Get the free Health Home PMPM Fee ScheduleDRAFT - dhs iowa

Health Home PerMemberPerMonth (PPM) Fee Schedule for FeeforService (FFS) Members Health Home PPM Fee Schedules for FFS Members: The claim must be billed using S0280 and one of the following modifiers:

How to fill out health home pmpm fee

How to fill out health home pmpm fee:

1. Start by gathering all the necessary information and documentation required for the pmpm fee. This may include patient information, provider information, and any relevant billing codes or service dates.
2. Access the appropriate form or online platform for submitting the pmpm fee. This could be through a health home billing system or a specific healthcare organization's portal.
3. Enter the patient's demographic and insurance information accurately. This should include their name, date of birth, address, and any relevant insurance policy numbers or identification codes.
4. Specify the health home services provided to the patient during the billing period. This could include care coordination, care management, medication management, or any other applicable services.
5. Include the billing codes and service dates for each service rendered. These codes help to identify the specific services provided and ensure accurate reimbursement.
6. Calculate the pmpm fee based on the agreed-upon rate and the number of eligible patients for the given period. This may involve multiplying the rate by the total number of patients included in the fee calculation.
7. Double-check all the entered information for accuracy and completeness before submitting the pmpm fee. Errors or missing information could lead to payment delays or denials.
8. Submit the completed pmpm fee electronically or by following the specific instructions provided by the billing platform or organization.
9. Keep a record of the submitted pmpm fee for future reference and auditing purposes.

Who needs health home pmpm fee:

1. Health home pmpm fee is typically required by healthcare organizations or providers participating in health home programs.
2. Health home programs aim to improve care coordination and management for individuals with complex medical and social needs, such as those with chronic illnesses or disabilities.
3. Providers offering health home services, such as care management agencies or primary care practices, may need to submit pmpm fees to receive reimbursement for the additional services provided to eligible patients.
4. Eligibility for health home services and the associated pmpm fee may vary by state and program requirements.
5. By implementing the pmpm fee, healthcare organizations can ensure sustainable funding to support the comprehensive care provided to individuals enrolled in the health home program.

For pdfFiller’s FAQs

What is health home pmpm fee?

The health home pmpm fee is a fixed monthly fee paid to health home providers for coordinating and managing the care of Medicaid members.

Who is required to file health home pmpm fee?

Health home providers participating in Medicaid programs are required to file the health home pmpm fee.

How to fill out health home pmpm fee?

Health home pmpm fee can be filled out through the designated online portal provided by the Medicaid program or by submitting the required forms to the relevant administrative body.

What is the purpose of health home pmpm fee?

The purpose of the health home pmpm fee is to incentivize health home providers to deliver cost-effective and high-quality care to Medicaid members while promoting care coordination and management.

What information must be reported on health home pmpm fee?

Health home pmpm fee may require reporting of the number of Medicaid members enrolled, services provided, care coordination activities undertaken, and other relevant data as specified by the Medicaid program.

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