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Telehealth/Telemedicine COVID 19 Billing Cheat Sheet

Medicaid Files.nc.gov

Qualified nonphysician health care professional (Check payer specific guidelines) NC Medicaid Providers: LCSW/A, LPC/A, LMFT/A, LPA, LCAS/A, Ph.D. Not for use in FQHCs or RHCs Tricare for Life use Medicare guidance on telehealth Medicaid -CR (Medicaid) 11 Medicare/Tricare for Life None specified 11 AETNA None Specified 11

Covid 19 Health
6 days ago / 77 People Used See more...

Key Federal Funding Available For Health Care Providers

Possible Files.nc.gov

  • Funding is available through the Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA) (H.R
  • The provider must have provided diagnoses, testing, or care for individuals with possible or actual cases of COVID19
  • HHS views every patient as a possible case of COVID- -19

Health Insurance
3 days ago / 85 People Used See more...

2021 ENROLLMENT GUIDE

Contribute Files.nc.gov

  • Health Care Flexible Spending Account You can contribute from $120 to $2,750 each plan year
  • If your spouse is a state employee, he or she also can contribute up to $2,750 each plan year
  • The full amount you elect to contribute to your Health Care FSA is available in your account on the first day of the plan year or the first day

Mens Health
8 days ago / 81 People Used See more...

Health Plan Comparison Chart

¡¡ Files.nc.gov

  • All plans are required to have the same type of Medicaid services you get now
  • These include: ¡¡ Doctor visits ¡¡ Medical supplies ¡¡ Hospital visits ¡¡ Lab tests and X-rays ¡¡ Behavioral health care

Health Insurance
2 days ago / 76 People Used See more...

NC HEALTHCONNEX CLINICAL PORTAL USER GUIDE

Health Files.nc.gov

  • • Enable better health outcomes
  • Purpose The North Carolina Health Information Exchange Authority (NC HIEA) operates NC HealthConnex to provide a secure and integrated view of a patient’s longitudinal health record
  • Our mission is to link all health care providers across North Carolina to improve health care quality and outcomes.

Health Insurance
4 days ago / 89 People Used See more...

Keeping Medicaid While You Work – Health Coverage For

Services Files.nc.gov

Health and Wellness – Expenses for health and wellness including mental health, medical, vision, dental, habilitation and rehabilitation services, durable medical equipment, respite care, long term services and supports, nutritional management, communication services, adaptive equipment, assistive technology, and personal assistance.

Health Insurance
5 days ago / 131 People Used See more...

Health Check Program Guide

Health Files.nc.gov

Federal EPSDT law requires states to make health care services available to all Medicaid eligible children to “correct or ameliorate” defects, physical or mental illness, or health conditions identified through a screening assessment, when those services meet carefully applied and individualized standards of pediatric medical necessity.

Health Insurance
3 days ago / 110 People Used See more...

NC Medicaid: Nursing Equipment And Supplies, Clinical

Medically Files.nc.gov

  • medically necessary health care
  • to correct or ameliorate a defect, physical or mental illness, or a condition [health problem] identified through a screening examination (includes any evaluation by a physician or other licen sed practitioner)
  • This means EPSDT covers most of …

Mens Health
3 days ago / 61 People Used See more...

NC Medicaid: 1A 2, Preventive Medicine Annual Health

Health Files.nc.gov

The adult annual health assessment is not covered when the medical criteria listed in Section 3.0 are not met. The annual health assessment is not covered when the recipient has an illness or specific health care need that results in a definitive medical diagnosis with medical decision-making and the initiation of

Health Insurance
3 days ago / 62 People Used See more...

NC Medicaid: 3A, Home Health Services

Health Files.nc.gov

  • NC Medicaid Medicaid and Health Choice Home Health Services Clinical Coverage Policy No: 3A Amended Date: March 15, 2019 i 19C4
  • To all beneficiaries enrolled in a Prepaid Health Plan (PHP): for questions about benefits and services available on or after November 1, 2019, please contact your PHP

Home Healthcare
1 days ago / 61 People Used See more...

HEALTH SERVICES POLICY & PROCEDURE MANUAL

Health Files.nc.gov

  • The health care facility shall consist of sufficient space, with appropriate equipment and supplies to effectively and efficiently provide health care services
  • The Director of Nursing and Direct or of Dental Services for the Division of Prisons will: 1
  • Establish par lists based on the acuity of a facility

Health Insurance
3 days ago / 64 People Used See more...

