Utilization Review Training

Utilization Review Training (UR)

A vital component to the bottom line of any addiction treatment center or mental health facility is the Utilization Review Department. It is the lifeblood of the company as it gets authorization from insurance companies for reimbursements and a revenue stream for the maintenance of the financial security and the growth of the company, its employees’ wages, and the general well-being of the program in the recovery community.

If your UR team is not trained they will not get the proper amount of days for the client and you will not get paid properly. Wrong codes, incorrect codes, not understanding the diagnosis or human error can attribute to not receiving the correct amount of insurance per patient or denials pilling up. We will teach your team how to correct that.

Our Utilization Review Training course’s main objective is to fulfill an often requested service by the recovery industry, especially treatment centers and programs, and to offer some basic fundamentals for the delicate Utilization Review process which allows treatment programs, through their UR management specialists, to get the most reimbursements for the billing codes for CD/SA by the treatment facilities and, thus, allow for the fiscal sustaining and growth of a facility. This 3 1/2 hour course will enlighten the novice to understand the UR process, refresh and improve upon the education and maintenance of those seasoned in UR and shed light on some advanced features of the UR process with regard to peer-to-peer reviews and appeals!

Accreditations

We are accredited by the following organizations.

Nebraska Dept of Health
CACCF
Florida Certification Board
AACT
Association of Coach Training Organizations

WHAT YOU WILL LEARN

Definitions and Goals of the Utilization Review Process.
UR Precertification Process Steps Illustrated.
Pre-Certification Assessment Forms Reviewed and Illustrated.
Taking what you need from a comprehensive intake for the initial Pre-Certification call.
What questions are typically asked in the initial Pre-Cert will be examined and pearls for rebuttals discussed.
How to organize your presentation and What is the Axis(I-V)?
Learn tips for the presentation of information to insurance carrier care managers.
Learn about the ASAM criteria and ASAMS Dimensional Criteria and their significance in CD/SA industry.
DSM 5 diagnosis will be examined and discussed.
Basic HCPCS coding and Revenue codes will be illustrated and discussed for the different levels of care.
Discussion of the Medical Necessity Disclaimer of Insurance Companies for Coverage of Treatment Services.
Concurrent or Continued Stay Reviews and ASAMS Dimensional Criteria will be examined and illustrated with a discussion.
A detailed discussion will look at Therapist Auditing Notes instrumental to the UR specialist to allow for proper concurrent reviews with client care managers.
Advanced Topics will be discussed, including Peer to Peer Reviews and Appeals Process.
mary millings

Your Host for this Training, Mary Millings

Mary Millings is a licensed Medical Coder/Biller. She has worked in the medical billing and collection field for 10 years. Working for a wide variety of medical specialties including E/M, Mental Health, Residential, PHP, IOP, and Outpatient substance abuse treatment. I have worked in both a provider’s office and hospital medical billing. She became a licensed Medical Coder/Biller in 2007.

LIVE VIRTUAL CLASSROOM (WEBINAR)

$3500

$15,000 VALUE

On Line courses
  • Utilization Review Training Webinar
  • 1 Hour webinar for intensive follow-up
  • Ethics Course (6 CEU)
  • All Materials for Course
  • Bonus: Private FB Graduate Group
  • Bonus: FB Networking Group
  • Bonus: Use of The Addictions Academy® logo AND Seal of Certifications
  • Bonus: Eligibility to receive client referrals through The Addictions Academy
  • Bonus: Discounted price for all courses and classes we offer.
  • Bonus: Seals for social media, website, and marketing.
  • Bonus: Free 6-month online Directory Listing to get clients

EXPANDED LIVE IN-PERSON TRAINING PACKAGE

$5000

$25,000 VALUE

On Line courses
  • Utilization Review Training live in person for unlimited staff  
  • 1 Hour webinar for intensive follow-up
  • Ethics Course (6 CEU)
  • All Materials for Course
  • Bonus: Private FB Graduate Group
  • Bonus: FB Networking Group
  • Bonus: Use of The Addictions Academy® logo AND Seal of Certifications
  • Bonus: Eligibility to receive client referrals through The Addictions Academy
  • Bonus: Discounted price for all courses and classes we offer.
  • Bonus: Seals for social media, website, and marketing.
  • Bonus: Free 6-month online Directory Listing to get clients
Recovery Coach 1
Recovery Coach 1

Pick Your Course Date.

 

18 – 19August

NATIONALLY CERTIFIED RECOVERY COACH LEVEL I and II Webinar

08/18/202208/19/2022 Online Webinar $1,599.00 Courses, AUGUST
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10 – 11September

NATIONALLY CERTIFIED RECOVERY COACH LEVEL I and II Webinar

09/10/202209/11/2022 Online Webinar $1,599.00 Courses, SEPTEMBER
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17 – 18November

NATIONALLY CERTIFIED RECOVERY COACH LEVEL I and II Webinar

11/17/202211/18/2022 Manhattan $1,599.00 Courses, NOVEMBER
View Details

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Frequently Asked Questions About Sober Companions

Not everyone will, but if you are just coming out of a residential program or our Sober on Demand concierge coaching, you can likely benefit greatly from having one. If you attend a high-stress event, like a wedding, job duty, or other event, you should have a sober buddy to go with you for support and guidance.

Sober companions are certified, bonded, insured, and long-term sober individuals who can offer the right support for those looking to get and stay clean. They are available as a live in at your residence, or just to accompany you to events, work, gym, grocery, meetings, outings, and other high-risk situations. They can help with mental health issues like ADD, depression, eating disorders and various types of addiction: drug addiction, alcohol addiction, food addiction and sex addiction.

Your therapist serves as your guide in your journey, helping you uncover truths about your addiction and develop the skills you need to stay clean. A sober companion is someone who supports the work you do with your therapist by accompanying you through life outside of therapy.

You should be certified as a sober companion, bonded, and insured. You should also have at least five years of sobriety under your belt before you take on clients. You can get your certification through The Addictions Academy.