Washington State Healthcare Billing Guidelines
Listing Websites about Washington State Healthcare Billing Guidelines
Provider billing guides and fee schedules
(Just Now) WebProvider billing guides and fee schedules Washington State Health Care Authority. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) for services and …
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Outpatient Hospital Services Billing Guide - Washington
(5 days ago) WebStep 1. Verify the patient’s eligibility for Apple Health. For detailed instructions on verifying a patient’s eligibility for Apple Health, see the Client Eligibility, Benefit Packages, and …
https://www.staging.hca.wa.gov/assets/billers-and-providers/outpatient-hospital-bg-20220401.pdf
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Provider Billing and Claims - Washington State Local …
(7 days ago) WebUse the resources on this page to manage your practice’s billing, or see our Provider Manual for more information. Please note that you can submit electronic or paper claims. …
https://www.chpw.org/provider-center/provider-training-and-resources/provider-billing-and-claims/
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Policies & Rules Washington Medical Commission
(3 days ago) WebMedical Directors: Roles, Duties and Responsibilities. Opioid Prescribing & Monitoring for Patients. Impact Statement. Nonsurgical Cosmetic Procedures: WAC 246-919-606. Pain …
https://wmc.wa.gov/policies-rules
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FQHC and RHC revised billing guides effective 1/1/2023
(4 days ago) WebThe Health Care Authority (HCA) published revised versions of the following billing guides, effective January 1, 2023: Federally Qualified Health Centers (FQHC) Billing Guide. …
https://content.govdelivery.com/accounts/WAHCA/bulletins/33fc7a6
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WAC 182-502-0150: - Washington
(8 days ago) WebProviders must meet the timely billing standards of the liable third parties in addition to the agency's billing limits. (6) When a client is covered by both medicare and medicaid, the …
https://apps.leg.wa.gov/WAC/default.aspx?cite=182-502-0150
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Insurance Coverage and Billing Washington State …
(Just Now) WebInsurance Coverage and Billing. State law requires health plans to cover the same preventive services required by federal law in 2016, which include tobacco cessation …
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Policy 2022 - Labor & Industries (L&I), Washington State
(9 days ago) WebThe Department is allowing coverage of the COVID-19 booster vaccine (code 0044A) for immunocompromised workers who reside in a nursing home, group home, or skilled …
https://www.lni.wa.gov/patient-care/billing-payments/fee-schedules-and-payment-policies/policy-2022
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Inpatient Hospital Services Billing Guide
(6 days ago) WebThe Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562 …
https://www.hca.wa.gov/assets/billers-and-providers/Inpatient-hospital-bi-20210101.pdf
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What consumers need to know about surprise or balance billing
(7 days ago) WebThe state and federal laws apply to all health plans. Surprise billing protections apply to all state-regulated health plans, state and school employee benefit plans and self-funded …
https://www.insurance.wa.gov/what-consumers-need-know-about-surprise-or-balance-billing
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Patient Bill of Rights Washington state Office of the Insurance
(8 days ago) WebCall us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday. Live chat with us. Contact us to ask an insurance question. Washington state's Patient Bill of Rights guarantees …
https://www.insurance.wa.gov/patient-bill-rights
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Billing L&I - Labor & Industries (L&I), Washington State
(4 days ago) WebFax to: 360-902-4567OR mail it to: Department of Labor & Industries PO Box 44291 Olympia, WA 98504-4291 . Most billing forms are available for download from the L&I …
https://www.lni.wa.gov/patient-care/billing-payments/billing-li/
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Frequently Asked Questions - Washington State Department of …
(2 days ago) WebWho is required to report data to the Washington PMP? Law requires licensed pharmacies and practitioners that dispense controlled substances in the state of Washington, or to …
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Provider Manual - Molina Healthcare
(4 days ago) WebWe update our provider manual from time to time as our policies and/or regulatory requirements change. As always, you may contact MHW at (800) 869-7165 or your …
https://www.molinahealthcare.com/providers/wa/medicaid/manual/provman.aspx
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Targeted Multidrug-resistant Organism Response Toolkit
(7 days ago) WebToolkit Overview Antibiotic resistance is a threat to everyone. Healthcare facilities should establish and follow policies for prevention and management of MDROs (MDRO risk …
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Outpatient Hospital Services Billing Guide - Washington State …
