Billing Practices Among US Tobacco Use Treatment Providers

Bloom, Erika Litvin; Burke, Michael V.; Kotsen, Chris; Goldstein, Adam O.; Ripley‐Moffitt, Carol; Steinberg, Michael B.; Dailey, Mary Ann; Hunt, Laura; Bars, Matthew P

doi:10.1097/adm.0000000000000423

Cited by 9 publications

(6 citation statements)

References 14 publications

(19 reference statements)

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“…Only two US studies meeting criteria were identified in the United States. Due to the complex health care system and billing difficulties with face-to-face counseling, 36,37 group treatment is not widely available in the United States. Many tobacco users in the United States may only receive brief physician advice and/or some quitline support.…”

Section: Us Studiesmentioning

confidence: 99%

A Narrative Review of Intensive Group Tobacco Treatment: Clinical, Research, and US Policy Recommendations

Kotsen¹,

Santorelli

Bloom

et al. 2018

Nicotine &Amp; Tobacco Research

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A major barrier to achieving high rates of tobacco abstinence is under-utilization of evidence-based treatment interventions. This review demonstrates the effectiveness and utility of group treatment for tobacco dependence. Based on the available data described in this narrative review in conjunction with existing RCT data, group treatment for tobacco dependence should be established and available in all behavioral health and medical settings. Group tobacco treatment is now one of the mandated reimbursable tobacco treatment formats within the US healthcare system, creating enormous opportunities for widespread clinical reach. Finally, comprehensive worksite group programs can further extend impact.

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Section: Us Studiesmentioning

confidence: 99%

A Narrative Review of Intensive Group Tobacco Treatment: Clinical, Research, and US Policy Recommendations

Kotsen¹,

Santorelli

Bloom

et al. 2018

Nicotine &Amp; Tobacco Research

Self Cite

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“…While it is possible that clinics employing nurse practitioners and other licensed independent practitioners may be able to recoup clinical revenue by billing for cessation services, coverage for smoking cessation is modest, and additional work is needed to overcome administrative burdens associated with seeking insurance coverage and reimbursement. 34 …”

Section: Discussionmentioning

confidence: 99%

“…They also employed nurse practitioners as counselors (nurse practitioner wages are more than twice those of master’s level counselors) and devoted more time to routine clinical documentation requirements. While it is possible that clinics employing nurse practitioners and other licensed independent practitioners may be able to recoup clinical revenue by billing for cessation services, coverage for smoking cessation is modest, and additional work is needed to overcome administrative burdens associated with seeking insurance coverage and reimbursement …”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of Implementing Smoking Cessation Interventions for Patients With Cancer

et al. 2022

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Key Points Question What is the incremental cost per quit of offering intensive smoking cessation treatment in cancer care clinics relative to standard of care and usual care? Findings In this economic evaluation, the intensive smoking cessation treatment program had an incremental cost per quit of $3906 relative to standard of care and $9866 relative to usual care. Site-specific analyses suggest that the intensive treatment program may achieve incremental costs per quit as low as $2892 and $5408 vs standard and usual care, respectively. Meaning In this study, the incremental cost per quit of an intensive smoking cessation treatment program was comparable with other cessation programs and should be considered as a tobacco treatment model in cancer care.

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“…When measuring smoking cessation services, performance measures have been based either on provider documentation in the medical record, decision support, billing codes 14,15 , or surveys conducted among health professionals or clients 16 . However, patient and client surveys conducted at the point of service are considered optimal for measuring provider delivery of smoking cessation services 17 .…”

Section: Introductionmentioning

confidence: 99%

Comparing client and staff reports on tobacco-related knowledge, attitudes, beliefs and services provided in substance use treatment

Martínez¹,

Lisha²,

McCuistian³

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION Smoking is highly prevalent in substance use disorder (SUD) programs, but few studies have explored the tobacco-related attitudes of staff and clients in the same program. The aim of this study was to compare staff and client reports on 10 tobacco-related items and associate them with tobacco measures implemented in the programs. METHODS A cross-sectional survey was conducted in 18 residential SUD programs from 2019 to 2020. Overall, 534 clients and 183 clinical staff self-reported their tobacco use, knowledge, attitudes, beliefs, and practices/services regarding smoking cessation. Ten comparable items were asked of both clients and staff. Differences in their responses were tested using bivariate analyses. We examine the association between selected tobacco-related items on making a quit attempt and planning to quit in the next 30 days. RESULTS In all, 63.7% of clients were current cigarette users versus 22.9% of staff. About half of clinicians (49.4%) said they had the skills to help patients quit smoking, while only 34.0% of clients thought their clinicians had these skills (p=0.003). About 28.4% of staff reported encouraging their patients to use nicotine replacement treatment (NRT), and 23.4% of patients said they had been encouraged to use these products. Client reports of planning a quit attempt were positively correlated with whether both staff and clients reported that the use of NRT was encouraged (clients: r=0.645 p=0.004; staff: r=0.524 p=0.025). CONCLUSIONS A low level of tobacco-related services was provided by staff and received by clients. In programs where smokers were encouraged to use NRT, a higher percentage of smokers planned a quit attempt. Tobacco-related training among staff, and communication about tobacco use with clients, should be improved to make tobacco services more visible and accessible in SUD treatment.

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Billing Practices Among US Tobacco Use Treatment Providers

Cited by 9 publications

References 14 publications

A Narrative Review of Intensive Group Tobacco Treatment: Clinical, Research, and US Policy Recommendations

A Narrative Review of Intensive Group Tobacco Treatment: Clinical, Research, and US Policy Recommendations

Cost-effectiveness of Implementing Smoking Cessation Interventions for Patients With Cancer

Comparing client and staff reports on tobacco-related knowledge, attitudes, beliefs and services provided in substance use treatment

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