Addiction Medicine EHR and AI Medical Billing Software

Addiction medicine physicians treat substance use disorders with medication and counselling. XEHR protects these records and bills each service correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Opioid use disorder; starting buprenorphine.

F11.20 Opioid dependence, uncomplicated

ReviewSign note

Diagnosis carried to the claimF11.20

THE HARD PARTS

What makes addiction medicine billing hard

Privacy rules beyond HIPAA

Records from federally assisted substance use programs need specific consent before most disclosures. Sharing them like ordinary medical records creates legal risk.

Monthly treatment services

Office-based treatment for opioid use disorder can be billed monthly when the required services and time are documented. Missing pieces mean the month cannot be billed.

Testing with limits

Drug tests are part of care, but payers limit how often they are covered and which tests are allowed.

WHERE THE WORK HAPPENS

How addiction medicine care is delivered and billed

Addiction medicine physicians work in office-based programs, opioid treatment programs, hospitals and residential facilities. Visits and monthly treatment services are billed on the professional claim.

What payers check on addiction medicine claims

Substance use treatment records from federally assisted programs need specific consent for disclosure.
Office-based monthly treatment services require documented time and services.
Drug tests have frequency limits.
Substance use codes state dependence, use or abuse.
Controlled substance prescribing follows state monitoring rules.

Common addiction medicine diagnoses ICD-10-CM

F11.20	Opioid dependence, uncomplicated
F10.20	Alcohol dependence, uncomplicated
F15.20	Other stimulant dependence, uncomplicated
F12.20	Cannabis dependence, uncomplicated
F17.210	Nicotine dependence, cigarettes, uncomplicated
Z79.891	Long term (current) use of opiate analgesic

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An addiction medicine visit, start to payment

1
Assess

Substance use history, withdrawal risk and other conditions are documented.
2
Start treatment

Medication is prescribed after the state monitoring check, and counselling is planned.
3
Monitor progress

Visits, tests and counselling sessions are recorded over the month.
4
Bill the month

Visits and monthly services go out on checked claims when the requirements are met.

How XEHR helps

From the addiction medicine visit to the payment

Consent-driven disclosureEach disclosure checks the consent on file, and access is limited and recorded.
Monthly services trackedServices and time are totalled through the month so it can be billed when complete.
Tests documentedEach test, its reason and its result are recorded.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for addiction medicine

AI medical billing for addiction medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every addiction medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Substance use treatment records from federally assisted programs need specific consent for disclosure.
Office-based monthly treatment services require documented time and services.
Drug tests have frequency limits.
Substance use codes state dependence, use or abuse.

Around the visit

Agents run on their own

Coverage checked before each addiction medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an addiction medicine EHR

Ask every vendor, including us. The answers show whether a system was built for addiction medicine work or only adapted to it.

Ask us on a demo

Do disclosures follow the consent on file?
Are monthly services tracked?
Are drug tests recorded?
Are counselling sessions documented with time?
Is prescription monitoring checked?

QUESTIONS

Addiction Medicine practices ask us

Does XEHR protect substance use records?

Yes. Access is limited and disclosures follow consent.

Can XEHR support medication for opioid use disorder?

Yes. Prescribing, visits and counselling are documented and billed.

Does XEHR record drug test results?

Yes. Tests and results are documented.

Can counselling be documented?

Yes. Sessions and time are recorded.

Does XEHR support office-based opioid treatment?

Yes. Visits, prescribing and counselling are documented and billed.

Can telehealth be used?

Yes. Telehealth visits are documented and billed.

Can referrals to counselling be sent?

Yes. Referrals go from the same record.

How much does XEHR cost for an addiction medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an addiction medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for addiction medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing