Using ASAM Criteria to Guide Recommended Levels of Care and Clinical Documentation

The necessity for providers who bill commercial insurance to become adept at justifying the assessed level of care needed for patients is pertinent. For levels of care more intensive than general outpatient, including Intensive Outpatient Treatment, Partial Hospitalization, Residential Treatment and Withdrawal Management, insurance companies rely on clear documentation from medical and clinical staff to explain why a particular level of care is needed. This training will review ASAM levels of criteria, criteria for meeting medical necessity for each level of care, and how to use the criteria to guide treatment and documentation.

Educational Objectives

After completion of this course, the participant will be able to:

• Understand the ASAM and levels of care 
• Document in a manner that justifies the level of care recommended
• Write documentation using knowledge gained for insurance billing purposes

3.5 CE’s for:

• DMH-Addiction Therapist    
• DMH-Licensed Administrator
• DMH-Mental Health Therapist
• DMH-Community Support Specialist
• DMH-Intellectual and Developmental
• Disabilities Therapist
• MAAP-Mississippi Association of Addiction Professionals
• NBCC-National Board for Certified Counselors
• SW – (Social Work)