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New Mexico Behavioral-Health Billing Checklist
A Practical Pre-Submission Review for Medicaid, IOP, CCSS, and Behavioral-Health Claims. Contains no PHI — just common pre-submission review points that can help identify avoidable claim problems.
What it covers
- Correct patient insurance and payer
- Medicaid eligibility
- Correct service code
- Units and documented duration
- Place of service (POS)
- Telehealth modifier when applicable
- Group modifier when applicable
- Rendering provider
- Group NPI
- Provider enrollment
- MCO roster activation
- Authorization status
- Diagnosis and treatment-plan alignment
- Duplicate claim risk
- Same-day service and bundling risk
- ERA and denial follow-up
- Timely filing monitoring
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