Healthcare Receivables Management
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https://www.aota.org/-/media/corporate/files/advocacy/federal/coding/2024-frequently-used-ot-cpt-codes.pdf
25/09/2024
New Medicaid rates effective 10/01/2024
23/04/2024
Florida issues Medicaid managed care awards booting out UnitedHealth, CVS and Molina Meanwhile, Centene, Elevance and Humana held onto statewide contracts. The reprocurement was especially positive for Centene, which had been expected to lose market share, analysts said.
22/04/2024
https://store.dominos.cards/43036
Slice the price cards available now for sale! Buy one pizza, get one free. NO LIMIT!!!! Great for parties (Let's go Celtics!!!) and last minute dinner for us that are always on the run.
Make sure to give Masimo's name as the player you support :)
Help us raise $3,000! — Northeast HS Hurricanes Baseball Please help Northeast HS Hurricanes Baseball! We need help raising money towards the baseball team! Your support is greatly appreciated!
12/04/2024
Important Update: Swallowing Therapy Guidelines TNFL issued a bulletin on January 19, 2024 that contained information related to Swallowing Therapy guidelines that may have caused confusion. This bulletin relayed that a “significant update regarding coverage policies at TNFL”, which was incorrect.
09/04/2024
09/04/2024
https://neolytix.com/occupational-therapy-medical-billing-coding-guide/
Occupational Therapy Medical Billing Guide For 2024 What do you need to know about occupational therapy medical billing and coding? Here we present a crash course to get your practice up to speed for 2024.
09/04/2024
https://neolytix.com/speech-therapy-medical-billing-coding/
Speech Therapy Medical Billing Guide For 2024 Neolytix presents a 101 guide to speech therapy medical billing. Learn about different CPT Codes, modifiers and other details guaranteed to improve your cashflows!
12/11/2023
https://ahca.myflorida.com/procurements
Specifically https://www.surveymonkey.com/r/CVT6WG3 to give feedback.
FLORIDA MEDICAID: STATEWIDE MEDICAID MANAGED CARE (SMMC) PROVIDER COMMENTS SURVEY Take this survey powered by surveymonkey.com. Create your own surveys for free.
The Agency for Health Care Administration (Agency) is working to address concerns surrounding the delivery of OT, PT, and SLP therapy services under Telemedicine Rule 59G-1.057. Florida Medicaid intends to cover telemedicine in accordance with guidance from the American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS). As indicated in the May 4, 2023 Provider Alert, Florida Medicaid will no longer cover audio-only telehealth services.
Florida Medicaid currently reimburses for telehealth visits at the same rate as face-to-face visits in accordance with current promulgated Florida Medicaid Fee Schedules; both the GT modifier and POS 02 must be appended to the claim. Providers should reference AMA CPT guidelines for the list of applicable therapy codes that are reimbursable via telemedicine.
Please note: health plans have the flexibility to cover services above and beyond the Agency’s fee schedules and coverage policies; however, health plans cannot be more restrictive in coverage than the Agency and promulgated rule, as detailed in their contract. Providers should review their contract with the managed care plans for questions regarding health plan coverage of audio-only telehealth services. For questions and technical support related to fee-for-service claims, please contact the Florida Medicaid Helpline at 1-877-254-1055.
14/09/2023
Stepping Up on Failure to Cover Mandated Medicaid Speech-Language-Hearing Services for Children ASHA members can help foster states’ compliance with a new law that requires increased federal oversight of how well state Medicaid programs and their managed care organizations discover and treat children’s health conditions.
Regarding Medicaid Telehealth, I was hoping we would see an AHCA alert this past week about telehealth, but they seem to still be working on it so here is what I understand is the current status:
What we Know:
Telehealth is allowed by statute.
All MMA plans should still be paying for telehealth.
AHCA by some oversight did not have their straight Medicaid system set to pay the GT or 59 modifier or the 02 POS so in 2019 the Alliance requested that they address and fix this with their vendor Gainwell. We were working through providing them what they needed to complete the system edit in early 2020 and thought they were pushing the final changes through but then COVID flexibilities hit, and I guess instead of finalizing the system edits they just moved on and forgot about it.
The Alliance and the FLASHA Medicaid Committee have been working with AHCA to get this remedied and had to provide supporting documentation to AHCA multiple times related to telehealth for our professions.
