Sunshine health billing manual
WebSunshine Health is responsible for these services based on the SSMC contract rollout below: 12/18/2024 Early Intervention Services . 12/18/2024 ... EIS Provider Billing. 12/18/2024 • If Sunshine Health does not have contracts in place with all EIS certified providers when a region is implemented, we will do a single ... Web340B Covered Entities/Providers Billing Instructions [ 131.8 kB ] Preferred Drug Program Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Preferred Drug List Brand Name Drug Preferred List Prior Authorization Requirements and Forms Electronic Prior Authorizations Drug Criteria Summary of Drug Limitations
Sunshine health billing manual
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WebIn Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. The Agency successfully completed the implementation of the Statewide Medicaid Managed Care (SMMC) program in 2014. Under the SMMC program, most Medicaid recipients are enrolled in a health plan. WebWhen creating a new account on Sunshine Health's provider portal, please follow the general guidelines below: 1. Practice Account Manager creates an account request. 2. After Account Manager is granted access, all others can request access. 3. Account Manager reviews and approves access for others.
WebApr 22, 2024 · Sunshine Health: Provider Billing Manual (PDF) on Page 3 Staywell Health Plan: Download the guidelines on the Claims Page . Click on “837 Professional FFS Claims … WebImmunizations Billing Manual Covered Services Prior Authorization Pharmacy Administration of Vaccines Pharmacist Billing Guidelines Non-Covered Services and General Limitations Billing Information Billing for Members Ages 18 and Under Billing for Members Ages 19 and Over Vaccine Administration Codes and Reimbursement Rates
WebSunshine Health is a Managed Care Organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve Medicaid and other government services program ... The website contains our electronic Billing Manual, which offers detailed information regarding claims billing instructions, requirements for the 1500/837 ... WebWhen billing, you must use the most appropriate code as of the effective date of the submission. Unlisted, unspecified and nonspecific codes should be avoided. Each benefit …
WebIn order to bill for mental health visits furnished via telecommunications for dates of service on or after January 1, 2024, FQHCs should bill Revenue code 0900, along with the applicable FQHC Specific Payment Code and the FQHC PPS …
WebAmbulatory Surgery Center Billing Guidelines for Dates of Service On or After 9/1/2024 COVID-19 Comprehensive Billing Guidelines (4/10/2024) Home- and Community-Based Services Provider Rate Increases Telehealth Billing Guidelines Effective 07/15/2024 Telehealth Billing Guidelines for Dates of Service 11/15/2024 thru 07/14/2024 mosby\\u0027s ct review onlineWebThe handbooks provide detailed descriptions and instructions about covered services as well as billing instructions. Providers are responsible for compliance with all policy and … minemen mantheWebMember/Caregiver Portal. Create your own online account today! Sunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare … mine meloncholy guitar tabWebApr 1, 2016 · Sunshine Billing is a small private company offering one-of-a-kind healthcare support services throughout the nation. We have a proven track record of increasing … mosby\\u0027s ct review online loginWebDec 1, 2024 · We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. mine men\\u0027s clothingWeb2024 Provider & Billing Manual (PDF) ICD-10 Information W-9 Fax Cover Sheet (PDF) Ambetter Provider Toolkit 2024 Provider Training (PDF) 2024 Provider Training (PDF) Find a Provider Guide (PDF) Secure Provider Portal - Eligibility Verification Guide (PDF) Secure Provider Portal - PCP Referral Guide (PDF) Medical Management Pre-Auth Needed? mine melancholy bass tabWebJan 1, 2024 · 5. The administration of drugs and fluids other than antineoplastic agents, such as growth factors, antiemetics, saline, or diuretics, may be reported with CPT codes 96360- mosby\u0027s ct review online