HEALTH SERVICES POLICY & PROCEDURE MANUAL

Professional Files.nc.gov

Health care providers and professional staff will be provided the opportunity for continuing education and/or in-service training in order to promote their professional growth, prevent isolation, and to maintain the necessary clinical skills and credentials. Continuing Education outside the department may be supported financially when funds are

Health Insurance
9 days ago / 61 People Used See more...

Commonly Asked Questions About COVID 19 And The Impact …

Health Files.nc.gov

  • Health Care Flexible Spending Account Questions Q
  • If I don't use all the funds in my Flexible Spending Account(s) (FSA) due to delayed elective surgery or delay in medical items due to COVID-19, can I change my election or roll it over for the next year? A
  • Currently unused Health Care FSA (HCFSA) funds, up to $500, can be rolled over into the

Covid 19 Health
3 days ago / 76 People Used See more...

CONFIDENTIALITY RULES FOR MENTAL HEALTH, …

Client Files.nc.gov

portions thereof, client records may be securely tr ansported to a local health care provider, provided the record remains in the custody of a delegated employee; (4) whenever a client expires at an area or state facility and an autopsy is to be conducted, the client

Mens Health
7 days ago / 101 People Used See more...

NCFlex FAQs Related To COVID 19 And Flexible Spending …

Health Files.nc.gov

  • Below are Frequently Asked Questions about the impact of COVID-19 on the NCFlex Health Care and Dependent Day Care Flexible Spending Accounts
  • Related Information in this FAQ document can also be found on a Member alert email from June 4, 2020

Covid 19 Health
6 days ago / 71 People Used See more...

2020 Evidence Of Coverage

Health Files.nc.gov

  • Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan
  • This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1, 2020 – December 31, 2020
  • It explains how to get coverage for the health care services and prescription drugs you need.


4 days ago / 110 People Used See more...

HEALTH FSA CARRY FORWARD

Health Files.nc.gov

  • Then, $300 would be available in the regular Health Care FSA (for claims incurred prior to the end of the plan year date) and $500 would be available in the Health Care FSA Carry Forward account
  • If the $300 is not spent by the end of your plan’s run-out period, that amount will be forfeited

Health Insurance
4 days ago / 101 People Used See more...

Uniform Application

North Files.nc.gov

  • To Participate as a Health Care Practitioner Note: Please send completed applications directly to the organizations with which you seek to contract
  • The following application is a form approved by the North Carolina Department of Insurance, in accordance with North Carolina General Statute 58-3-230

Cats Health
9 days ago / 97 People Used See more...

FSA Rules To Remember

Health Files.nc.gov

  • for Health Care FSA and Dependent Day Care FSA expenses
  • Use or Lose Rule You will lose any remaining balance in the Dependent Day Care FSA at the end of the run-out period, or any amount over $500 in the Health FSA
  • Remember, only contribute money you are confident you will use to pay for qualified expenses during the plan year.


3 days ago / 102 People Used See more...

Adult Home Services Certification Procedures Manual

Health Files.nc.gov

Adult day health services is the provision of an organized program of services during the day in a community group setting for the purpose of supporting an adult's independence, and for promoting social, physical and emotional well-being. Services must include health care

Cats Health
Just Now / 100 People Used See more...

HEALTH SERVICES POLICY & PROCEDURE MANUAL

Health Files.nc.gov

Form DC-387 Chronological Record of Health Care Form DC-540 Mental Health Services Referral Form DC -983 Mental Health Segregation Assessment Form DC 141 Daily Report of Segregated Offender / Electronic Rounds Tablet. Title: HEALTH SERVICES POLICY & PROCEDURE MANUAL Author:

Health Insurance
6 days ago / 77 People Used See more...

SUMMARY OF PREVENTIVE CARE SERVICES

Health Files.nc.gov

Preventive care is routine health care that includes screenings, checkups and patient counseling to help prevent illnesses, disease or other health problems. There may be some exceptions, so it's important to know what quali˜es as preventive care and what questions to …


6 days ago / 138 People Used See more...