AHCA says they have everything they need for the update to straight Medicaid and are working on getting the change made so that the claims will pay.
It is unclear WHEN they will have it working.
AHCA does not feel it is necessary to include a statement about telehealth being allowed in any of the coverage policies (SLP, PT, OT, EIS) because it is AHCA’s position that telehealth is addressed in the statute.
Dear Provider,
CareSource is planning to enter the state of Florida to offer Medicaid in 2025 and we are inviting you to join our network as a participating provider.
Please review our contract packet with compensation information by opening the DocuSign link below or the attached PDF packet.
Joining is easy! Please sign the CareSource Provider Agreement, complete the W-9 form, and complete the Provider Roster.
Deadline to submit documents: Friday, September 22, 2023
You may submit your completed documents through one of the following methods:
Docusign: CareSource FL 2022 Provider Contract Packet
Email: [email protected]
Fax: 1-(800) 476-5405
Mail: 9450 SW Gemini Dr
STE 38552
Beaverton, Oregon 97008
14/07/2023
In order to enhance service delivery for our children and families, we are now extending the opportunity to include therapy assistants. This language is already included in your new Provider Agreement. Assistants may be reimbursed up to $57.60 per session, depending on the discipline and length of session. They are also eligible for travel reimbursement and NESF in defined zip codes, just like therapists.
We encourage you to reach out to Angie Gonzalez, Provider Relations Manager at 561.954.9417 or [email protected] to discuss enrolling your therapy assistants.
Thank you,
Treasure Coast Early Steps Program
213 South Congress Avenue
West Palm Beach, FL 33409
2100 SE Hillmoor Drive, Unit 104
Port St. Lucie, FL 34952
2010 Crosby Way
Witner Park, FL 32792
MISSION - DIVERSITY - INCLUSIVITY
www.easterseals.com/florida
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This transmission may contain material that is CONFIDENTIAL under federal and Florida statutes and is intended to be delivered to only the named addressee. Unauthorized use of this information may be a violation of criminal statutes. If this information is received by anyone other than the named addressee, the recipient shall immediately notify the sender at the address or the telephone numbers listed above and obtain instructions as to the disposal thereof. Under no circumstances shall this material be shared, retained or copied by anyone other than the named addressee.
Easterseals Florida Changing the way the world defines and views disabilities by making profound, positive differences in people's lives every day.
https://www.floridaearlylearning.com/vpk/vpk-providers/specialized-instructional-services-providers
I just want to let you know that we identified that some recent claims for PT/ST/OT have denied for no authorization. Please tell your association members that we identified the cause of the denials and we were able to fix it on 3/3/23. No action is required of them as we are reprocessing all the impacted claims with a target completion date of 3/17/23. So they will start receiving the payments later this week into next week.
Let me know if you have any questions. Thanks.
Duenna Dorsett
13/11/2022
https://www.stepupforstudents.org/scholarships/unique-abilities/
Family Empowerment Scholarship (Previously Gardiner) - Step Up For Students Welcome to families who have been receiving the McKay Scholarship for the 2021-22 school year. We are here to help you with the transition to the Family Empowerment Scholarship for Students with Unique Abilities (FES-UA) that went into effect July 1, 2021.
13/11/2022
https://www.aaascholarships.org/parents/florida/
Florida Parents - AAA Scholarship Foundation Florida parents - Learn how to apply for a grade k-12 income based scholarship or education savings account for your child. We support school choice.
EARLY STEPS PROVIDERS/AGENCIES,
By 11/14/22 please go comment on this AHCA proposed EIS rule change if you haven’t already. Due before the public meeting
Email to: [email protected]
Website to see draft rule change (also attached as a pdf) 59G-4.085_EIS_POLICY_NOPR.pdf (myflorida.com)
Link to the the calendar if you want to read about the public meeting that will be 11/14 and can sign up to participate AHCA: Public Meetings (myflorida.com)
If you have 5 minutes please email them and say:
recommend/request they change section 6.0 to say “Summary, including progress notes, completed for each EIS session that specifies the following:” (replace AFTER with FOR).
EIS documentation requirements should be consistent with other coverage policies
Section 3.2.2 change to include dually enrolled licensed providers as provider types who may render EIS treatment sessions
07/09/2022