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Wisconsin MedicaidCertification and Ongoing Responsibilities1 Page 1 of 136Wisconsin MedicaidArchive Date:03/02/2009Certification and Ongoing Responsibilities:CertificationCategories of Certification
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To fill out a billing rendering provider, follow these steps:
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Start by providing your name and contact information.
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Fill in the details of the service or procedure that was rendered.
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Include the CPT (Current Procedural Terminology) code of the procedure.
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Specify the date on which the service was performed.
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Indicate the place of service, such as an office or hospital.
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Include the diagnosis or reason for the service.
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Provide information on any additional procedures or services performed.
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Include the total charges for the rendered service.
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Specify the payment terms and any applicable insurance information.
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Billing rendering providers are needed by healthcare professionals, such as doctors, nurses, therapists, and other medical practitioners.
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The billing/rendering provider is the individual or entity responsible for submitting claims for healthcare services rendered to patients.
Healthcare providers, such as physicians, hospitals, clinics, and other facilities, are required to file billing/rendering provider for the services they provide.
Billing/rendering provider forms typically require information such as patient demographics, insurance information, diagnosis codes, procedure codes, and provider information. This information can be filled out manually or electronically.
The purpose of billing/rendering provider is to request reimbursement from insurance companies or government programs for healthcare services provided to patients.
Information such as patient name, date of service, healthcare provider's NPI number, diagnosis codes, procedure codes, and service charges must be reported on billing/rendering provider.
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