Molina Telehealth Billing Guidelines 2023

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Medicare Physician Fee Schedule Final R…

(5 days ago) WEBBill the service code you would usually that denotes the service rendered. Use the place of service code that describes where the member is -. 02 - Telehealth Provided Other than in Patient’s Home. 10 - Telehealth Provided in Patient’s Home. Add modifier 95 if the distant site is designated as a nonfacility.

https://www.cms.gov/files/document/mm12982-medicare-physician-fee-schedule-final-rule-summary-cy-2023.pdf

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Microsoft Word - 2023-Telemedicine-and-Telehealth-Services

(3 days ago) WEBMPBID: Telemedicine, Telehealth Services and Virtual Visits: Benefit Interpretation Policy Version 3.0 Policy Number: 0055 1/1/2023 Molina Healthcare, Inc. ©2022 – This document contains confidential and proprietary information of Molina Healthcare and cannot be reproduced, distributed, or printed without written permission from Molina

https://www.molinamarketplace.com/marketplace/ky/en-us/Providers/-/media/Molina/PublicWebsite/PDF/Providers/common/BI/2023-Telemedicine-and-Telehealth-Services.pdf

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MolinaHealthcare.com/NV

(1 days ago) WEBMolina Healthcare of Nevada May 2024 . Nevada Medicaid Web Announcement 3305: Updates Regarding Telehealth for Behavioral Health Services . Dear Providers, During the 82. nd. Nevada Legislative Session (2023), Senate Bill (SB) 119 passed providing for the continuation of certain telehealth services. The Division of Health Care Financing and

https://www.molinahealthcare.com/providers/nv/medicaid/communications/~/media/Molina/PublicWebsite/PDF/Providers/nv/2024/BHTelehealth_Bulletin_Faxblast_Final_508

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COVID-19 Telehealth Billing - Molina Healthcare

(1 days ago) WEBHealth Clinics should follow their normal billing process but simply adjust the POS to 02. • Documentation should follow normal guidelines established and described in the CPT-Manual. MolinaHealthcare.com COVID-19 Telehealth Billing *Please note that state regulators may provide additional guidance.

https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/common/medicare/COVID-19-Telehealth-Provider-Notice.pdf

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Molina COVID Telehealth Billing Policy- Medicaid Behavioral …

(1 days ago) WEBMolina COVID Telehealth Billing Policy- Medicaid Behavioral Health Providers. Report the service modality code (CPT or HCPC code) from SERI as you would if the encounter was in person. If your EHR allows you to report the encounter as described in SERI, using the “02” place of service (POS) indicator, do so.

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/comm/COVID-Behavioral-Health-Telehealth-Billing-Policy_508c.pdf

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Telehealth billing reminders for Medicaid - Molina Healthcare

(7 days ago) WEBAdditionally, Molina is now able to accept claims for telehealth, including those back to March 1, 2020. There is no prior authorization required or copay for telehealth services. For Medicare and Marketplace, please follow CMS billing guidelines. If you have questions you may contact your Molina representative at:

https://www.molinahealthcare.com/-/media/Files/Fax-Blasts/Telehealth-Billing-Reminders-072121.pdf

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Molina Healthcare Billing Requirements

(1 days ago) WEB508 Approval Date: 07/11/2023 Molina Healthcare Billing Requirements Purpose This policy is intended to ensure correct provider reimbursement and serves only as a general resource regarding Molina Healthcare’s reimbursement policy for the services described in this policy. based on the specific requirements of the payer or billing

https://www.molinamarketplace.com/-/media/Molina/PublicWebsite/PDF/Providers/common/PIA-Payment-Policies/Molina-PI-Policy-Website/508-Approved-PDF/M/Molina-Healthcare-Billing-Requirements.pdf

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Provider Bulletin: Telehealth Place of Service (POS) 02 and GT …

(Just Now) WEBThe ODM Telehealth Billing Guidelines are posted on their website. Effective Nov. 15, 2020, Telehealth place of service (POS) 02 should NOT be billed on claims submitted to Molina Healthcare, and claims must be billed with the GT modifier, unless stated otherwise in ODM’s telehealth billing guidelines. Molina encourages providers to adopt

https://www.molinamarketplace.com/marketplace/oh/en-us/Providers/Communications/-/media/Molina/PublicWebsite/PDF/Providers/oh/medicaid/comm/Telehealth-and-PM-Update-Page-PB-final-for-web.pdf

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AMA telehealth policy, coding & payment - American …

(9 days ago) WEBThe in-person requirement on Medicare telemental health services is delayed until on or after January 1, 2025. Medicare coverage and payment of audio only services will continue through December 31, …

https://www.ama-assn.org/practice-management/digital/ama-telehealth-policy-coding-payment

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MLN901705 - Telehealth Services - Centers for Medicare

(8 days ago) WEBPage 1 of 7. MLN901705 April 2024. We pay for specific Medicare Part B services that a physician or practitioner provides via 2-way, interactive technology (or telehealth). Telehealth substitutes for an in-person visit, and generally involves 2-way, interactive technology that permits communication between the practitioner and patient.

https://www.cms.gov/files/document/mln901705-telehealth-services.pdf

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Provider Manual - Molina Healthcare

(4 days ago) WEBWe update our provider manual from time to time as our policies and/or regulatory requirements change. As always, you may contact MHW at (800) 869-7165 or your regional Provider Service Representative if you have questions about the manual or about MHW in general. We value your participation.

https://www.molinahealthcare.com/providers/wa/medicaid/manual/provman.aspx

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TELEHEALTH FOR PROVIDERS: WHAT YOU NEED TO KNOW

(7 days ago) WEBDiscretion for Telehealth to allow covered providers to use popular non-facing communication apps to deliver telehealth during the COVID-19 PHE. This Notifcation of Enforcement Discretion for Telehealth expires on May 11, 2023. There is a 90-calendar day transition period for covered health providers to comply with HIPAA rules for the …

https://www.cms.gov/files/document/telehealth-toolkit-providers.pdf

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(Provider Handbook) Molina Healthcare of Michigan, Inc.

