Transcription of BILLING RESOURCE MANUAL
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BILLING RESOURCE MANUAL
BILLING RESOURCE MANUAL December 2013 Public Health BILLING RESOURCE MANUAL December 2013 Preface ~ i ~ PREFACE The Public Health BILLING RESOURCE MANUAL provides policy & procedural guidance on how to bill 3rd party payers for public health programs and services. Developed as a BILLING RESOURCE tool; its purpose is to assist state, district and county public health staff in understanding the insurance coding and BILLING process. Part I-The Policies and Procedures section focuses on the terms and conditions of BILLING and reimbursement from 3rd party payers. It provides guidance on eligibility & verification, coordination of benefits and BILLING procedures to avoid delays in reimbursement. Part II-The BILLING & Coding: Methodologies & Rates section emphasizes the importance of the clinical components of CPT coding to ensure 3rd party payers are charged at the appropriate level of service delivery and reimbursement.
1.2 Enrollment Process New providers are now able to use the GHP’s Web Portal as a single source system to complete an electronic Georgia Medicaid enrollment and CMO credentialing.
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