Tobacco Cessation: Coverage and Billing

This Empower Series event is sponsored by the Virginia Foundation for Healthy Youth and Prevention Connections.

Tobacco cessation billing and reimbursement is puzzling; however, some states have started to take action.

Billing issues tend to arise when two goals are not met. These goals include: one – patients quit using tobacco and utilize cessation treatments; and two – providers provide cessation treatment and get reimbursed for their work.

This presentation will discuss why providers are not getting reimbursed, which has also led to fewer providers attempting to bill and fewer patients using evidence-based treatment. It will end with giving the audience ideas of what other health systems and states have done to improve reimbursement and what actions they can take to do the same within their health system or state.

Learning Objectives

• Participants will learn about the varying tobacco cessation coverage requirements among different types of health insurance plans.
• Participants will learn what diagnostic and procedure codes can be used when billing for tobacco cessation.
• Participants will learn what providers are generally allowed to bill and what emerging trends are with non-traditional providers.

Register today!

Ranjana Kodwani is the National Specialist for Cessation Policy at the American Lung Association where she manages two federal grants related to tobacco cessation coverage. Prior to joining the Lung Association, Ms. Kodwani was a fellow at The George Washington University, where she managed the Peer Education program and developed health education campaigns and programming initiatives. She also interned at Trust for America’s Health in its Government Relations and Outreach departments.

Ranjana received her Master’s in Public Health from the Department of Prevention and Community Health at The George Washington University Milken Institute School of Public Health. She also graduated with a BS in Public Health from Saint Louis University.