Author Topic: IOP Billing  (Read 3463 times)

jessika1803

  • Newbie
  • *
  • Posts: 6
IOP Billing
« on: June 07, 2013, 04:20:09 PM »
I was wondering if someone can help me. We are starting  IOP therapy for substance abuse at our clinic and I'm not very familiar with this. Can someone help guide me on the codes we would use or where I can find this information out?
Thanks

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: IOP Billing
« Reply #1 on: June 20, 2013, 01:52:39 PM »
Are you billing on CMS 1500's or UB04's?
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

LaylaTaylor

  • Newbie
  • *
  • Posts: 2
    • RedEngine Systems
Re: IOP Billing
« Reply #2 on: July 18, 2013, 08:10:07 AM »
IOP stands for intensive outpatient programs. It represents an approach to addiction treatment at a level of intensity that is intermediate between intensive inpatient treatment and traditional outpatient treatment. This programs/billing require preauthorization from the insurance carrier.

messijack

  • Newbie
  • *
  • Posts: 7
Re: IOP Billing
« Reply #3 on: September 13, 2013, 07:22:26 AM »
IOP Billing has various reimbursement program such as

Clinic Treatment Program   -                      designated mental illness diagnosis
Continuing Day Treatment Program -   designated mental illness diagnosis and dysfunction due to mental illness
Day Treatment Program for Children -    designated mental illness diagnosis, plus either an extended impairment in functioning due to emotional disturbance or a current impairment in functioning with severe symptoms

Intensive Psychiatric Rehabilitation Treatment Program -    designated mental illness diagnosis, dysfunction due to mental illness which is likely to continue for a prolonged time, readiness to participate in the program, and referral by a licensed practitioner

Partial Hospitalization Program -           designated mental illness diagnosis which has resulted in dysfunction due to acute symptomatology which requires medically supervised intervention to achieve stabilization and which, but for the availability of a partial hospitalization program, would necessitate admission to, or continued stay in, an inpatient hospital

These programs are comes under IOP billing and they are non-medical program, which allow adults to participate in a psychotherapeutic program
« Last Edit: September 13, 2013, 07:26:32 AM by messijack »

Medical Billing Forum

Re: IOP Billing
« Reply #3 on: September 13, 2013, 07:22:26 AM »