| Managed care; billing | |
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| Tweet Topic Started: Jun 17 2015, 09:19 AM (101 Views) | |
| J4sanford | Jun 17 2015, 09:19 AM Post #1 |
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Unregistered
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How do we bill for patients with managed care? |
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| LMFDew | Jun 25 2015, 09:14 AM Post #2 |
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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". |
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| Breastfeeding Friendly | Jul 16 2015, 09:59 AM Post #3 |
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Administrator
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See attached for the summary of CPSP Med-Cal billing attached here |
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billing_summary.pdf (11.42 KB)
6:14 AM Jul 11