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Provider and Billing Manual 20152016 Am better.BuckeyeHealthPlan.com PROV15OHC00008 2015 Buckeye Health Plan. All rights reserved. Table of Contents WELCOME 6 HOW TO USE THIS PROVIDER MANUAL 6 KEY
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Start by familiarizing yourself with the structure and content of the provider and billing manual. Read through the entire manual to understand the information it contains.
02
Begin by gathering all necessary documents and information that may be required to complete the manual. This may include provider information, billing codes, fee schedules, and any other relevant data.
03
Follow the provided instructions in the manual to fill out each section accurately. Pay attention to any specific requirements, formatting guidelines, or documentation needed for each section.
04
Double-check all entries and calculations to ensure accuracy. Mistakes or errors in the manual can lead to billing issues or delays in payment, so it is essential to review your work thoroughly.
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Submit the filled out provider and billing manual according to the specified guidelines. Keep a copy for your records.

Who needs a provider and billing manual:

01
Medical professionals - doctors, nurses, and other healthcare practitioners who provide services and bill for them.
02
Medical billing and coding specialists - individuals responsible for accurately assigning codes and handling the billing process.
03
Billing departments or administrators in healthcare facilities - those responsible for overseeing the billing operations and ensuring compliance with relevant regulations.
04
Insurance companies - to understand the billing procedures followed by healthcare providers and ensure proper reimbursement.
05
Government agencies or regulatory bodies - to assess and regulate billing practices to maintain transparency and prevent fraud or abuse in the healthcare system.
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Provider and billing manual is a document that outlines the guidelines and instructions for healthcare providers to submit accurate billing information to insurance companies or government healthcare programs.
Healthcare providers such as hospitals, clinics, and medical practitioners are required to file provider and billing manual.
Providers can fill out the manual by following the specific instructions provided in the document, including reporting accurate patient information, diagnosis codes, and procedure codes.
The purpose of the provider and billing manual is to ensure that healthcare providers submit accurate and timely billing information, leading to proper reimbursement for services provided.
Providers must report patient demographics, insurance information, diagnosis codes, procedure codes, and any other relevant information required for billing purposes.
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