Sunshine Health Billing Guide

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Reminders for Billing Telehealth Services Sunshine Health

(Just Now) WEBBill Sunshine Health telehealth without the telemedicine modifiers GT, 95 or CR. Claim submissions for members who transitioned to Sunshine Health or CMS …

https://www.sunshinehealth.com/newsroom/telehealth-billing-update.html

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Provider and Billing Manual - Florida - Sunshine Health

(8 days ago) WEBBilling for “No-Shows” ----- 54 Premium Grace Period for Members Receiving Advanced Premium Tax Credits (APTCs)-----54 Premium Grace Period Practice Guidelines ----- …

https://ambetter-es.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/AMB-FL-Combined_Manual.pdf

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Telehealth Services - Sunshine Health

(5 days ago) WEBDon’t wait for an in-person visit. You can get easy access to a doctor when you want to see one. Sunshine Health offers telehealth services at no cost to you. This is your easy, 24-hour access to in-network providers for non …

https://www.sunshinehealth.com/members/medicaid/benefits-services/virtual-health.html

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Secure Provider Website - Sunshine Health

(9 days ago) WEBThe Health Record tab allows you to view a record of visits or medications for the patient Care plans are created by the health plan’s case manager to help manage the health.of …

https://provider.sunshinehealth.com/static/provider/docs/Secure_Provider_Website_Manual_NOV2017.pdf

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Provider Quick Reference Guide

(Just Now) WEBcontains our electronic Billing Manual which offers detailed information regarding claims billing instructions, requirements for the CMS 1500/837 Professional, and the UB04/837 …

https://www.sunflowerstatehealth.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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Sunshine Health Reimbursement 1. - www-fl.centene.com

(6 days ago) WEBin place. Sunshine Health will pay the Medicaid FFS rate for these services, unless the provider was paid more. We will pay that higher amount for the first 30 days. • Sunshine …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/SH-EIS-TCM-Billing-Reimbursement-Overview.pdf

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A Billing and Procedure Coding Guide: Home Health and …

(9 days ago) WEBThis guide covers: • Procedure codes by line of business • Common billing errors • How to file a corrected claim • What to do when Medicare is the primary form of health …

https://www.sunflowerstatehealth.com/content/dam/centene/Sunshine/pdfs/V5%20FINAL%208%208%2016%20Billing%20and%20Procedure%20Coding%20Guide%20vlh.pdf

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Sunshine Health and Targeted Case Management (TCM) …

(2 days ago) WEBSunshine Health Plan P.O. Box 3070 Farmington, MO 63640-3823 Attn: Claims Department Sunshine Health Plan P.O. Box 6900 Farmington, MO 63640-3818 Attn: …

https://www.easterseals.com/necfl/shared-components/document-library/sunshine-billing-instructions.pdf

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DSNP Billing for Medicaid-Covered Services Wellcare

(8 days ago) WEBDSNP Billing for Medicaid-Covered Services. September 8, 2023. As a valued provider for Wellcare DSNP members (Medicare/Medicaid eligible), Wellcare and …

https://www.wellcare.com/en/florida/providers/bulletins/dsnp-billing-for-medicaid-covered-services

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Sunshine Health Overview of Medical Foster Care Services …

(5 days ago) WEBc. Sunshine Health Secured Portal: MFC providers can register for access to the Sunshine Health secured portal to submit claims when key provider information has …

https://floridafapa.org/wp-content/uploads/2019/02/Sunshine-MFC-Billing.pdf

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Payment Policy: E&M Services Billed with Treatment Room …

(3 days ago) WEBReimbursement Guidelines. The health plan’s code editing software will evaluate claims billed with revenue codes 760, 761 and 769 that are billed in conjunction …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/policies/payment-policies/CC.PP.071_09292021.pdf

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Behavioral Health Telehealth Billing Quick Reference Guide

(3 days ago) WEBshould follow your state Medicaid billing requirements for appropriate modifier use. The following guidance is intended to assist providers in billing for telehealth services. …

https://public.providerexpress.com/content/dam/ope-provexpr/us/pdfs/home/covid-19/post_phe/4840BPost-PHE_Bill.pdf

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Provider and Billing Manual 2024 - Ambetter

(Just Now) WEBCoordinated Care Corporation is a Qualif ied Health Plan issuer in the Washington Health Benef it Exchange. PRO_120107E Internal Approved 01/01/2024 BILLING THE …

https://www.ambetterhealth.com/content/dam/centene/Coordinated%20Care/ambetter/PDFs/WA-2024-Ambetter-Provider-Manual.pdf

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HealthPlan - redirect.centene.com

(4 days ago) WEBYou can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan …

https://redirect.centene.com/?RedirectURL=cms-sunshinehealth.com

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Health Insurance Portability and Accountability Act of 1996 (HIPAA)

(9 days ago) WEBThe Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient …

https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html

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A Quick Guide to Medicare and Medicaid.

(7 days ago) WEBMedicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and usually Part D. • In many cases, you can only use doctors who are in the plan’s …

https://www.medicare.gov/media/publication/12207-a-quick-guide-to-medicare-medicaid.pdf

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Your Essential Guide to Cancer Screenings AdventHealth

(9 days ago) WEBCervical Cancer Screening. The USPSTF recommends women ages 21 to 29 get a Pap test, also known as a pap smear, once every three years. Women ages 30 to …

https://www.adventhealth.com/blog/your-essential-guide-cancer-screenings-by-age

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Medical Billing near North Bergen, NJ - Better Business Bureau

(3 days ago) WEBHSS Services. Medical Billing. BBB Rating: A+. (201) 945-2481. 605 Broad Ave Suite 106, Ridgefield, NJ 07657-1604. Get a Quote.

https://www.bbb.org/us/nj/north-bergen/category/medical-billing

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AM/PM Walk-In Urgent Care Clinic Bergenfield, Cliffside Park, …

(7 days ago) WEBCall Us: (201) 267-6600. Book Now. Book Appointment. AM/PM Walk-In Urgent Care has offices in Bergenfield, Cliffside Park, Norwood, and North Bergen, NJ. No appointment …

https://www.ampmwalkinurgentcare.com/

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HMH Palisades Medical Center-Outpatient Counseling Center-NB

(4 days ago) WEBOur office offers individual, group and intensive outpatient services for children (age 10+), adolescents and adults dealing with behavioral health issues.

https://www.hackensackmeridianhealth.org/en/locations/hmh-palisades-medical-center-outpatient-counseling-center-nb

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