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OhioRISE Implementation Checklist and OAC Rules – Released by Ohio Council
Behavioral Health Billing Solutions, LLC Important Information from Ohio Council regarding Ohio Rise 06/27/2022 As you know, the new OhioRISE Medicaid managed care plan goes live this Friday 7/1/22. In order to assist members with this implementation and the necessary changes we created an OhioRISE operations implementation checklist. This resource outlines the operational […]
Read More Ongoing Updates for Ohio Behavioral Health Providers
Posted by Behavioral Health Billing Solutions, LLC
Read More Updates for the New Year from BHBS
Posted by Behavioral Health Billing Solutions, LLC. All of us at Behavioral Health Billing Solutions, LLC are wishing you a safe and happy holiday season! There have been a number of important changes recently that we also wanted to make everyone aware of. 1. Effective January 1st, 2020, Medicare will no […]
Read More Staying on top of Telehealth for Ohio Behavioral Health
Posted by Behavioral Health Billing Solutions, LLC Behavioral Health Billing Solutions wanted to ensure everyone had access to the presentation by ODM and OhioMAS regarding Emergency Telehealth rules enacted by Governor DeWine. “Delivering Behavioral Health via Telehealth” We also wanted to touch base and let all of our contacts know we are still […]
Read More Where are we NOW…..
Posted by Behavioral Health Billing Solutions, LLC. Ohio BH Redesign started January 1st, 2018 and the Managed Care carve in began July 1st, 2018. Every few months, I try to look at the overall picture and ask the question “Where are we now?” I believe most agencies think longingly of the time period […]
Read More Are you Ready?
Posted by Behavioral Health Billing Solutions, LLC. August 1st is a day away, ARE YOU READY? On July 23rd, ODM held a follow up Stakeholder’s meeting to announce upcoming changes that include new services, new rates and changes to providers that can provide certain services. I’ve spent 5 hours today scouring the new, […]
Read More IMAGINE……And be concerned
Posted by Behavioral Health Billing Solutions, LLC. Imagine….. Imagine receiving a letter from an MCO that states they are initiating a “Pre-Payment Review”. What does that mean? This letter initiates a time period where you will not get paid for services without printing all notes, office documentation, testing results […]
Read More ODM seeks public input
Posted by Behavioral Health Billing Solutions, LLC. It’s been a busy week in Ohio Behavioral Health. ODM is seeking public input from individuals and providers on how the current Managed Care process is working. Interesting request. Simple answer; its not. The MITS BITS that went out yesterday with the request is availablehere. This week […]
Read More Behavioral Health Stakeholder Update
How many of you were excited when you saw this released by the state? I know I was. I’ve spent several months trying to get agencies together with MCO contacts, information sessions offered by BHBS, anything to get critical information passed on and shared that might assist us in getting through the literally, horrific […]
Read More Ohio Behavioral Health Updates
Posted by Behavioral Health Billing Solutions, LLC So what’s the latest on the challenges with Ohio Behavioral Health? On April 10th, ODM had a follow up webinar to the Provider enrollment webinar held in March when the providers listings now available on the BH Medicaid website were announced. Slides from the webinar are available here. […]
Read More Medicare CY24 (Proposed) Impacts to BH Providers
Medicare posted their CY24 Proposed Physician Fee Schedule (PFS) and there are some interesting changes that impact BH providers including (but not limited to, so I encourage you to read!): Adding Marriage and Family Therapists (MFT) and Mental Health Counselors (MHC) (MHCs are proposed to include SUD providers with appropriate training) as billable Medicare providers […]
Read More Claims Payment Systemic Error (CPSE) Reports
CPSE reports can be found for each MCE below! The Claims Payment Systemic Error (CPSE) report includes information about claims adjudication that is incorrectly paying, denying, or suspending and is affecting or potentially may affect five or more billing providers. Aetna Better Health (MyCare):Aetna Better Health of Ohio CPSE Report Aetna OhioRISE:OhioRISE CPSE Report […]
Read More DEA Telehealth Waiver Rule for Controlled Substances is Coming to an End
On March 1, 2023, the Drug Enforcement Administration (DEA) issued notices of proposed rulemakings (NPRM) to allow for prescribing of certain controlled medications via telemedicine without an in-person medical evaluation of the patient which would have impacted the ability to prescribe certain controlled substances without an in-person visit. On May 9,2023, the DEA and SAMHSA […]
Read More January 2023 PNM Refresher Trainings
Behavioral Health Billing Solutions, LLC Maximus will be holding PNM refresher trainings for behavioral health providers enrolled with the Ohio Department of Medicaid. These trainings will be held on 01/20/23 and 01/23/23 for individual and organizational providers. The technical trainings sessions will be scheduled for 01/23/23, 01/25/23, and 01/26/23. Technical Training: https://ohiopnm.myabsorb.com/#/instructor-led-courses/0957177f-cbfd-4c98-b5e8-b2bd87c87642 This […]
Read More January 2023 Coding and Billing Changes | Updated 2023 UCR Recommendations
Behavioral Health Billing Solutions, LLC 99354 and 99355 – Add Ons for Psychotherapy There are two CPT code changes effective January 1, 2023 that will necessitate changes to your EHR billing structure. Both are the result of changes to the CPT code set announced by the AMA; the good news is that out of […]
Read More ODM Has Resumed Posting the CBHC Enrollment File
Behavioral Health Billing Solutions, LLC Combined Type 84/95 Enrollment File as of 10/17/2022 Download the combined file type by clicking the link above For Provider Type 84s For Provider Type 95s As of 10/15/2022, ODM has resumed production of the CBHC Practitioner Enrollment File.
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