Sunshine Health Provider Fee Schedule

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Billing and Claims Sunshine Health

(Just Now) WEBPlease see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more …

https://www.sunshinehealth.com/providers/Billing-manual.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBAmbetter from Sunshine Health includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Sunshine State …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/2023-FL-AmbProviderManual.pdf

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Clinical & Payment Policies - Ambetter from Sunshine Health

(5 days ago) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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PROVIDER QUICK REFERENCE GUIDE

(1 days ago) WEBContact the Sunshine Health Provider Services Department, 8am to 7pm EST, Mon-Fri, at phone 866-796-0530, or fax 866-614-4955, for assistance with the following services: …

https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.pdf

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WEBCommunity-Based Substance Abuse County Match Fee Schedule: Updated Fee Schedule [ 30.7 kB ] 2024 Promulgated Fee Schedule [ 30.7 kB ] 2023: Community Behavioral …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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CMS Issues Proposed Revisions to Open Payments/Sunshine Act …

(3 days ago) WEBKey Points: On July 29, 2019, CMS released its proposed 2020 Physician Fee Schedule rule, which includes the much anticipated proposed regulatory changes to the Sunshine …

https://www.akingump.com/en/insights/alerts/cms-issues-proposed-revisions-to-open-payments-sunshine-act

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Durable Medical Equipment (DME) and Medical Supplies

(3 days ago) WEBMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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Ambetter from Sunshine Health Payor Fee Schedule Change

(2 days ago) WEBHealth Payor Fee Schedule Change. Fecha: 02/09/21. Thank you for your continued partnership with Ambetter from Sunshine Health. Our goal is always to …

https://ambetter-es.sunshinehealth.com/provider-resources/provider-news/ambetter-from-sunshine-health-payor-fee-schedule-change.html

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Medicare Reimbursement for Mental Health Therapy by State [2024]

(5 days ago) WEB96.54%. OH - Ohio. STATEWIDE. $191.91. 98.18%. ( Source) Learn about Medicare Reimbursement Rates for Therapy by State in 2022. Compare localities to learn what …

https://therathink.com/medicare-reimbursement-by-state/

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FAIR Health Overview and Solutions - NYHPA

(1 days ago) WEBFAIR Health: Certified CMS Qualified Entity. Entitled to receive Parts A, B and D Medicare data for all. 50 states and Washington, DC. Issue probing reports on key …

https://nyhpa.org/wp-content/uploads/2018/06/5.31.18-FAIR-Health-Presentation-for-NYHPA.pdf

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