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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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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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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 Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Section 1861(iii)(3)(D)(i) of the Social Security Act defines a qualified home infusion therapy supplier as a pharmacy, physician, or other provider of services or supplier licensed by the State in which the pharmacy, physician, or provider of services or supplier furnishes items or services.

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Understanding Mental Health Telehealth Billing

Medisys Compliance

The provider must adhere to the telehealth regulations and guidelines established by their respective state’s licensing board. Covered Services: Understanding what services are covered is fundamental.