BHRS Policies June 26, 2016 BHRS Doc Owner: Deputy Director Administration Provider Contracts: 98-03 Managed Care Superseded by policy 19-07 Read more
BHRS Policies June 26, 2016 BHRS Doc Owner: Deputy Director Administration Outpatient Referrals – Share of Cost: 98-04 Managed Care Outpatient Referrals - Share of Cost: 98-04 Read more
BHRS Policies June 24, 2016 BHRS Doc Owner: Deputy Director Administration Medi-Cal Share of Cost: 92-04 Financial Medi-Cal Share of Cost: 92-04 Read more
BHRS Policies June 24, 2016 BHRS Doc Owner: Deputy Director Administration Client Insurance Information and Financial Participation: 03-12 Financial Client Insurance Information and Financial Participation: 03-12 Attachments: Attachment: A. Uniform Method of Determining Ability to Pay (UMDAP) Fee Schedule and Asset Allowance Schedule Attachment. B. Roles and Responsibilities for Client Information and Financial Screening Attachment: C. San Mateo Mental Health Guide to Payor Financial Information (PFI) Requirements Attachment: E. What You Need To Know about Payment, English Attachment: E. What You Need To Know about Payment, Spanish Attachment: D. Payer Financial Information Attachment: F. Therapeutic Fee Adjustment Request forms Read more
BHRS Policies June 24, 2016 BHRS Doc Owner: Deputy Director Administration Claims Processing Guidelines and Procedures: 07-04 Financial Claims Processing Guidelines and Procedures: 07-04 Attachments: Claims Processing Guidelines and Procedures: 07-04, Attachment: A. Explanation of Payment (EOP) Procedure Claims Processing Guidelines and Procedures: 07-04, Attachment: B. Receipt and Processing of Claims from Providers Claims Processing Guidelines and Procedures: 07-04, Attachment: C. Processing Payable MHP Claims Claims Processing Guidelines and Procedures: 07-04, Attachment: D. Processing Denied MHP Claims Claims Processing Guidelines and Procedures: 07-04, Attach E: Investigating Pended Claims before Final EOP Run Claims Processing Guidelines and Procedures: 07-04, Attachment: G. Adjusting overpaid and underpaid claims Claims Processing Guidelines and Procedures: 07-04, Attach I_Procedure for setting up providers and fees schedules in MSO Claims Processing Guidelines and Procedures: 07-04, Attach J :Processing Payable MHP Claims Claims Processing Guidelines and Procedures: 07-04, Attach L: Procedure for Reimbursing Provider Claims for Telehealth and Phone Claims Processing Guidelines and Procedures: 07-04, Attach M: Procedure for Identifying, Reporting, and Recovering Mental Health Claims Processing Guidelines and Procedures: 07-04 , Attachment N: Procedure for System Maintenance Read more