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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F02601 (01/2020)STATE OF WISCONSIN 12 BED ADULT FAMILY HOME (AFH) APPLICATION INSTRUCTIONS: Completion of this form is not required through
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Start by gathering all the necessary billing information for the specific service you are providing.
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Submit the completed billing guidance document according to the specified submission process or to the appropriate department/person.

Who needs billing guidance by service?

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Anyone who is providing a service and needs to accurately fill out billing information can benefit from using the billing guidance document.
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This includes professionals in the healthcare industry, contractors, freelancers, service providers, and any individual or organization that requires billing documentation.

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Billing guidance by service provides detailed instructions and requirements for billing various services offered, including coding and documentation necessary for accurate billing.
Healthcare providers and organizations that offer reimbursable services and need to report billing information to payers are required to file billing guidance by service.
To fill out billing guidance by service, one must follow specific coding guidelines, include accurate service descriptions, enter appropriate billing codes, and ensure compliance with payer requirements.
The purpose of billing guidance by service is to standardize the billing process, ensure accurate reimbursement, and provide clarity on service coding and documentation requirements.
Billing guidance by service must report service codes, descriptions, provider information, patient records, and any other data required for proper reimbursement.
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