Behavioral health
Provider credentials, service type, session limits, telehealth or place of service, and authorization terms shape billing requirements.
Care Models & Specialties
Payer requirements change with the care being delivered
Alico supports medical, behavioral, therapy, and community-based services. The billing considerations below depend on the payer, program, provider, and care setting.
Behavioral & Community-Based Care
Applied behavior analysis
Authorized units, rendering-provider credentials, supervision requirements, and concurrent services need to align with the treatment billed.
Medication management
Visit documentation, the treating clinician’s enrollment, and coding for services provided during the encounter affect billing. Medication coverage is a separate consideration.
Early intervention
Program eligibility, service-plan requirements, provider qualifications, and payer coordination need to stay aligned with the services delivered.
Therapeutic mentoring
Program-specific eligibility, service plans, provider qualifications, and documentation requirements guide how mentoring services are billed.
Therapy & Rehabilitation
Speech therapy
Evaluation and treatment services, diagnosis requirements, authorization terms, and the applicable code structure determine the information needed for billing.
Occupational therapy
Plans of care, visit authorization, service documentation, and applicable therapy modifiers need to support the services billed.
Physical therapy
Benefits, authorized visits, treatment documentation, timed services, and applicable modifiers need to be reviewed together.
Medical & Specialty Care
Radiology
The service performed, professional and technical components, place of service, and applicable authorization requirements shape the claim.
OB-GYN
Preventive visits, procedures, imaging, and maternity care create different billing paths. Service dates and payer requirements matter when coding rules change.
Home & Community Services
Home health
Eligibility, certification, plans of care, documentation, and payer-specific payment periods need to remain aligned throughout care.
Medical transportation
Trip type, medical necessity, authorization, pickup and destination details, and mileage support the transportation claim.
Revenue Cycle Services
Find the right scope of support
Explore the revenue functions Alico can manage for your organization, through ongoing operations or a focused engagement.
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