PFS) and related rulings. Participants will gain critical insights into new coding and payment provisions, such as safety planning interventions, digital mental health treatment devices, and updates for Opioid Treatment Programs (OTPs).

We’ll dive into the finalized flexibilities, including audio-only telecommunication for certain services, the introduction of safety planning codes for crisis intervention, and bundled codes for post-discharge follow-up. Additionally, we’ll explore Medicare's efforts to integrate social determinants of health (SDOH) into OUD treatment and new payment provisions for peer recovery support and coordinated care services. Attendees will leave with actionable strategies to leverage these updates, improve patient outcomes, and optimize reimbursement.

Whether you're a behavioral health provider, practice administrator, or billing professional, this webinar will empower you to navigate these changes effectively and position your organization for success in 2025.

Learning Objectives

• Identify key updates in the 2025 Medicare Physician Fee Schedule related to behavioral health
• Understand the coding and payment provisions for safety planning interventions
• Analyze the role of digital mental health treatment devices in care plans
• Explain telecommunication flexibilities for OUD treatment services
• Evaluate the impact of SDOH risk assessments on patient outcomes
• Explore new codes for peer recovery support and coordinated care services
• Understand bundled billing for post-discharge follow-up in crisis care
• Review billing requirements for new opioid agonist and antagonist medications
• Discuss strategies for integrating new codes and services into practice workflows
• Assess the long-term implications of these updates for behavioral health providers

Areas Covered in the Session

• Overview of the CMS Behavioral Health Strategy and its alignment with the 2025 updates.
• Details on safety planning interventions and associated G-codes
• Implementation of digital mental health devices in treatment plans
• Telecommunication flexibilities for OTP periodic assessments and intake services
• Updates to SDOH risk assessments in OUD treatment
• New add-on codes for coordinated care, patient navigation, and peer recovery support.
• Bundled payment codes for crisis follow-up care
• Billing requirements for OUD diagnosis codes on OTP claims
• Strategies to optimize workflow and compliance with Medicare changes
• Live Q&A Session

Suggested Attendees

• Healthcare Administrators
• Behavioral Health Providers
• Psychiatrists and Psychologists
• Clinical Social Workers
• Marriage and Family Therapists
• Mental Health Counselors
• Practice Managers and Administrators
• Billing and Coding Specialists
• Behavioral Health Program Directors
• Healthcare Compliance Officers
• Healthcare Consultants

About the Presenter

Sonda J. Kunzi, CPC, COC, CPB, CRC, CPCO, CPMA, CPPM, CPC-I, With more than 35 years of experience in healthcare, Sonda’s expertise includes comprehensive knowledge of ICD10, CPT and HCPCS coding concepts, documentation and training, compliance, and healthcare reimbursement methodology. Her experience comes from working in a variety of positions both as an outside consultant and as a professional within hospital-owned and private medical practices. She has experience with reviewing and assisting providers with correct application of various healthcare regulations and specializes in behavioral health. Sonda holds many nationally recognized certifications in coding, billing, auditing, and compliance and speaks nationally on best practice documentation and operational excellence for healthcare organizations.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: [email protected]

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

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Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.

Event Venue

Online