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MARYLAND MEDICAID
SCHOOLED HEALTH CENTER
PROVIDER MANUAL
A Comprehensive Guide on CMS1500 Billing Procedures
for Schooled Health CentersRevised September 14, 20201Table of Contents
POLICY CHANGE HIGHLIGHTS
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How to fill out school-based health center billing

How to fill out school-based health center billing
01
Step 1: Gather all necessary documents such as patient information, medical records, and insurance information.
02
Step 2: Review the billing guidelines and requirements specific to your school-based health center.
03
Step 3: Complete the required forms for billing, including the patient's personal information, services provided, and any relevant codes.
04
Step 4: Verify insurance coverage and submit the claim to the appropriate insurance company or payer.
05
Step 5: Follow up on any denied or unpaid claims, resubmitting as necessary.
06
Step 6: Maintain accurate records of all billing activities for auditing purposes.
Who needs school-based health center billing?
01
School-based health centers, which are medical facilities located within or near schools, typically need school-based health center billing. This includes healthcare professionals, administrators, and billing staff working in these centers.
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What is school-based health center billing?
School-based health center billing refers to the process of submitting claims for services provided by health centers located within schools to insurance companies or government programs to receive reimbursement for those services.
Who is required to file school-based health center billing?
Health care providers working in school-based health centers, typically licensed professionals, are required to file school-based health center billing on behalf of the services they provide.
How to fill out school-based health center billing?
To fill out school-based health center billing, providers must collect patient information, document the services rendered, and complete the billing forms accurately, ensuring all required codes and details are included before submission.
What is the purpose of school-based health center billing?
The purpose of school-based health center billing is to obtain reimbursement for health services provided to students, which helps sustain the operation of the health center and ensure continued access to care for students.
What information must be reported on school-based health center billing?
Required information includes patient demographics, service dates, codes for services provided (CPT/HCPCS), provider identification, and any other relevant medical records to support the claim.
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