Add Reply
Managed care; billing
Topic Started: Jun 17 2015, 09:19 AM (101 Views)
J4sanford
Unregistered

How do we bill for patients with managed care?
Quote Post Goto Top
 
LMFDew

Managed Care uses the standard CPSP Zcodes that can be found on the medi-cal feel schedule, another thread here lists them individually. You want to check you contract compensation section to see if CPSP are payable services, many modern contracts are paid by capitation with very few fee for service carve-out's and health plans include CPSP services like lactation support under capitated services.

This was a fairly unknown service you may be able to ask for lactation education to be paid as a "carve-out".
Offline Profile Quote Post Goto Top
 
Breastfeeding Friendly
Member Avatar
Administrator
See attached for the summary of CPSP Med-Cal billing attached here
Attached to this post:
Attachments: billing_summary.pdf (11.42 KB)
Offline Profile Quote Post Goto Top
 
1 user reading this topic (1 Guest and 0 Anonymous)
« Previous Topic · Workshop · Next Topic »
Add Reply

All rights reserved, 2015.