RHC/FQHC PROVIDERS SHOULD ENTER THESE PSYCHIATRIC PROCEDURE CODES AS ENCOUNTER DETAIL LINES WHEN APPLICABLE. PROVIDERS ARE RESPONSIBLE FOR ADHERENCE TO THE PSYCHIATRIC SERVICES POLICY WHICH IS LOCATED ON WWW.LAMEDICAID.COM UNDER 'NEW MEDICAID INFORMATION' AS WELL AS THE 'LA MEDICAID PROVIDER UPDATE.'...
PLEASE COMPLETE AND RETURN THE 2008 ANNUAL CERTIFICATION FORM TO THE UNISYS EDI DEPARTMENT BY DECEMBER 31, 2007 TO AVOID CLOSURE OF YOUR SUBMITTER NUMBER, WHICH WILL RESULT IN YOUR FILE BEING DROPPED WITHOUT BEING PROCESSED. ATTENTION PROVIDERS ADMINISTERING IMMUNIZATIONS IMMUNIZATION ADMINISTRATION CURR...
Another way of committing fraud is to impersonate a licensed provider. For example, in 2022, a Texas woman was accused of using her ex-husband’s provider number to submit fraudulent claims to Medicaid for counseling services that were never provided, receiving more than $600,000 in fraudulent ...
The Health Law Firm and its attorneys routinely represent physicians, dentists, medical groups, clinics, home health agencies skilled nursing facilities (SNFs), group facilities for the developmentally disabled, hospitals, and other health care providers in preparing for and responding to audits and si...
The Consumer Financial Protection Bureau bans medical debt from credit reports, seeking to protect consumers but raising concerns... Breaking down claim denial rates by healthcare payer Rising claim denial rates challenge healthcare providers, increasing revenue losses, staff burden and patient dissatisf...
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services....
Part A Medicarehospital insurance Part B Medicalinsurance Part C MedicareAdvantage plans Part D Prescription Drug Insurance(Outpatient) Part A and B, known as Original Medicare provides eligible individuals with coverage and access to doctors, hospitals and other health care providers who accept Medicare...
insurance to certain low-income families and individuals. To qualify for Medicaid, certain financial criteria must be met. A large number of Americans have applied for, and receive these health insurance benefits. Many other people have no health insurance and live in dread of a medical emergency...
law designed to protect patients’ medical records and other health information provided to health plans, doctors, hospitals, and other health care providers. These standards give patients access to their medical records and more control over how their personal health information is used. 49...
CDS, DSSW, and LifeSpan are among the largest providers of Star Plus (STAR+PLUS) Medicaid services in Texas.