Articles
Managed Care Articles
Choose an article when a health plan changes the billing path from fee-for-service.
Ohio ODM 10381 doula prior authorization form: what to check
If you searched for ODM 10381 because an Ohio doula claim needs more visits, use the official Ohio Department of Medicaid source and slow down before filling out anything with member details.
Fee-for-service or managed care? How to tell which plan to bill for a Medicaid doula client
One of the most common reasons a clean doula claim gets denied or stuck has nothing to do with codes or visit notes. It is that the claim went to the wrong payer. A Medicaid member can be in regular fee-for-service Medicaid or in a managed care plan, and the two are billed in completely different places.
Add Medicaid doulas as a billing specialty: ProviderOne and CHAMPS 837P requirements
Adding Medicaid doulas can be a specialty expansion for an established medical billing or revenue-cycle management company, but it is not a national switch. Washington Apple Health and Michigan Medicaid authorize billing entities and electronic transactions through different state processes.