Common use of Billing Guidelines Clause in Contracts

Billing Guidelines. Unless otherwise specified herein the term "unit" in Schedules A and B is defined to mean a fifteen (15) minute episode of service with the client present in compliance with the applicable Administrative Rule. The Mental Health Board shall pay the authorized unit rate for each fifteen (15) minutes of qualifying client Service identified on the Work Plan by service or activity code that has been provided and is properly documented and submitted for payment. An episode of Service lasting at least eight (8) minutes but less than fifteen (15) minutes shall be paid an amount equal to the authorized cost per unit. An episode of Service lasting less than eight (8) minutes shall not qualify for any payment. Units lasting less than 8 minutes shall not be added together to meet the billable unit time requirement. The Mental Health Board will not pay for time spent completing clinical documentation unless completing such paperwork meets the definition of a reimbursable service. The Mental Health Board shall pay the authorized unit rate for each qualifying client service or service code identified on the Schedule B that has been provided and is properly documented and submitted for payment at the time of contract execution. Payments under this Agreement shall be made on a monthly basis within 60 days of submission by the Provider of a satisfactory monthly Affidavit and any related data submission requirements detailed in the program specific Work Plan or Special Conditions. Affidavit submission shall occur within 30 days of the end of the month in which Services were provided, including resubmissions, unless otherwise approved by the Mental Health Board. All Affidavits shall be submitted in accordance with Mental Health Board fiscal year-end deadlines, which will be communicated to Provider during the Mental Health Board’s fourth quarter.

Billing Guidelines. Unless otherwise specified herein the term "unit" in Schedules A and B is defined to mean a fifteen (15) minute episode of service with the client present in compliance with the applicable Administrative Rule. The Mental Health Board shall pay the authorized unit rate for each fifteen (15) minutes of qualifying client Service identified on the Work Plan by service or activity code that has been provided and is properly documented and submitted for payment. An episode of Service lasting at least eight (8) minutes but less than fifteen (15) minutes shall be paid an amount equal to the authorized cost per unit. An episode of Service lasting less than eight (8) minutes shall not qualify for any payment. Units lasting less than 8 minutes shall not be added together to meet the billable unit time requirement. The Mental Health Board will not pay for time spent completing clinical documentation unless completing such paperwork meets the definition of a reimbursable service. The Mental Health Board shall pay the authorized unit rate for each qualifying client service or service code identified on the Schedule B that has been provided and is properly documented and submitted for payment at the time of contract execution. Payments under this Agreement shall be made on a monthly basis within 60 30 days of submission by the Provider of a satisfactory monthly Affidavit and any related data submission requirements detailed in the program specific Work Plan or Special Conditions. Affidavit submission shall occur within 30 60 days of the end of the month in which Services were provided, including resubmissions, unless otherwise approved by the Mental Health Board. All Affidavits shall be submitted in accordance with Mental Health Board fiscal year-end deadlines, which will be communicated to Provider during the Mental Health Board’s fourth quarter.