Billing Practices Overview

Overview

Alma Integrity Standards promote our mission by: 1) Creating clear expectations for providers in terms of how to use the Alma platform and tools, and 2) Establishing an environment of safety and respect, while supporting providers in maintaining autonomy of their practices. To learn more about our integrity standards as a whole, please see What are Alma Integrity Standards?

This article covers Alma’s policies around Billing Practices:

  • Rendering Provider Accuracy
  • Client Accuracy
  • Coding and Session Accuracy
  • Timely Filing of Claims
  • Supervision

1. Rendering Provider Accuracy 

Providers must accurately bill services to payers in terms of the rendering provider and are not permitted to bill for services of other providers.

2. Client Accuracy

Providers must accurately bill services to payers in terms of identifying the client receiving services.

3. Coding and Session Accuracy

Providers must accurately bill services to payers in terms of coding accuracy and session accuracy.

4. Timely Filing of Claims

Providers must submit claims within 45 days of service with necessary information.

5. We Do Not Support Supervision 

Independently licensed providers are not permitted to bill for the services of non-independently licensed therapists using their own name as the rendering provider.

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