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Billing
- Subject
  
  Description
  Date
- Billing for H2010M/N/S in Fiscal Year 2024-2025
  This document provides guidance on billing H2010M/N/S for FY 24-25.
  11/22/24
- Rates and Standards Matrix Orientation
  This video shows users how to easily navigate the rates and standards matrix and explains how to find the appropriate CPT or HCPCS code for the service they are attempting to bill.
  04/01/24
- Claim Status Report Job Aid
  This job aid provides guidance on the purpose of the Claim Status Report and the description of the fields in the report.
  05/03/23
- Telehealth Adjudication Report Job Aid
  This job aid provides guidance on the purpose of the Telehealth Adjudication Report and an overview of the data contained on the report.
  07/14/22
- OHC FAQ Published March 2022
  The questions referenced in this FAQ were submitted by SAPC contracted providers during the SAPC training webinar on Entering Other Health Coverage Information for Primary Providers, held on February 15, 2022.
  04/06/22
- Other Health Coverage Provider Billing Manual
  This manual provides guidance for both Primary and Secondary Sage Users on how to bill SAPC for patients who have Other Health Coverage, as well as general information on Other Health Coverage and billing OHC carriers prior to SAPC
  09/15/23
- Other Health Coverage Form Video Tutorial
  This is a tutorial for Primary Sage Users on how to complete the new Other Health Coverage Form.
  02/23/22
- Entering Other Health Care (OHC) Information for Primary Sage Users PPT
  This webinar was developed for Primary Sage users entering Other Health Care information in Sage to demonstrate that OHC was billed prior to billing SAPC.
  02/15/22
- Entering Other Health Care (OHC) Information for Primary Sage Users Recording
  This is the recording for the webinar provided to Primary Sage Users for entering OHC information in Sage to demonstrate OHC was billed prior to billing SAPC.
  02/15/22
- Claiming for Telehealth Using Modifiers
  This document provides instructions for both Primary and Secondary Sage Users on how to claim telehealth and telephone services using the newly added GT and SC modifiers in Sage.
  12/30/21
- Other Healthcare Coverage (OHC) Technical Assistance Webinar for Secondary Providers
  This webinar was developed for SAPC Secondary Sage Users to provide technical guidance on billing and setting up an 837 file for Other Healthcare Coverage (OHC) claims. The webinar focuses on general OHC information, specific loops and segments, then discusses common errors found with 837 files containing OHC claims. The information obtained for the webinar was primarily obtained from the SAPC 837 companion guides.
  11/04/21
- Other Healthcare Coverage (OHC) Technical Assistance Video for Secondary Providers
  Other Healthcare Coverage (OHC) Technical Assistance Video for Secondary Providers
  11/04/21
- Correcting Diagnosis Errors in Sage
  Instructions for how to correct common data entry or date errors for the Provider Diagnosis (ICD-10) form in Sage that result in billing denials or delays in processing
  04/01/21
- Claiming for SUD Screening Instructions
  Instructions on how to claim for SUD Screening
  02/15/23
- Documenting Changes in Financial Eligibility Status
  Documents on Changes in Financial Eligibility Status
  09/02/22
- Updating Financial Eligibility for Patients Who Obtain Benefits During Treatment
  Documents on Updating Financial Eligibility for Patients Who Obtain Benefits During Treatment
  09/02/22
- Updating Financial Eligibility for Patients Whose Benefits Expired During Treatment
  Documents on Updating Financial Eligibility for Patients Whose Benefits Expired During Treatment
  09/02/22
- Updating Financial Eligibility Admitted Under Other County Funding or MHLA
  Documents on Updating Financial Eligibility Admitted Under Other County Funding or MHLA
  09/02/22
- Updating Financial Eligibility for Self-Pay Patients Who Establish Benefits
  Documents on Updating Financial Eligibility for Self-Pay Patients Who Establish Benefits
  09/02/22
- Time and Staff Modifier Billing Presentation Printout
  Powerpoint to all providers that describes the new policies regarding documentation time and staffing level enhanced reimbursement rates to be implemented as of the date of this training
  10/28/19
- Time and Staff Modifier Billing Recording
  Webinar for all providers that describes new policies regarding documentation time and staffing level enhanced reimbursement rates to be implemented as of the date of this training
  10/28/19
- Sage Core Functions, Billing Fundamentals, KPI Dashboards Presentation Printout
  The PowerPoint describes the core elements required for billing in Sage and basic KPI Dashboard overview
  03/18/18
- Sage Core Functions, Billing Fundamentals, KPI Dashboards Recording
  This recording describes the core elements required for billing in Sage and basic KPI Dashboard overview. Please use the powerpoint to follow along with the presentation
  03/18/18
- Sage Billing Overview and Workflow
  This PowerPoint provides an overview of the billing process, including entering Financial Eligibility, Service Authorizations and billing for services
  01/31/18
Billing Office Hours
- Subject
  
