Get the free DCDHS Crisis Billing Roster Form Instructions Contents

Crisis Billing Module OverviewRevised 4/18/2024The Crisis Billing workflow will be completed in the Dane County Crisis Billing Module. The workflow, start to finish, will be as follows: Dane County

How to fill out dcdhs crisis billing roster

How to fill out dcdhs crisis billing roster

1. Obtain the DCDHS crisis billing roster template from the official website or designated department.
2. Fill in the individual's name in the designated column, ensuring correct spelling.
3. Enter the client's ID number or date of birth in the appropriate field.
4. Provide the date of service, indicating when the crisis intervention occurred.
5. Specify the type of service rendered using the provided codes or descriptors.
6. Include the names of staff members who provided services along with their roles.
7. Review the filled roster for accuracy and completeness.
8. Submit the roster to the appropriate billing department before the deadline.

Who needs dcdhs crisis billing roster?

1. Mental health professionals involved in crisis intervention services.
2. Billing personnel needing accurate records for reimbursement purposes.
3. Program administrators overseeing mental health crisis programs.
4. Clients receiving crisis intervention services to ensure proper documentation.

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What is dcdhs crisis billing roster?

The DC Department of Healthcare Finance's Crisis Billing Roster is a document used to track and bill services provided during crisis interventions.

Who is required to file dcdhs crisis billing roster?

Providers who render crisis intervention services to clients covered under the applicable Medicaid program are required to file the DC DHS Crisis Billing Roster.

How to fill out dcdhs crisis billing roster?

To fill out the DC DHS Crisis Billing Roster, providers need to enter client identification details, service dates, codes for the type of crisis services provided, and relevant billing information.

What is the purpose of dcdhs crisis billing roster?

The purpose of the DC DHS Crisis Billing Roster is to ensure accurate tracking and reimbursement for mental health crisis services rendered to eligible individuals.

What information must be reported on dcdhs crisis billing roster?

The information that must be reported includes client names, Medicaid ID numbers, service dates, service code, and provider details.