Alcohol Screening Counseling
Screen and counsel for alcohol misuse with ease!
Boost your practice revenues while reducing administrative burdens with our cloud-based alcohol overuse screening and counseling solution.
According to the Centers for Diseases Control and Prevention (CDC)
38 M
adults in the US drink in excess
$224B
Economy costs and Excessive drinking leads to approximately 88,000 deaths annually in the U.S.
6in 1
Only 1 in 6 adults talk with their doctor, nurse, or other health professional about their drinking
25%
Alcohol screening and counseling can reduce the amount consumed by 25% in those who drink too much
healthviewX Alcohol Screening and Counseling
healthviewX simplifies Medicare Alcohol Overuse Screenings with automated eligibility checks, patient-focused questionnaires, and audit-ready reporting.
Implement value-based care
Improved Health Outcomes
Reduced Emergency Visits
Improved Practice Efficiency
Reduced Healthcare Costs
How Medicare Alcohol Screening and Counseling Works
Alcohol overuse screening and counseling services are provided by health systems including primary care practices, OB/GYN practices, emergency departments, and trauma centers. All adults on Medicare qualify for an annual alcohol misuse screening.
Eligibility Criteria for Medicare Alcohol Counseling
If the PCP determines that the patient is eligible for Alcohol Counseling, Medicare will pay for up to four brief counseling sessions every year.
A woman under age 65 who has more than 3 drinks at a time or 7 drinks per week
A man under age 65 who has more than 4 drinks at a time or 14 drinks per week
An individual age 65+ who has more than 3 drinks at a time or 7 drinks per week
Billing Guidelines of Medicare Alcohol Screening and Counseling
Both the screening and counselling services have time elements of 15 minutes, so time should be documented in addition to screening or counselling notes.
| Code G0442, for alcohol misuse screening, is an annual benefit so at least 11 months must pass between services. |
| Medicare will only pay for up to four G0443 services (brief counseling sessions) within a 12-month period. |
| Medicare will not cover alcohol misuse screenings or counseling received while in an emergency room or during an inpatient hospital stay. |
| Medicare will allow payment for both G0442 and G0443 on the same date (except in RHCs and FQHCs). |
| The national average fee schedule amounts for these services are $17.36 for G0442 and $25.19 for G0443. |