Service Billing Determination - High Level
Mainecare client?
Is the billing location in Kennebec or Somerset County?
Is the billing program participating in CCBHC?
Is the service a CCBHC service?
Is there a T1041 authorization in place?
Is there an authorization service level component in place for service delivered?
Does this service yield a PPS triggering CPT?
Pass T1041 compliance checks?
Bill PPS Rate
The service is now a Failed Activity.
This service will continue to fail until it passes validation, compliance, and authorization checks. |
How did I get here? 🛑
Fee for Service
Does it pass validation, compliance, and authorization checks?
Bill Fee for Service
The service is now a Failed Activity.
| This service will continue to fail until it passes validation, compliance, and authorization checks. |
Fee for Service
Does it pass validation, compliance, and authorization checks?
Bill Fee for Service
The service is now a Failed Activity.
This service will continue to fail until it passes validation, compliance, and authorization checks. |
Fee for Service
Does it pass validation, compliance, and authorization checks?
Bill Fee for Service
The service is now a Failed Activity.
This service will continue to fail until it passes validation, compliance, and authorization checks. |
Fee for Service
Does it pass validation, compliance, and authorization checks?
The service is now a Failed Activity.
This service will continue to fail until it passes validation, compliance, and authorization checks. |
Fee for Service
Does it pass validation, compliance, and authorization checks?
Bill Fee for Service
The service is now a Failed Activity.
This service will continue to fail until it passes validation, compliance, and authorization checks. |
Fee for Service
Does it pass validation, compliance, and authorization checks?
Bill Fee for Service
The service is now a Failed Activity.
| This service will continue to fail until it passes validation, compliance, and authorization checks. |
