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BILLING RESOURCE MANUAL - Georgia …

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 .

Part I-The Policies and Procedures section focuses on the terms and conditions of billing and reimbursement from 3 rd party payers. It provides guidance on eligibility & …

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