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Basics of Provider Enrollment for Ohio Medicaid

Medisys Compliance

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

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General Requirements for Medicaid Providers in Florida

Medisys Compliance

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

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Understanding Mental Health Services Reimbursement Rates

Medisys Compliance

Provider type: Psychiatrists, psychologists, licensed clinical social workers, and licensed professional counselors typically have different reimbursement rates. Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures.

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Understanding CMS Behavioral Health Billing Guidelines: Essential Information for Providers

Medisys Compliance

Introduction The Centers for Medicare & Medicaid Services (CMS) establish specific billing guidelines for behavioral health services provided to Medicare beneficiaries. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. Additionally, you must be actively licensed or certified within your state. Familiarizing yourself with current telehealth billing guidelines established by CMS is essential to ensure proper reimbursement.

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Billing Behavioral Health Services: A Comprehensive Guide

Medisys Compliance

The following professionals are generally authorized to bill for behavioral health services: Psychiatrists: Medical doctors specializing in mental health, capable of diagnosing and treating psychiatric disorders, prescribing medications, and providing psychotherapy.

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Revised Updates for Renal Dialysis Billing

Medisys Compliance

The Centers for Medicare & Medicaid Services (CMS) on June 21, 2022, issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2023. Proposed ESRD Payment System.