  Description
  Date
- Billing Office Hours Frequently Asked Questions
  Billing office hours listing of frequently asked questions. This list is updated on a weekly basis to provided users for the most recent information for common questions.
  08/22/24
- Billing Office Hours 10/17/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours Recording 10/17/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours 10/10/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours Recording 10/10/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours 10/03/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours Recording 10/03/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours 09/26/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours Recording 09/26/2024
  Billing office hours presentation discussing common billing issues.
  10/23/24
- Billing Office Hours 09/19/2024
  Billing office hours presentation discussing common billing issues.
  09/26/24
- Billing Office Hours Recording 09/19/2024
  Billing office hours presentation discussing common billing issues.
  09/26/24
- Billing Office Hours 09/12/2024
  Billing office hours presentation discussing common billing issues.
  09/19/24
- Billing Office Hours Recording 09/12/2024
  Billing office hours presentation discussing common billing issues.
  09/19/24
- Billing Office Hours 09/05/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours Recording 09/05/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours 8/29/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours Recording 8/29/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours 8/22/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours Recording 8/22/2024
  Billing office hours presentation discussing common billing issues.
  09/11/24
- Billing Office Hours 8/14/2024
  Billing office hours presentation discussing common billing issues.
  08/22/24
- Billing Office Hours Recording 8/14/2024
  Billing office hours presentation discussing common billing issues.
  08/22/24
- Billing Office Hours 8/8/2024
  Billing office hours presentation discussing common billing and denial reasons.
  08/22/24
- Billing Office Hours Recording 8/8/2024
  Billing office hours presentation discussing common billing and denial reasons.
  08/22/24
- Billing Office Hours 8/1/2024
  Billing office hours presentation discussing common billing issues.
  08/22/24
- Billing Office Hours Recording 8/1/2024
  Billing office hours presentation discussing common billing issues.
  08/22/24
- Billing Office Hours 7/25/2024
  Billing office hours presentation discussing items for the new Fiscal year FY 24-25 and Changes to the Rates and Standards Matrix.
  08/22/24
- Billing Office Hours Recording 7/25/2024
  Billing office hours presentation discussing items for the new Fiscal year FY 24-25 and Changes to the Rates and Standards Matrix.
  08/22/24
Denial Troubleshooting
- Subject
  
  Description
  Date
- Sage Claim Denial Reason and Resolution Crosswalk Version 4.0
  This excel document lists local and State denial codes and provides resolution steps to correct claims for rebilling.
  03/08/23
- Sage Guide to Claim Denial Resolution and Crosswalk Version 4.0
  This guide explains types of denials, general investigation steps, and how to use the Denial Crosswalk.
  03/08/23
- State Denial Investigation and Resolution Presentation Printout
  Reviews the most common state denials and resolution steps to assist providers better manage state denials.
  06/25/20
- Quick Guide to Identifying Denials
  This document demonstrates snapshots of what denials may look like in Sage and on 837 files.
  05/08/20
- Billing Denials 2.0: Claims Pre-Adjudication and Denial Troubleshooting Presentation Printout
  This PowerPoint is a follow up to the previous training on billing denials from 4/19/18. It expands on the common local denials and provides instruction on how to use the Sage Pre-Adjudication function that was added for primary Sage users.
  02/07/19
- Billing Denials 2.0: Claims Pre-Adjudication and Denial Troubleshooting Recording
  This webinar is a follow up to the previous training on billing denials from 4/19/18. It expands on the common local denials and provides instruction on how to use the Sage Pre-Adjudication function that was added for primary Sage users.
  02/07/19
- Sage Denial Troubleshooting and Replacement Claims Submission Presentation Printout
  This PowerPoint shows providers the most common Local or Level 1 denials experienced throughout the network, including triggers and resolutions to those denials. A brief discussion replacement claims for certain denials is included.
  04/19/18
- Sage Denial Troubleshooting and Replacement Claims Submission Recording
  This recorded training reviews the most common Local or Level 1 denials experienced throughout the network, including triggers and resolutions to those denials. A brief discussion replacement claims for certain denials is included.
  04/19/18
Medical Necessity
- Subject
  
  Description
  Date
- Establishing Eligibility and Medical Necessity in Opioid Treatment
  A webinar is specifically to help OTP providers establish and manage medical necessity to avoid common authorization errors in the UM process.
  05/17/18
System Configurations
- Subject
  
  Description
  Date
- Secondary Sage Users Technical Assistance Presentation Printout
  Powerpoint to provide technical assistance about common issues and new policies implemented as of date of presentation, including staff modifiers and national drug codes.
  10/2/19
- Secondary Sage Users Technical Assistance Recording
  Webinar to provide technical assistance about common issues and new policies implemented as of date of presentation, including staff modifiers and national drug codes.
  10/2/19

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If you or someone you know has a substance use disorder, also known as addiction, we can help. Call anytime, toll-free.

If you or someone you know has a substance use disorder, also known as addiction, we can help.
Call anytime, toll-free.