Third Party Billing for IEP Team Associates

Third Party Billing for

IEP Team Associates

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What is Third Party Billing?

? Federally funded program ? Pursues Medicaid

reimbursement of some costs of direct and administrative services under IDEA ? Submits Medicaid claims to recover costs of some medicalrelated services provided to children who receive specialized services.

What is a claim?

? Records a billable service rendered to a student with special needs

? Identifies recipient of service, date of service, type of service, diagnosis code, provider of service, and amount charged for the procedure

? Same as the claim submitted by your physician to your health insurance after an office visit.

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What is a false claim?

? Federal Offense

? Contains any of the following false info

Incorrect student Service did not occur Provider reporting the service

did not render the service Incorrect or false date of

service Incorrect or false type of

service

Who can provide services?

? An employee or contractor currently licensed by Maryland Department of Health:

Occupational Therapist Physical Therapist Speech/Language Pathologist Audiologist Social Worker Psychologist Licensed Professional Counselor

? An employee or contractor currently certified by the Maryland State Department of Education:

Advanced Professional Certification Standard Professional Certification

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How do I get to the Third Party Billing web site?

Open Google Chrome. Type bcpss 9041, then enter.

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How do I get to the Third Party Billing web site?

Click the Overview link.

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