Claim Appeals for Medicaid
How and when to appeal a claim, and when to escalate an appeal.
How and when to appeal a claim, and when to escalate an appeal.
Texas Health Steps CBT contains information on topics that will demonstrate how the Texas health Steps program is building brighter futures by caring for Texas children.
This webinar discusses how to fill out, submit, and correct Forms 3071 and 3074.
The EVV Acronyms infographic provides definitions to frequently used acronyms related to Electronic Visit Verification (EVV).
This CBT discusses the basics of the MTP, including services offered, how potential MTP providers apply to the program, the claims process, and resources.
The CSHCN Services Program Training presents information that provides new and current CSHCN Services Program providers with an overview of the program.
Initial Electronic Visit Verification (EVV) Portal Training for Program Providers affected by the 21st Century Cures Act. Previously live streamed October 28, 2020 and November 18, 2020
This CBT discusses procedures and general guidelines for submitting paper claims. This CBT does not discuss electronic claim submission. Refer to the TexMedConnect for Acute Care Providers CBT for information regarding electronic claim submission.
The Crossover Claims CBT provides an overview of the process for submitting claims and receiving reimbursement when a client has both Medicare and Medicaid.
The Ambulance Basics CBT contains information for regarding policies and procedures for providing ambulance transports for Medicaid and CSHCN Services Program clients.
The goal of this training is to discuss the various levels of claim appeals and methods for submitting them. In this training, we'll look at three different scenarios involving claim appeals.
This CBT provides information for Acute Care Providers CBT about using TexMedConnect to verify client eligibility, enter and submit claims and appeals, and find claim status.
The Third Party Liability (TPL) computer-based training (CBT) educates providers on TPL, identifying other insurance and third party resources (TPRs), and responsibilities for filing claims and reporting other insurance and TPR to TMHP.
The Client Eligibility CBT will help providers identify client eligibility, retroactive eligibility, and benefits related to various programs. This training also includes methods used to verify eligibility and where to find this information.
The Remittance and Status Report CBT contains information for providers regarding how to access R&S Reports, including a description of the different sections of the R&S Report.for Medicaid and CSHCN Services Program Clients.
This CBT will introduce providers to the basics of enrolling and providing services and goods as a Medicaid DME provider.
The YES Waiver Webinar contains information for YES Waiver providers regarding the relationship between YES Waiver and TMHP.
The Prior Authorization (PA) Webinar is intended to educate Texas Medicaid and Children with Special Health care Needs (CSHCN) Services Program providers on prior authorization guidelines, processes, requirements, and tools available for submitting prior authorizations.
The Introduction to Medicaid Basics webinar contains basic information for providers regarding policies and procedures related to Medicaid, CSHCN Services Program, and other State Health-care clients.
Texas Medicaid requires functional goals for all PT, OT, and ST plans of care. To help providers integrate this requirement into therapy plans of care, the Writing Functional Therapy Goals webinar will explore this process in depth.
This webinar introduced providers to information and reference materials for Telemedicine and Telehealth Services.
The Prescribed Pediatric Extended Care Center (PPECC) Webinar provides an overview of the new benefit as well as assists Medicaid and CSHCN Services Program providers with enrollment and prior authorization submissions.