• The American Medical Association’s (AMA) released changes to the 2013 Current Procedural Terminology (CPT) codes which take effect on January 1, 2013.
• 2013 CPT Code Changes Frequently Asked Questions (PDF)
• 2013 CPT Code Changes Presentation Slides (PDF)
• 2013 CPT Code Changes Webinar Recording
• 2013 CPT Code Crosswalk (PDF)
• Tip Sheet for Submitting 2013 CPT Codes (PDF)

ValueOptions^® continues to make changes to comply with the 10th modification to International Classification of Diseases (ICD) codes. ValueOptions will be compliant with the regulation and only accept ICD-10 codes on or after the official compliance date which is still to be determined by CMS and will cease to accept ICD-9 codes following the time parameters of the regulation. All providers should read the latest Frequently Asked Questions (FAQs).

• ICD-10 Frequently Asked Questions (FAQ) (PDF)

ValueOptions has updated our medical necessity criteria set for substance use cases. The revised criteria will go into effect on January 1, 2013 subject to specific contract require-ments. The substance use criteria are now structured to be consistent with our mental health medical necessity criteria which have not been affected.

• Substance Use Medical Necessity Criteria Changes Frequently Asked Questions (FAQ) (PDF)

In the wake of recent high profile incidents of violence, ValueOptions presents the Duty to Warn webinar series. This presentation will review the legal and ethical issues and obli-gations faced by mental health providers when such events overlap clinical practice. We will begin with a review focusing on danger to self, which is more familiar to most practitioners and provides a basic set of guidelines that can then be used to understand the analogous principles involved in danger to others

• Duty to Warn Presentation Slides (PDF)
• Duty to Warn Webinar Recording

In January 2009, the Modifications to HIPAA Electronic Transaction Standards Final Rule were published as part of the Health Insurance Reform. The Final Rule replaces current Version 4010 standards with Version 5010 standards and went into effect January 1, 2012. To learn more about HIPAA 5010 please read the FAQ document below:

• HIPAA 5010 Frequently Asked Questions (FAQ) (PDF)

We welcome our provider community to this interactive forum where ValueOptions^® will introduce and discuss our Fast, Easy and Convenient way to complete your Online Recredentialing Application.

• Fast, Easy and Convenient…ValueOptions Online Recredentialing Presentation Slides (PDF)

• Frequently Asked Questions (FAQs)

ValueOptions stopped mailing paper authorization letters to most of our commercial providers and other lines of business. Notices of new authorizations, and the letters themselves, are available on the ValueOptions online provider portal, ProviderConnect.

• Frequently Asked Questions (FAQs)
• ValueOptions Continues to Go Green in 2010: Electronic Authorization Letters and ProviderConnect Demo" Presentation Slides (PDF)

ValueOptions is now offering a program to several of our clients called the Outpatient Detoxification/Buprenorphine (Suboxone^® or Subutex^®) Maintenance Program. ValueOptions feels this program is necessary to help the estimated several million individuals who are suffering from abusing prescription medications and other opioids throughout our nation. To learn more about the Outpatient Detoxification Buprenorphine (Suboxone^® or Subutex^®) Maintenance Program please reference the materials below:

• Frequently Asked Questions (FAQs) PDF (Updated on 7/20/10)
• Certification Update Form (PDF)

ValueOptions is pleased to announce the availability of ValueOptions Health Alert, a novel appointment and medication reminder system for both providers and members. This system is available to all providers through the ValueOptions ProviderConnect application. Providers can easily set up outpatient appointment reminders, medication administration reminders and medication refill reminders for their ValueOptions members. Check out this new reminder system on the ProviderConnect Demo home page by clicking on “Enter Member Reminders.” ValueOptions^® ProviderConnect demo

We welcome our provider community to this interactive forum where ValueOptions will introduce and discuss the new exciting initiatives for you, the provider. read more...

• Giving Value Back to the Provider Webinar Series Invite (PDF)
• Giving Value Back to the Provider Webinar Series Webinar Recording (PDF)

The ValueOptions On Track Outcomes program is designed to support providers as they help clients stay “on track” in achieving their goals. This program is based on the completion of the Client Feedback Form (CFF) by the client at set intervals during the course of receiving counseling services. This questionnaire, provided to the participant by the provider, takes approximately two minutes to complete. read more...

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ValueOptions has begun implementing Electronic Fund Transfer (EFT), an enhanced payment and reconciliation system. Just a few of the numerous benefits include: