Verify that procedure codes commonly used for contraceptive counseling and care are accurate and up-to-date in the health center’s EHR or superbill/encounter form.

Strategy
Identify requirements for billing each payer for contraceptive services, including contraceptive drugs and devices, office visits, and procedures; and establish processes to carry out components of the revenue cycle (e.g., coding, claims submission, follow up) in accordance with these requirements.
Action Step(s)
  • Determine how CPT codes should be mapped to their respective claims for each payer, accounting for State Medicaid and other payer-specific billing guidelines. 
  • Establish a written set of procedures that outline payer-specific LARC billing procedures for LARC services (i.e., insertions and removals).