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What is CPT Code 90791 ? When & How To Use It

Medisys Compliance

Can I use my license to bill CPT code 90791? Contrary to CPT code 90792, CPT code 90791 does not require billing by a qualified medical professional. These are the diagnostic standards of Minnesota, where CPT30 was put up. Is pre-authorization required for CPT code 90791?

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Understanding Modifiers for Mental Health Billing

Medisys Compliance

It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare. AJ Modifier – Licensed Clinical Social Worker (LCSW) The AJ modifier is used to identify services provided by a Licensed Clinical Social Worker (LCSW).

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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Section 1861(iii)(3)(D)(i) of the Social Security Act defines a qualified home infusion therapy supplier as a pharmacy, physician, or other provider of services or supplier licensed by the State in which the pharmacy, physician, or provider of services or supplier furnishes items or services.

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General Requirements for Medicaid Providers in Florida

Medisys Compliance

Licensure is the process by which healthcare providers obtain a license to practice in the state of Florida. The licensing process includes completing education and training requirements, passing a national exam, and meeting other requirements specific to the provider’s field of practice.

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Direct Billing by MFTs and MHCs: A Comprehensive Guide for Year 2024

Medisys Compliance

Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. Additionally, you must be actively licensed or certified within your state. You need to possess a master’s or doctorate degree qualifying for licensure or certification as an MFT or MHC in your state.

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Mental Health Billing and Credentialing Services for Solo Practitioners

Medisys Compliance

Here are the general steps involved: Gather Required Documents: Collect all the necessary documents, such as your professional license, certifications, malpractice insurance, and practice information. Complete Applications: Fill out the applications for the insurance companies you wish to contract with.

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Understanding Mental Health Telehealth Billing

Medisys Compliance

The provider must adhere to the telehealth regulations and guidelines established by their respective state’s licensing board. Covered Services: Understanding what services are covered is fundamental.