This document is an explanation of the firm billing policies to be sent to the firm's clients. It states the hourly rates for senior attorneys, associates and paralegals. It also explains the services for which the client will be charged, the costs of hiring outside contractors (court reporters, process servers, etc.), payment of the firm invoices, and al other matters related to billing.
Michigan Firm Billing Policies
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State:
Multi-State
Control #:
US-L03045C
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Word;
PDF;
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FAQ
A "clean claim" means a claim that does all of the following: Identifies the health professional, health facility, home health care provider, or durable medical equipment provider that provided service sufficiently to verify, if necessary, affiliation status and includes any identifying numbers.
(d) That a health professional and facility must bill a qualified health plan within 1 year after the date of service or date of discharge from the health facility.
Income & Asset Limits for Eligibility 2023 Michigan Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month?$2,000Regular Medicaid / Aged Blind and Disabled$1,215 / month$2,0001 more row ?
Under certain circumstances established in Michigan's surprise medical billing law, out-of-network providers are not allowed to bill you for an amount greater than your applicable in-network coinsurance, copay, or deductible.
The term clean claim means a claim that has no defect, impropriety, lack of any required substantiating documentation - including the substantiating documentation needed to meet the requirements for encounter data - or particular circumstance requiring special treatment that prevents timely payment; and a claim that ...
Clean claim defined: A clean claim has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment.
Clean Claims are claims that have all information in them and nothing is missing. If any mandatory or conditional information is missing, the claim will be considered unclean. Examples of unclean claims include invalid member ID, provider data discrepancy NPI and atax ID does not match.
Verify Patient Information Review Patient Information. Health care providers need to validate your patients' contact information regularly. ... Determine Prior Authorization. Getting prior authorization as soon as possible helps achieve clean claims. ... Confirm Patient Eligibility. ... Conduct Quality Checks.