(6 days ago) WEBbilling guidelines. • Rendering Provider must comply with applicable federal and state guidelines for telehealth service delivery. For additional information on Telehealth and Telemedicine Claims and billing, please refer to the . Claims and Compensation section of this Provider Manual.

https://www.molinamarketplace.com/-/media/Molina/PublicWebsite/PDF/Providers/mi/Duals/2023-Medicare-MMP-Provider-Manual-September-2023-Final-R.pdf

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MM12982 - Medicare Physician Fee Schedule Final Rule …

(5 days ago) WEBFor 2023, you should continue billing telehealth claims with the place of service indicatoryou would bill for an in-person visit. You must use modifier 95 to identify them as telehealth services through the end of CY 2023 or the end of the year in which the PHE ends. Seelist of codes . added to the telehealth services list.

https://www.cms.gov/files/document/mm12982-medicare-physician-fee-schedule-final-rule-summary-cy-2023.pdf

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COVID-19 Telehealth Billing - molinamarketplace.com

(9 days ago) WEBWhen billing for telehealth for all lines of business for Molina Healthcare: As you provide telehealth services to your patients who are our members, please bill as you normally would but use POS 02. The claims will process for payment at the same rate as regular, in-person visits. Cost share will apply if applicable.

https://www.molinamarketplace.com/marketplace/nm/en-us/Providers/Communications/~/media/Molina/PublicWebsite/PDF/providers/nm/medicaid/comm/COVID_19_Telehealth_Provider_Notice.pdf

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Molina COVID Telehealth Billing Policy- Medicaid Behavioral …

(3 days ago) WEB* Please refer to the HCA Guidelines for services that should not be reported through telemedicine or telehealth (e.g. – Day Support, Mental Health Clubhouse, Residential services) Last Updated 7/9/2021 MHW PART #1440-2004 MHW-4/2/2020 Molina COVID Telehealth Billing Policy- Medicaid Behavioral Health Providers Acuity Level Modality …

https://join.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/COVID-Behavioral-Health-Telehealth-Billing-Policy.pdf

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Telehealth Molina Healthcare of Washington

(4 days ago) WEBGuidelines to Keep You Healthy When you are unable to travel to your doctor’s office, telehealth (receiving care by phone or video communication) is a useful service. Many clinics are starting to offer this service—without having to physically visit your doctor’s office. Molina Member Services at (800) 869-7165 (TTY 711), Monday

https://www.molinahealthcare.com/members/wa/en-us/mem/telehealth

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Claims and Compensation - Molina Healthcare

(7 days ago) WEBAll telehealth Claims for Molina Members must be submitted to Molina with correct codes for the plan type. Use the telehealth Place of Service (POS) Code 02, which certifies that the service meets the telehealth requirements. By coding and billing a place of service 02 with a covered telehealth procedure code, the Provider is certifying

https://blog.molinahealthcare.com/-/media/Files/2021-Medicaid-Manual/2021Section4_ClaimsandCompensationMedcaid_Clean_-FINAL.pdf

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Molina Healthcare Medicaid Provider Manual

(8 days ago) WEBMolina’s payer IDs for outlined OMES EDI transactions for dates of service on and after Feb. 1, 2023, are noted in the chart below. Molina’s payer ID is 20149 for EDI transactions with dates of service prior to Feb. 1, 2023. Inpatient Claims are based on the Member’s discharge date.

https://join.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/oh/medicaid/manual/OH-2023-Next-Generation-Medicaid-Provider-Manual.pdf

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Billing and coding Medicare Fee-for-Service claims - HHS.gov

(3 days ago) WEBBilling for Telehealth Encounters: An Introductory Guide on Fee-for-Service (PDF) – from the National Policy Center - Center for Connected Health Policy. Last updated: December 19, 2023. The latest guidance on billing Medicare Fee-for-Service (FFS) claims including telehealth codes and common mistakes.

https://telehealth.hhs.gov/providers/billing-and-reimbursement/billing-and-coding-medicare-fee-for-service-claims

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2023 MI Marketplace Provider Manual

(Just Now) WEBMolina Healthcare of Michigan, Inc. Marketplace Provider Manual 4 Any reference to Molina Members means Molina Healthcare Marketplace Members. Attn: Claims Recovery Department PO Box 2470 Spokane, WA 99210-2470 Phone: (866) 642-8999 Compliance and Fraud AlertLine If you suspect cases of fraud, waste, or abuse, you must report it to …

https://www.molinamarketplace.com/marketplace/mi/en-us/Providers/-/media/3E46B4755AB843A9A924FEFE3F481E6E.ashx

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Telemedicine Policy and Billing - Washington State Health …

(6 days ago) WEBTelemedicine – The delivery of health care services using interactive audio and video technology, permitting real-time communication between the client at the originating site and the provider, for the purpose of diagnosis, consultation, or treatment. Telemedicine includes audio-only telemedicine, but does not include

https://www.hca.wa.gov/assets/billers-and-providers/Telemedicine-policy-and-billing-08012022.pdf

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