Third Party Billing for IEP Team Associates

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Presentation transcript:

Third Party Billing for IEP Team Associates

What is Third Party Billing? IEP Team Associates What is Third Party Billing? What is a claim? Federally funded program Pursues Medicaid reimbursement of some costs of direct and administrative services under IDEA Submits Medicaid claims to recover costs of some medical-related services provided to children who receive specialized services. 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.

Who can provide services? IEP Team Associates What is a false claim? Who can provide services? 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 An employee or contractor who is 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 who is currently certified by the Maryland State Department of Education: Advanced Professional Certification Standard Professional Certification

How do I get to the Third Party Billing web site? IEP Team Associates How do I get to the Third Party Billing web site? Open Google Chrome. Type bcpss 9041, then enter.

How do I get to the Third Party Billing web site? IEP Team Associates How do I get to the Third Party Billing web site? Click the Overview link.

How do I get to the Third Party Billing web site? IEP Team Associates How do I get to the Third Party Billing web site? Scroll down.

IEP Team Associates How do I log in? Select the link for the TPB/SAS system.

IEP Team Associates How do I log in? Logon using your network ID and password.

IEP Team Associates How do I log in? Before each use, you promise to not commit Medicaid fraud. Report your services only.

How do I report IEP meetings? IEP Team Associates How do I report IEP meetings? Your name is displayed. Click the IEP tab. Report meetings where you served as IEP Chair. For your assigned schools, meetings you need to report are marked . Mouse over Report Meeting for th

How do I report IEP meetings? IEP Team Associates How do I report IEP meetings? For your assigned schools, meetings to report are marked . Mouse over Report Meeting for the hyperlink that will take you directly to the entry screen.

How do I report IEP meetings? IEP Team Associates How do I report IEP meetings? All information presented is from MD Online IEP and cannot be changed. Verify Meeting Date, select Type of Meeting, click Placed In Folder, and Submit.

How do I report IEP meetings? IEP Team Associates How do I report IEP meetings? Use the confirmation screen to review your information. Once you click Submit, Type of Meeting can be changed by Third Party Billing only. If correct, click Submit. Otherwise, click Back to make a correction.

How do I verify a reported IEP meeting? IEP Team Associates How do I verify a reported IEP meeting? Here is verification that your meeting has been reported and the student is no longer listed. As this was the only meeting for this school, there is no report to display.

IEP Team Associates How do I view reports? Go to the Reports tab and click on a report. The Transaction History Report lists your reported meetings for two quarters.

IEP Team Associates How do I view reports? Disable pop-up blocker. Select Period and run.

Transaction History Report IEP Team Associates Transaction History Report Save trees. Do not print these reports. Close both report tabs to return to the Reports Menu.

IEP Team Associates Missing IEP Meetings Missing IEP Meetings Report displays all billable meetings. If all meetings are entered, there is no report. Meetings appear when they have been finalized in Maryland Online IEP. If your school has a large Specialized Services population, check this report weekly.

Service Coordination Report IEP Team Associates Service Coordination Report Displays ‘1’ for services reported for students. Missing services are indicated by ‘0’. Report end date is previous month. Patterns of zeros may indicate unreported services by a particular provider.

School Transaction History Report IEP Team Associates School Transaction History Report School Transaction History Report displays services for students reported by all providers at the school. Available for Current Month, Current Quarter, and Prior Quarter. All of your assigned schools will be displayed.

Compilation of Services Reported during this session IEP Team Associates Compilation of Services Reported during this session When you select the Log Out tab, you get a summary of your session activity.

Sample IEP Team Attendance Sheet IEP Team Associates Sample IEP Team Attendance Sheet

Frequently Asked Questions IEP Team Associates Frequently Asked Questions What are the TPB responsibilities of the IEP Team Associate? Serve as Chairperson of the IEP Committee for meetings held at your school(s) Report all finalized IEP meetings Resolve meeting discrepancies reported by TPB as missing each month Submit copies of all Service Coordination/Medical Assistance Consent Letters that are signed by the parent(s)/guardian(s) Print student’s attendance and place a copy in their confidential folder. Do this quarterly. What documentation must be placed in the student’s confidential folder for Medicaid billing? Completed Maryland Online IEP Completed IEP Meeting Attendance Sheet Copy of Notice of Invitation to the Parent How will I know my services have been reported to TPB? Verification is provided after the 2nd submit, at the end of your session when you click on the Log Out tab, and via the Reports function.