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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Colorado Medicaid

Guidance on physician and NPP services covered through Colorado Medicaid and other important compliance issues.  Members can email us questions regarding any billing, coverage, or compliance issue, so please consider joining today  if you need assistance.  Learn more  about how we provide comprehensive support for our members.  

Provider Enrollment

    • Individual Enrollment
    • Group Enrollment

Physician Services

    • Evaluation and Management
    • Preventative Care
    • Allergy and Immunology
    • Family Planning
    • Physical, Occupational, and Speech Therapy


    • Criteria for Coverage
    • Covered Services
    • Services Not Covered

Medicaid Records

    • Retention Requirements
    • Content
    • Availability
    • Confidentiality

     NPP Services

      • Enrollment
      • Supervision Requirements
      • Covered Services

    Patient Issues

      • Patient Verification
      • Patient Billing
      • Retroactive Enrollment
      • Copayments

    Qualified Medicare Beneficiaries

      • Types of QMB Beneficiaries
      • Medicare Advantage
      • Crossover Claims

    Prior Authorization and Appeals

      • Managed Care Plans
      • Fee-for-Service
      • Audits

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      Med Comply is a healthcare compliance firm that strives to bring high quality compliance guidance and one-on-one consulting services to small and medium sized physician and NPP practices.   

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