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SIMPLIFYING PBHS SUD FEE SCHEDULE FOR
BETTER UNDERSTANDING
The Fee Schedule is a crucial component of the Public Behavioural Health System
(PBHS), outlining service codes and corresponding fees for healthcare
providers. The Fiscal Year (FY) 2024 PBHS Substance Use Disorder (SUD) Fee
Schedule specifically addresses Mental Health, Substance Use Disorder, and other
designated levels of care. This comprehensive guide ensures consistency and
transparency in medical billing and coding processes, streamlining reimbursement
procedures for healthcare providers.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
Overview of the FY 2024 PBHS SUD Fee
Schedule:
• Service Codes and Descriptions:
The Fee Schedule comprises a detailed list of service codes, each representing a
specific healthcare service or procedure. Such service codes are accompanied by clear
and concise descriptions, aiding healthcare providers in accurately identifying and
selecting the appropriate code for each service rendered.
• Corresponding Fees:
Each service code is associated with a predetermined fee, indicating the
reimbursement amount allocated for that particular service.
• Levels of Care:
The Fee Schedule classifies services into different levels of care, tailoring
reimbursement rates to the intensity and complexity of each level.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
IMPACT ON MEDICAL BILLING &
CODING:
• 100% Reimbursement:
The Fee Schedule plays a pivotal role in determining providers’
reimbursement for their services. Adherence to the specified service
codes, fees, and unit limitations is crucial for accurate reimbursement
and financial stability for healthcare organizations.
• Coding Accuracy and Compliance:
Accurate medical coding is essential for successful reimbursement.
Healthcare providers must assign the correct service codes to reflect
the services provided accurately.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
• Transparent Billing Practices:
The Fee Schedule also promotes transparency in billing practices by providing a
standardized framework for healthcare providers. Patients, payers, and regulatory
bodies can quickly review and understand the charges associated with specific
services, fostering trust in the healthcare system.
• Documentation Requirements:
To support claims and ensure compliance with the Fee Schedule, healthcare
providers must maintain comprehensive documentation of services rendered. Clear
and thorough documentation serves as a crucial tool during audits, investigations,
and reviews, validating the accuracy of billed services.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
24/7 Medical Billing Services is the nation’s leading medical billing service provider
catering services to more than 43 specialties across the entire 50 states. You can rely on
us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the
revenue with cost reduction of your practice for up to 50%.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com
About 24/7 Medical Billing Services
CALL US TODAY :
Media Contact –
24/7 Medical Billing Services,
28405 Osborn Road,
Cleveland, OH, 44140
Tel: + 1 -888-502-0537
Email: info@247medicalbillingservices.com
Website: https://www.247medicalbillingservices.com/
https://www.247medicalbillingservices.com info@247medicalbillingservices.com

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Simplifying PBHS SUD Fee Schedule For Better Understanding.pptx

  • 1.
  • 2. SIMPLIFYING PBHS SUD FEE SCHEDULE FOR BETTER UNDERSTANDING The Fee Schedule is a crucial component of the Public Behavioural Health System (PBHS), outlining service codes and corresponding fees for healthcare providers. The Fiscal Year (FY) 2024 PBHS Substance Use Disorder (SUD) Fee Schedule specifically addresses Mental Health, Substance Use Disorder, and other designated levels of care. This comprehensive guide ensures consistency and transparency in medical billing and coding processes, streamlining reimbursement procedures for healthcare providers. https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com
  • 3. Overview of the FY 2024 PBHS SUD Fee Schedule: • Service Codes and Descriptions: The Fee Schedule comprises a detailed list of service codes, each representing a specific healthcare service or procedure. Such service codes are accompanied by clear and concise descriptions, aiding healthcare providers in accurately identifying and selecting the appropriate code for each service rendered. • Corresponding Fees: Each service code is associated with a predetermined fee, indicating the reimbursement amount allocated for that particular service. • Levels of Care: The Fee Schedule classifies services into different levels of care, tailoring reimbursement rates to the intensity and complexity of each level. https://www.247medicalbillingservices.com info@247medicalbillingservices.com
  • 4. IMPACT ON MEDICAL BILLING & CODING: • 100% Reimbursement: The Fee Schedule plays a pivotal role in determining providers’ reimbursement for their services. Adherence to the specified service codes, fees, and unit limitations is crucial for accurate reimbursement and financial stability for healthcare organizations. • Coding Accuracy and Compliance: Accurate medical coding is essential for successful reimbursement. Healthcare providers must assign the correct service codes to reflect the services provided accurately. https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com
  • 5. • Transparent Billing Practices: The Fee Schedule also promotes transparency in billing practices by providing a standardized framework for healthcare providers. Patients, payers, and regulatory bodies can quickly review and understand the charges associated with specific services, fostering trust in the healthcare system. • Documentation Requirements: To support claims and ensure compliance with the Fee Schedule, healthcare providers must maintain comprehensive documentation of services rendered. Clear and thorough documentation serves as a crucial tool during audits, investigations, and reviews, validating the accuracy of billed services. https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com
  • 6. 24/7 Medical Billing Services is the nation’s leading medical billing service provider catering services to more than 43 specialties across the entire 50 states. You can rely on us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with cost reduction of your practice for up to 50%. https://www.247medicalbillingservices.com info@247medicalbillingservices.com About 24/7 Medical Billing Services
  • 7. CALL US TODAY : Media Contact – 24/7 Medical Billing Services, 28405 Osborn Road, Cleveland, OH, 44140 Tel: + 1 -888-502-0537 Email: info@247medicalbillingservices.com Website: https://www.247medicalbillingservices.com/ https://www.247medicalbillingservices.com info@247medicalbillingservices.com