North Carolina Foster Care Health Oversight And

Health Files.nc.gov

  • foster care include information about: health insurance options, health care powers of attorney, and health care proxies.11
  • 6 Fostering Connections to Success and Increasing Adoptions Act of 2008 (P.L
  • 110-351) 7 Child and Family Services Improvement and Innovation Act of 2011 (P.L

Health Insurance
5 days ago / 138 People Used See more...

About NC HealthConnex

Health Files.nc.gov

  • health information among health care providers
  • North Carolina’s health information exchange, NC HealthConnex, brings added value to the health care conversations that are happening at all levels in the health care industry
  • It will break down information silos between health care providers, achieve greater health care outcomes for patients, and

Health Insurance
3 days ago / 87 People Used See more...

NC DMA: 2B 1, Nursing Facility Services

Facility Files.nc.gov

A nursing facility is a medical health facility, or a distinct part of a facility (for example, a hospital enrolled by the NC Medicaid (Medicaid) program as a swing-bed provider of nursing facility services), that is licensed and certified by the Division of Health Service Regulation


1 days ago / 76 People Used See more...

HEALTH SERVICES POLICY & PROCEDURE MANUAL

(eg Files.nc.gov

Occupational Exposure: An exposure that might place a Health Care Professional (HCP)/employee at risk for HBV, HCV or HIV infection is defined as a percutaneous injury (e.g., a needlestick or cut with a sharp object) or contact of mucous membrane (eyes, mouth) or nonintact skin (e.g., exposed skin that is chapped, abraded, or afflicted with

Health Insurance
Just Now / 96 People Used See more...

HEALTH SERVICES POLICY & PROCEDURE MANUAL

Health Files.nc.gov

health care authority is responsible and accountable for ensuring that clear expectations for safety are established, that there is an on going program for patient safety, including the reduction of medical

Health Insurance
Just Now / 87 People Used See more...

AD VI 1 Purpose And Composition Of Medical Record

Record Files.nc.gov

  • The health care record must contain sufficient documentation to clearly identify the patient, support the diagnosis, justify the treatment and record the results accurately
  • The health care record contains the medical information of a single offender which is generated by health professionals contributing to the evaluation and treatment during a


2 days ago / 80 People Used See more...

State Health Plan 101 Webinar

Health Files.nc.gov

  • bringing transparency to health care costs and addressing the rising health costs that the Plan and members face each day
  • • Our first recruitment resulted in more than 25,000 providers partnering with the Plan for transparent and affordable health care
  • • Plan members currently utilize the NC State Health Plan network, which encompasses

Health Insurance
5 days ago / 114 People Used See more...

Hild Care Health Consultants Child Care Health Consultants

Health Files.nc.gov

and effectiveness for child care health consultations. The project’s goal was to provide infrastructure for consistent and high quality Child Care Health Consultation services, in order to increase the percentage of children with high needs who participate in ongoing health care, and who are up-to-date on a schedule of well-child checks.

Health Insurance
9 days ago / 119 People Used See more...

Advisory Memorandum

NCDOI Files.nc.gov

  • NCDOI – Life & Health Division Single-Risk Pool Rate Filings May 12, 2020 Page 2 of 7 A
  • Insurers are expected to submit an annual single-risk pool rate filing for the 2021 Plan Year for each market (as applicable) via SERFF


3 days ago / 154 People Used See more...

North Carolina State Health Plan Pricing Policy (the “Plan

Doctor Files.nc.gov

  • The reimbursement rate for providers of behavioral health care services who do not hold a Medical Doctor (MD), Doctor of Philosophy in Psychology (PhD), or Doctor of Psychology (PsyD) degree will be 75% of the reimbursement rate for providers who hold a MD, PhD, or PsyD degree

Health Insurance
3 days ago / 135 People Used See more...

Office Of Rural Health Placement Services Team Guidelines

Apply Files.nc.gov

Eligible site types must apply for National Health Service Corps (NHSC) site certifi cation, so the site’s providers can apply for incentive programs using federal funding. NHSC funds must be accessed first, especially if the providers are employed at sites with high Health Professional Shortage Area (HPSA) scores of 16 or above.

Mens Health
7 days ago / 90 People Used See more...

Care Management Under BH I/DD Tailored Plans: Information

Provider Files.nc.gov

Address the full set of factors that impact health, uniting communities and health care systems Perform localized care management at the site of care, in the home or community Maintain broad provider participation by mitigating provider administrative burden.

Mens Health
5 days ago / 119 People Used See more...

Health Check Program Guide

Health Files.nc.gov

  • health and to ensure earliest possible diagnosis and treatment of health problems
  • In North arolina, this preventive health services/periodic screening portion of Medicaid’s package of healthcare benefits for children is known as Health Check
  • A comprehensive wellness exam is

Health Insurance
3 days ago / 128 People Used See more...

State Health Plan For Teachers And State Employees High

Options Files.nc.gov

  • to use its Blue Options network
  • member, you will enjoy quality health care from the Blue Options network of health care
  • provides administrativ e services only and does not assume any financial risk or obligation with

Health Insurance
1 days ago / 117 People Used See more...

NC Medicaid: Inpatient Behavioral Health Services, 8 B.

Medically Files.nc.gov

medically necessary health care to correct or ameliorate a defect, physical or mental illness, or a condition [health problem] identified through a screening examination (includes any evaluation by a physician or other licensed practitioner). This means EPSDT covers most of the medical or remedial care a …

Oral Healthcare
1 days ago / 88 People Used See more...

Using Standardized Social Determinants Of Health Screening

Health Files.nc.gov

  • transportation needs, and interpersonal violence—on a person’s health and well-being, and health care utilization and cost, is well-established
  • Currently, 90% of health care spending in the United States is on medical care in a hospital or doctor’s …

Health Insurance
2 days ago / 120 People Used See more...

2019 Profile (current HPSA Data As Of 01/01/2019 )

Health Files.nc.gov

Health Professional Shortage Areas (HPSAs). HPSA designations allow ORH to identify those areas and populations with the most pressing health care access issues and provides a blueprint for how to efficiently utilize state and federal resources to improve access to health care providers.


5 days ago / 114 People Used See more...

HOME HEALTH SERVICES Effective March 10, 2020 Home …

Supplies Files.nc.gov

Home Health Care Medical Supplies Catheter Supplies (continued) HOME HEALTH SERVICES Effective March 10, 2020 Home Health Visits Taxonomy: 251E00000X (Pricing Specialties: 087) Home Health Care Medical Supplies Skin Care (Decubitus) Supplies Home Health Care Medical Supplies Solutions Home Health Care Medical Supplies Catheter Supplies 1 of 9

Home Healthcare
9 days ago / 149 People Used See more...

NC Medicaid: Outpatient Behavioral Health Services, 8C.

Health Files.nc.gov

  • NC Medicaid Medicaid and Health Choice Outpatient Behavioral Health Services Clinical Coverage Policy No
  • 8C Provided by Direct-Enrolled Providers Amended Date : January 1, 2021 20L22 i
  • To all beneficiaries enrolled in a Prepaid Health Plan (PHP): for questions about benefits and

Oral Healthcare
1 days ago / 92 People Used See more...

THERE IS A NEW WAY TO GET MEDICAID HEALTH CARE

Health Files.nc.gov

  • A health plan is a group of doctors, hospitals and other providers
  • They work together to give you the health care you need
  • Everything – physical health, mental health and medicine – will come from the same health plan
  • You will also choose a primary care provider (PCP)
  • A PCP could be your family doctor, clinic or other health care provider.

Health Insurance
5 days ago / 107 People Used See more...

Sentara Health Insurance Company Of North Carolina

Health Files.nc.gov

Sentara Health Insurance Company of North Carolina 6 The Company is included in a consolidated income tax return in accordance with a tax allocation agreement between SHI, Optima Health Group, Inc., Sentara Health Plans, Inc., Optima Health Insurance Company,

Health Insurance
2 days ago / 135 People Used See more...

Summary Of Benefits And Coverage: What This Plan Covers

North

North Carolina State Health Plan Network - Blue Cross NC 70/30


6 days ago / 350 People Used See more...

Behavioral Health And Intellectual/Developmental

Physical Files.nc.gov

  • physical health, behavioral health
  • 2, I/DD and traumatic brain injury (TBI) services
  • The Department recognizes that integrating physical and behavioral health care while addressing nonmedical factors that impact heath for the BH I/DD Tailored Plan population is a …

Mens Health
9 days ago / 124 People Used See more...

Please leave your comments here:

FAQ files.nc.gov health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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