Washington State Healthcare Billing Guidelines

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Provider billing guides and fee schedules Washington …

(Just Now) WEBProvider billing guides and fee schedules Washington State Health Care Authority. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) for services and …

https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules

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WAC 182-502-0150: - Washington

(8 days ago) WEBProviders must meet the timely billing standards of the liable third parties in addition to the agency's billing limits. (6) When a client is covered by both medicare and medicaid, the …

https://apps.leg.wa.gov/WAC/default.aspx?cite=182-502-0150

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Outpatient Hospital Services Billing Guide - Washington

(5 days ago) WEBStep 1. Verify the patient’s eligibility for Apple Health. For detailed instructions on verifying a patient’s eligibility for Apple Health, see the Client Eligibility, Benefit …

https://www.staging.hca.wa.gov/assets/billers-and-providers/outpatient-hospital-bg-20220401.pdf

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Provider Billing and Claims - Washington State Local …

(7 days ago) WEBUse the resources on this page to manage your practice’s billing, or see our Provider Manual for more information. Please note that you can submit electronic or paper claims. CHPW accepts electronic claims via the …

https://www.chpw.org/provider-center/provider-training-and-resources/provider-billing-and-claims/

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What consumers need to know about surprise or balance …

(7 days ago) WEBThe state and federal laws apply to all health plans. Surprise billing protections apply to all state-regulated health plans, state and school employee benefit plans and self-funded …

https://www.insurance.wa.gov/what-consumers-need-know-about-surprise-or-balance-billing

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Medical providers and the Balance Billing Protection Act

(1 days ago) WEBSome self-funded group health plans have also opted to follow Washington’s Balance Billing Protection Act and provide greater protections to their enrollees. All health …

https://www.insurance.wa.gov/medical-providers-and-balance-billing-protection-act

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Prescription Drug Program Billing Guide - Washington State …

(5 days ago) WEBThe Health Care Authority is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please …

https://www.hca.wa.gov/assets/billers-and-providers/prescription-drug-bg-20210701.pdf

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Policy 2022 - Labor & Industries (L&I), Washington State

(9 days ago) WEBThe Department is allowing coverage of the COVID-19 booster vaccine (code 0044A) for immunocompromised workers who reside in a nursing home, group home, or …

https://www.lni.wa.gov/patient-care/billing-payments/fee-schedules-and-payment-policies/policy-2022

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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 …

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

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Frequently Asked Questions - Washington State Department of …

(2 days ago) WEBWho is required to report data to the Washington PMP? Law requires licensed pharmacies and practitioners that dispense controlled substances in the state of Washington, or to …

https://doh.wa.gov/public-health-provider-resources/healthcare-professions-and-facilities/prescription-monitoring-program-pmp/frequently-asked-questions

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Targeted Multidrug-resistant Organism Response Toolkit

(7 days ago) WEBToolkit Overview Antibiotic resistance is a threat to everyone. Healthcare facilities should establish and follow policies for prevention and management of MDROs (MDRO risk …

https://doh.wa.gov/public-health-provider-resources/healthcare-professions-and-facilities/healthcare-associated-infections/mdro-and-antibiotic-stewardship/mdro-toolkit

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Outpatient Hospital Services Billing Guide - Washington State …

(3 days ago) WEBHospitals must be approved by the Washington State Department of Health (DOH) as a diabetes education provider. For diabetes education services provided in a …

https://www.hca.wa.gov/assets/billers-and-providers/outpatient-hosp-bi-20200401.pdf

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Custom Care & Coverage Just For You Kaiser Permanente

(7 days ago) WEBYou can access your electronic health care and coverage information with non-Kaiser Permanente (third party) web and mobile applications. Important notice about a privacy …

https://healthy.kaiserpermanente.org/front-door

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Accessing and receiving health care services and benefits (R 2022 …

(6 days ago) WEBSurprise billing and the Balance Billing Protection Act; Newsroom. News releases; Podcast: OIC Answers; Washington State Health Insurance Pool (WSHIP) …

https://www.insurance.wa.gov/accessing-and-receiving-health-care-services-and-benefits-r-2022-03

