C-ATM Course 5: Addiction Treatment Marketing II
Because applied knowledge is power, and your reputation is everything.
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C-ATM COURSE 5 DESCRIPTION
In this course you examine the fundamental question, "How do I market my program effectively, ethically, and in compliance with the law?" With legal expert Harry Nelson as your guide, you explore issues related to addiction treatment marketing compliance and enforcement, including the key stakeholders and applicable federal and state laws. You also consider patient financial responsibility and potentially abusive practices associated with fees, reimbursement, and services.
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COURSE LEARNING OBJECTIVES
In this course you will analyze key principles and best practices related to:
- Enforcement stakeholders
- Federal and state laws
- Potentially abusive practices
- Patient financial responsibility
- Fees, reimbursements, and services
COURSE OUTLINE
Click on any of the modules below to see the content.
Module 1: Enforcement Stakeholders
- Federal enforcement
- State and local enforcement
- Health plan enforcement
- Case Study: Kenneth Chatman
Module 2: Federal Laws
- 2008 Mental Health Parity and Addiction Equity Act
- 2010 Affordable Care Act
- Anti-Kickback Statute (AKS)
- Civil Monetary Penalties Law (CMPL)
- Stark Law
- False Claims Act
Module 3: State Laws
- Variability of state laws
- Florida Practices of Substance Abuse Providers Law
- Laws coming to other states
Module 4: Abusive Practices - Procuring Insurance
- Procuring insurance for patients
- Falsifying information
- Paying premiums
- Case Study: Health Net
Module 5: Abusive Practices - Urine Drug Testing
- Urine drug testing
- Qualitative and quantitative testing
- Health plan reimbursement
- Kickbacks and law enforcement
Module 6: Abusive Practices - Florida Examples
- Florida Model
- Paying for travel
- Overbilling and false billing
- Non-cash incentives
- Providing drugs
- Fraudulent roles
Module 7: Additional Abusive Practices
- Paying for housing
- Bed vouchers
- Charitable housing
- Running, capping, and steering
Module 8: Patient Financial Responsibility
- Financial hardship
- Deductibles, copays, and coinsurance
- Single pricing
- Prompt pay discounts
- Rules for waivers
Module 9: Fees, Reimbursement, and Services
- Out of scope services
- Fair market value
- Pre-authorization and verification of benefits
- Integration of professional services
- Bundling of services
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C-ATM Course 5: Addiction Treatment Marketing II
A national membership association that provides education and advocacy for those in the behavioral health and addiction treatment industries.
We are the leading and unifying voice of addiction-focused treatment programs.
