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[DOC File]901004_RFP_BHMIS
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Provide for the inclusion of detailed benefit text accessible from all modules; Allow inquiry access to detailed benefits including, but not limited to, co-pays, coinsurance, exclusions, maximums, carve-out services and notes; Support definition of benefits at a code specific level including groupings of CPT/HCPCs codes (i.e. individual codes ...
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[DOCX File]CMS1500 Billing Instructions April 2013
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Bilateral services are studies done on the same body area, once on the left side and once on the right side. Providers should use the “bilateral” CPT code to bill the service when available. If a bilateral code is not available, report bilateral radiological studies on one claim line with the modifier –50.
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[DOCX File]CPT Code changes - Quest Diagnostics
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Quest Diagnostics will be implementing these changes effective January 1, 2020. Overall, the changes for 2020 affect the way we bill some of our tests. These tests may also be included in panels or profiles. The chart below lists some of the tests affected and the appropriate CPT code changes.
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[DOC File]Department of Veterans Affairs Home | Veterans ...
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If the MCCR site parameter USE OP CPT SCREEN is set to YES, the Current Procedural Terminology Code Screen will appear when editing procedure codes. The screen will list CPT codes for the dates associated with the bill. An associated diagnosis (diagnosis responsible for the procedure being performed) must be entered for each procedure for HCFA ...
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[DOCX File]AB1114 Benefits Implementation and Oversight
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To describe Partnership HealthPlan of California’s (PHC’s) role related to the implementation, maintenance and oversight of the Medi-Cal benefit for the provision of pharmacist services to Medi-Cal managed care members, pursuant to Welfare and Institutions (WIC) Code Section 14132.968
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[DOCX File]Codesheet Section (U.S. Department of Veterans Affairs)
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Additional service code. Entry generated for the initial rating decision, if applicable. See M21-1, Part III, Subpart iv, 6.D.2. Combat status code. Entry generated for the initial rating decision that addresses service connection. Note: There is no need for a later entry unless the combat status has changed. See M21-1, Part III, Subpart iv, 6.D.3.
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[DOCX File]Explanation of Rejection Codes - Veterans Affairs
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Use this document to compare the rejection code and explanation found on the explanation of benefits you received from the Veterans Affairs. In most cases, the claim or claim line is not payable under any circumstances and should not be resubmitted. ... If a claim is resubmitted using alternative CPT/HCPCS codes, the submission may be consider ...
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[DOC File]Stratford Manual
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Enter the lookup code. The lookup code is a shortcut to looking up an employer. The lookup code can be either numeric or alphabetic. For example, if the employer that you want to add is Intel, you could use the letters INT as the lookup code. After you enter the code…
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[DOC File]Section III All Provider Manuals - Arkansas
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The Current Procedural Terminology (CPT) is the professional component of the Healthcare Common Procedure Coding System (HCPCS). CPT is a systematic listing of medical terms and identifying codes for reporting medical services provided by physicians. Each procedure or service is identified with a 5-digit code.
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[DOCX File]Appendix 2.16 - Status Codes - Defense Logistics Agency
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The Security Cooperation Customer Code must align properly with the Service/Agency Code identified in the document number. CE. Rejected. Unit of issue in original requisition, which is reflected in rp 23-24 of this status document, does not agree with ICP unit of issue and cannot be converted. If still required, submit a new requisition
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Medi cal cpt code lookup