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Wiki Not cert billing

lizziemcd

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Solon, OH
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If an agency doesn’t hold the OhioMHAS cert to render a certain services but services are provided (proper service with properly credentialed rendering provider) and these services were paid by all payers and Medicaid does the payer have the right to recoup payments? The agency is a type 84/95 provider with peer support, Sud case management, general service and cpst certifications. The agency billed for a TPS/PSR service.
 
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