(3 days ago) WebHospitals must be approved by the Washington State Department of Health (DOH) as a diabetes education provider. For diabetes education services provided in a hospital …
https://www.hca.wa.gov/assets/billers-and-providers/outpatient-hosp-bi-20200401.pdf
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New rules for companies in 2024 Washington state Office of the
(3 days ago) WebConsolidated health care rulemaking (R 2023-07) eff 1-1-2024. Best interest standard for annuities (R 2023-05) eff 1-1-2024. Life Insurance Riders and Disclosures (R 2023-08) …
https://www.insurance.wa.gov/new-rules-companies-2024
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Custom Care & Coverage Just For You Kaiser Permanente
(7 days ago) WebYou can access your electronic health care and coverage information with non-Kaiser Permanente (third party) web and mobile applications. Important notice about a privacy …
https://healthy.kaiserpermanente.org/front-door
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New premium change transparency rule starts June 1
(4 days ago) WebSurprise billing and the Balance Billing Protection Act; Newsroom. News releases; Podcast: OIC Answers; Washington State Health Insurance Pool (WSHIP) …
https://www.insurance.wa.gov/news/new-premium-change-transparency-rule-starts-june-1
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Pharmacists prove effective, less costly care option for minor
(8 days ago) WebSPOKANE, Wash. — Greater use of pharmacists to treat minor illnesses could potentially save millions of dollars in health care costs, according to new research led by …
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Mental Health Services Billing Guide - Washington State …
(6 days ago) WebHealth is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple …
https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20210901.pdf
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Public Health Considerations for Correctional Health
(6 days ago) WebCorrectional health is community health. CDC provides treatment guidelines and other correctional health resources. Correctional health encompasses all aspects of health …
https://www.cdc.gov/correctional-health/about/index.html
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Telemedicine policy and billing guide - Washington State …
(Just Now) WebFor patients age 65 and older or on Medicare, go to Washington Connections select the “Apply Now” button. Mobile app: Download the in” or “create an account”. WAPlanfinder …
https://www.hca.wa.gov/assets/billers-and-providers/Telemedicine-bg-20230101.pdf
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Department of Human Services (DHS) - PA.GOV
(9 days ago) WebLocal, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or …
https://www.pa.gov/en/agencies/dhs.html
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Follow ICD-10 guidelines and code the highest degree of specificity
(7 days ago) WebOn Aug. 16, 2022, we issued a notice to the provider network for a new clinical edit for ICD-10’s Excludes1 criteria, which details diagnosis codes that shouldn’t be reported together …
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Implementation of SSB 5986 and updates to the Balance Billing
(9 days ago) WebSSB 5986 (PDF, 171 KB) adds ground ambulance balance billing protections to the Balance Billing Protection Act (BBPA). Rulemaking is necessary to revise Chapter 284 …
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Nursing Facilities Billing Guide - Washington State Health …
(5 days ago) WebAbout this guide*. This publication takes effect January 1, 2022 and supersedes earlier billing guides to this program. The Health Care Authority is committed to providing …
https://www.hca.wa.gov/assets/billers-and-providers/Nursing-facilites-bg-20220101.pdf
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Thirteen insurers request average 11.3% rate change for 2025 …
(3 days ago) WebWashington State Health Insurance Pool (WSHIP) assessment report; Filing instructions. Molina Healthcare of Washington, Inc. Inside: 41,454: 7.5%: Premera Blue Cross: …
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Substance Use Disorder Billing Guide - Washington State …
(5 days ago) WebCoverage Table. HCA covers the following substance use disorder (SUD) services with the coverage limitations listed in this guide. The following combinations of HCPCS or CPT® …
https://www.hca.wa.gov/assets/billers-and-providers/SUD-FFS-bg-20230701.pdf
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Physician-Related Services/Health Care Professional Services …
(4 days ago) WebWashington State Confidentiality Toolkit for Providers is a resource for providers required to comply with health care privacy laws. To learn more about the toolkit, visit the HCA …
https://www.hca.wa.gov/assets/billers-and-providers/Physician-related-services-bg-20221014.pdf
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Mental Health Services Billing Guide - Washington State …
(6 days ago) WebApril 1, 2022, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require …
https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20220401.pdf
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