Coding, Billing, and Measurement
Coding and billing for SBIRT is not only a way to reimburse providers for time spent completing a screen, but offers measurement insight into provider uptake and the effectiveness of training efforts for health plans. Having a clear picture of how providers implement SBIRT is important to a health plan’s ability to provide ongoing support.
The resources in this section offer insight into the billing codes available for SBIRT services in the primary care setting.
Funding SBIRT for Young People in Medical Settings – Website shares strategies for incentivizing and reimbursing providers for using SBIRT with youth in medical settings, including within different payment models. (Community Catalyst)
Coding for Screening and Brief Intervention Reimbursement – Document provides information on reimbursement for SBIRT available through commercial insurance, Medicare, and Medicaid. (SAMHSA)
Overcoming Challenges to SBIRT Coding for Billing and Data Reporting – Presentation highlights coding and billing updates on health plans participating in Improving Access to SBIRT Services for Adolescents, an initiative focused on improving access to adolescent SBIRT services. (Association for Community Affiliated Plans)
Improving Access to Screening, Brief Intervention, and Referral to Treatment Learning Collaborative: Common Measures to Monitor and Assess Implementation Progress – Document shares definitions and details on common measures used by health plans participating in Improving Access to SBIRT Services for Adolescents. (Center for Health Care Strategies, 2019)
2015 Overview: Key Findings on Adolescent Drug Use – Webinar highlights the Screen & Intervene NH Youth SBIRT Initiative. It outlines the goals, implementation strategies, and outcomes of the initiative. (University of Michigan Institute for Social Research, 2018)