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Pharmacists prove effective, less costly care option for minor

(8 days ago) WEBSPOKANE, Wash. — Greater use of pharmacists to treat minor illnesses could potentially save millions of dollars in health care costs, according to new research led …

https://news.wsu.edu/press-release/2024/05/28/pharmacists-prove-effective-less-costly-care-option-for-minor-illnesses/

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New York State Medicaid Billing Guidelines for Administering …

(1 days ago) WEBPractitioner Administered Drug Update: BrixadiTM Billing Guidance. Effective April 1, 2024, for New York State (NYS) Medicaid fee-for-service (FFS), practitioners must submit a …

https://www.health.ny.gov/health_care/medicaid/program/update/2024/docs/mu_no4_apr24_pr.pdf

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Follow ICD-10 guidelines and code the highest degree of specificity

(7 days ago) WEBOn Aug. 16, 2022, we issued a notice to the provider network for a new clinical edit for ICD-10’s Excludes1 criteria, which details diagnosis codes that shouldn’t be reported …

https://www.priorityhealth.com/provider/manual/news/billing-and-payment/05-23-2024-follow-icd-10-guidelines

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Department of Human Services (DHS) - PA.GOV

(9 days ago) WEBLocal, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or …

https://www.pa.gov/en/agencies/dhs.html

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Public Health Considerations for Correctional Health

(6 days ago) WEBCorrectional health is community health. CDC provides treatment guidelines and other correctional health resources. Correctional health encompasses all aspects …

https://www.cdc.gov/correctional-health/about/index.html

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Determine which type of crop losses you will be adjusting

(3 days ago) WEBWashington state residents will need to take and pass the Washington state crop-adjuster exam, once that is completed you may apply for your crop-adjuster license …

https://www.insurance.wa.gov/determine-which-type-crop-losses-you-will-be-adjusting

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LA launches plan to tackle medical debt making hospitals unhappy

(1 days ago) WEB1:06. LOS ANGELES — Los Angeles County has launched one of the most ambitious efforts in the nation to tackle medical debt, targeting hospitals for their role in …

https://www.usatoday.com/story/news/health/2024/05/28/medical-debt-los-angeles-hospitals/73845854007/

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Implementation of SSB 5986 and updates to the Balance Billing

(9 days ago) WEBSSB 5986 (PDF, 171 KB) adds ground ambulance balance billing protections to the Balance Billing Protection Act (BBPA). Rulemaking is necessary to …

https://www.insurance.wa.gov/implementation-ssb-5986-and-updates-balance-billing-protection-act-bbpa-r2024-01

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New premium change transparency rule starts June 1

(4 days ago) WEBSurprise billing and the Balance Billing Protection Act; Newsroom. News releases; Podcast: OIC Answers; Washington State Health Insurance Pool (WSHIP) …

https://www.insurance.wa.gov/news/new-premium-change-transparency-rule-starts-june-1

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Search for DHS Pages and Documents Commonwealth of …

(Just Now) WEBLocal, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or …

https://www.pa.gov/en/agencies/dhs/dhs-search.html

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Thirteen insurers request average 11.3% rate change for 2025 …

(3 days ago) WEBWashington State Health Insurance Pool (WSHIP) assessment report; Filing instructions. Molina Healthcare of Washington, Inc. Inside: 41,454: 7.5%: Premera …

https://www.insurance.wa.gov/news/thirteen-insurers-request-average-113-rate-change-2025-individual-health-insurance-market

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Nursing Facilities Billing Guide - Washington State Health …

(5 days ago) WEBAbout this guide*. This publication takes effect January 1, 2022 and supersedes earlier billing guides to this program. The Health Care Authority is …

https://www.hca.wa.gov/assets/billers-and-providers/Nursing-facilites-bg-20220101.pdf

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Dental-Related Services Program Billing Guide - Washington …

(7 days ago) WEBprograms for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children’s health insurance program …

https://www.hca.wa.gov/assets/billers-and-providers/Dental-Related-Serv-bg-20220101.pdf

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Mental Health Services Billing Guide - Washington State …

(6 days ago) WEBApril 1, 2022, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require …

https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20220401.pdf

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