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

Medisys Compliance

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. Eligibility and Covered Services To directly bill Medicare, you must meet specific eligibility criteria. The next step involves enrolling as a Medicare provider.

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Billing Medicare Telehealth during COVID-19 PHE

Medisys Compliance

During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located. Some important changes to Medicare telehealth coverage and reimbursement during this period include: Location. Eligible providers.

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Medicare Coverage for Chiropractic Manipulative Treatment (CMT)

Medisys Compliance

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Medicare Coverage. Only a qualified home infusion therapy supplier can bill for services under the new home infusion therapy services benefit.

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Billing for Medicare Annual Wellness Visit (AWV)

Medisys Compliance

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

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Basics of Provider Enrollment for Ohio Medicaid

Medisys Compliance

The application will require you to provide information about your practice, including your tax identification number, National Provider Identifier (NPI) number, and license number. You may also need to provide documentation to support your application, such as copies of your licenses or certifications.

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Understanding Modifiers for Mental Health Billing

Medisys Compliance

GT Modifier – Synchronous Telehealth Services [Medicare] The GT modifier is specifically used for Medicare claims to indicate that mental health services were provided through synchronous telehealth. It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare.