Common use of Billing Procedures Clause in Contracts

Billing Procedures. (a) Prior to submitting claims to OHCA via a billing service, PROVIDER agrees that written authorization for that service to ▇▇▇▇ for PROVIDER shall be on file with OHCA’s claims payment agent. Prior to the year 2003, such agent will be Unisys. After January 1, 2003, the agent will be EDS. (b) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA. (c) If PROVIDER enters into a billing service Agreement, PROVIDER shall be responsible for the accuracy and integrity of all claims submitted on PROVIDER’s behalf by the billing service. (d) PROVIDER shall not pay any percentage fees for collection services or use the billing service or any other entity as a factor, as defined by 42 CFR § 447.10. (e) PROVIDER shall release any lien securing payment for any Medicaid- compensable service. This provision shall not affect PROVIDER’s ability to file a lien for non-covered service or OHCA-permitted co-payment. (f) PROVIDER is responsible for determining a patient’s appropriate eligibility by contacting OHCA’s Recipient Eligibility Verification System (REVS).

Billing Procedures. (a) Prior to submitting claims to OHCA via a billing service, PROVIDER agrees that written authorization for that service to ▇▇▇▇ for PROVIDER shall be on file with OHCA’s claims payment agent. Prior to the year 2003, such agent will be Unisys. After January 1, 2003, the agent will be EDS. (b) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA. (c) If PROVIDER enters into a billing service Agreement, PROVIDER shall be responsible for the accuracy and integrity of all claims submitted on PROVIDER’s behalf by the billing service. (d) PROVIDER shall not pay any percentage fees for collection services or use the billing service or any other entity as a factor, as defined by 42 CFR § 447.10. (e) PROVIDER shall release any lien securing payment for any Medicaid- Medicaid-compensable service. This provision shall not affect PROVIDER’s ability to file a lien for non-non- covered service or OHCA-permitted co-payment. (f) PROVIDER is responsible for determining a patient’s appropriate eligibility by contacting OHCA’s Recipient Eligibility Verification System (REVS).

Billing Procedures. (a) Prior to submitting claims to OHCA via a billing service, PROVIDER agrees that written authorization for that service to ▇▇▇▇ for PROVIDER shall be on file with OHCA’s claims payment agent. Prior to the year 2003, such agent will be Unisys. After January 1, 2003, the agent will be EDS. (b) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA. (c) If PROVIDER enters into a billing service Agreement, PROVIDER shall be responsible for the accuracy and integrity of all claims submitted on PROVIDER’s behalf by the billing service. (d) . PROVIDER shall not pay any percentage fees for collection services or use the billing service or any other entity as a factor, as defined by 42 CFR § 447.10. (ed) PROVIDER shall release any lien securing payment for any Medicaid- compensable service. This provision shall not affect PROVIDER’s ability to file a lien for non-covered service or OHCA-permitted co-payment. (fe) PROVIDER is responsible for determining a patient’s appropriate eligibility by contacting OHCA’s Recipient Eligibility Verification System (REVS).

Billing Procedures. (a) Prior to submitting claims to OHCA via a billing service, PROVIDER agrees that written authorization for that service to ▇▇▇▇ for PROVIDER shall be on file with OHCA’s claims payment agent. Prior to the year 2003, such agent will be Unisys. After January 1, 2003, the agent will be EDS. (b) PROVIDER agrees all claims shall be submitted to OHCA in a format acceptable to OHCA. (c) If PROVIDER enters into a billing service Agreement, PROVIDER shall be responsible for the accuracy and integrity of all claims submitted on PROVIDER’s behalf by the billing service. (d) PROVIDER shall not pay any percentage fees for collection services or use the billing service or any other entity as a factor, as defined by 42 CFR § 447.10. (e) PROVIDER shall release any lien securing payment for any Medicaid- compensable serviceDME and/or medical supplies. This provision shall not affect PROVIDER’s ability to file a lien for non-covered service DME and/or medical supplies or OHCA-permitted co-payment. (f) PROVIDER is responsible for determining a patient’s appropriate eligibility by contacting OHCA’s Recipient Eligibility Verification System (REVS).