This book provides information necessary to establish and implement a third party reimbursement system for special education and related services within the public school setting. The first chapter traces the legal and historical precedent from the enactment of Public Law 94-142 through the interpretation of P.L. 100-360. The second chapter details the major issues surrounding third party reimbursement systems including child and family related issues and implementation and funding issues. The third chapter describes the current activities of the state departments of education and Medicaid systems with states listed alphabetically and individual contact information provided. Provided in the fourth chapter are federal credential requirements, third party coverage sources, available system options, samples of surveys for determining resources, and lists of additional resources by state. The fifth chapter covers billing and reimbursement terminology, common procedure and diagnostic codes by discipline, and how to determine usual and customary charges. The sixth chapter reviews Medicaid, the Early Periodic Screening Diagnosis and Treatment program, and other federally funded third party reimbursement sources. The seventh chapter provides the definitions of major insurance carriers and health maintenance organizations as well as a listing of major insurers in the United States. The eighth chapter reviews documentation parameters while the ninth discusses implementation strategies regarding data collection, design and use of forms, training, evaluation of results, and ways to effect change. A bibliography lists 23 publications. (DB)The sample HCPCS Level 3 codes listed beginning with the letter X are local codes currently used in Minnesota. ... Physical therapy CPT procedure codes are found in the Physical Medicine section of the CPT code book. The procedure codes range from 97010 through 97799. ... DESCRIPTION (Alphabetic 5:8 Third Party Payment for Funding Speclal Education and Related Services ESTABLISHINGanbsp;...
|Title||:||Third Party Payment for Funding Special Education and Related Services|
|Author||:||Roberta A. Kreb|