Category: Billing

  • Billing and Policy Technical Assistance

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    http://www.nashp.org/wp-content/uploads/sites/default/files/abcd/abcd.nc.partIII.billing&policyta.pdf

  • Improving Early Childhood Health and Developmental Services Using EPSDT Policy: EPSDT Services and the Coding Conundrum

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    Improving Early Childhood Health and Developmental Services Using EPSDT Policy: EPSDT Services and the Coding Conundrum

  • Baseline Medical Chart Review Specifications

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    This is a document developed by Oregon for health plans participating in the Medicaid managed care ABCD III performance improvement project. It details the processes for sampling and auditing charts for information about developmental screening/concerns, referral to Early Intervention (EI), and feedback from EI.

  • OPIP Coaching Presentation: Using the 96110 Code for Developmental Screening: Options and Issues to Consider

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    TA document to assist providers in billing for developmental screening using CPT code 96110

  • Informational letter: Billing Developmental services

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    Iowa Department of Human Services, Iowa Medicaid Enterprise (Jan 11, 2007). This resource is an informational release to physicians, nurse practitioners, and screening centers regarding payment for use of standardized screening tools. Payment for a standardized screening tool is not included in the reimbursement for a child’s preventive office visit or E/M service. The letter also describes the appropriate billing codes to use for services.

  • Overview of using claims data to measure screening rates

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    Colleen Reuland (2007) Overview and tips for using claims data to measure the percent of children screened to identify developmental concerns.

  • Medicaid Paid Claims for Developmental Screening

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    Virginia ABCD Project (2007) Two charts showing Medicaid paid claims for developmental screening for children from birth through 5 years of age in Virginia for calendar years 2005 and 2006.

  • Reimbursement for Developmental Screenings in Preschool Children

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    Policy guidance on developmental screening, billing, and referral under CHIP

    WV Developmental Screenings Reimbursement Policy[1]

  • Recommended Developmental Screening Tools for Well-Child and EPSDT Visits

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    Policy guidance on developmental screening, billing, and referral under EPSDT

  • CHEC Provider Manual

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    EPSDT manual describing policy for providing developmental and behavioral health screening