Subject: Transportation Services: Ambulance and Non-Emergent Transport
|
|
|
- Annabelle Sanders
- 8 years ago
- Views:
Transcription
1 Reimbursement Plicy Subject: Transprtatin Services: Ambulance and Nn-Emergent Transprt Effective Date: 08/18/14 Cmmittee Apprval Obtained: 08/18/14 Sectin: Transprtatin ***** The mst current versin f ur reimbursement plicies can be fund n ur prvider website. If yu are using a printed versin f this plicy, please verify the infrmatin by ging t ***** These plicies serve as a guide t assist yu in accurate claim submissins and t utline the basis fr reimbursement by Empire BlueCrss BlueShield HealthPlus (Empire) if the service is cvered by a member s Empire benefit plan. The determinatin that a service, prcedure, item, etc., is cvered under a member's benefit plan is nt a determinatin that yu will be reimbursed. Services must meet authrizatin and medical necessity guidelines apprpriate t the prcedure and diagnsis, as well as t the member s state f residence. Yu must fllw prper billing and submissin guidelines. Yu are required t use industry standard, cmpliant cdes n all claim submissins. Services shuld be billed with CPT cdes, HCPCS cdes and/r revenue cdes. The cdes dente the services and/r prcedures perfrmed. The billed cde(s) are required t be fully supprted in the medical recrd and/r ffice ntes. Unless therwise nted within the plicy, ur plicies apply t bth participating and nnparticipating prviders and facilities. If apprpriate cding/billing guidelines r current reimbursement plicies are nt fllwed, Empire may: Reject r deny the claim Recver and/r recup claim payment Empire reimbursement plicies are develped based n natinally accepted industry standards and cding principles. These plicies may be superseded by mandates in prvider, state, federal r CMS cntracts and/r requirements. System lgic r setup may prevent the lading f plicies int the claims platfrms in the same manner as described; hwever, Empire strives t minimize these variatins. Empire reserves the right t review and revise ur plicies peridically when necessary. When there is an update, we will publish the mst current plicy t this site. Empire BlueCrss BlueShield HealthPlus is the trade name f HealthPlus, LLC, an independent licensee f the Blue Crss and Blue Shield Assciatin. WEB-NYE Octber 2015
2 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 2 f 7 Empire allws reimbursement fr transprt t and frm cvered services r ther services mandated by cntract, unless prvider, state, federal, r CMS cntracts and/r requirements indicate therwise. Reimbursement is based n the guidelines in this plicy. Due t the cmplex nature f transprtatin services, Empire recmmends that prviders als review state guidelines fr cverage requirements. Plicy Nn-Emergent Transprt Services Nn-Emergency Medical Transprt (NEMT) entails the transprt f a member by nnmedically skilled persnnel (laypersns) t receive cvered services. There are several types f medical transprts: ambulette/medi-van, wheelchair van, invalid cach, taxicab, mini-bus, and public transprtatin. In sme instances, NEMT services are prvided thrugh a state vendr, nt Empire. Reimbursement fr medical transprt services is based n receipt f a claim r an invice frm cntracted transprtatin vendrs r ther suppliers detailing: The nnemergency medical transprt base rate per trip, where a trip is defined by the rigin and destinatin mdifiers Mileage Parking and/r tll fees Ambulance Services Reimbursement fr ambulance services is based n: The ambulance base rate per trip in accrdance with the medically necessary level f care prvided t the member, where a trip is defined by the rigin and destinatin mdifiers The fee schedule r cntracted/negtiated rate fr services and items separately reimbursable frm the ambulance base rate If ambulance transprt is medically necessary fr inpatient-tinpatient transfer between hspital-based facilities, reimbursement is included in the inpatient stay If an ambulance transprt fr newbrn infant is transprted frm the birth hspital t a Reginal Perinatal Care Center, reimbursement f ambulance transprt is separate frm the inpatient stay
3 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 3 f 7 Included in the Ambulance Base Rate Services reimbursed as part f the ambulance base rate: Ambulance equipment and supplies: Dispsable/first aid supplies Reusable devices/equipment Oxygen Intravenus (IV) drugs Ambulance persnnel services Separately Reimbursable frm the Ambulance Base Rate Services that are nt part f the ambulance base rate are separately reimbursable expenses: Mileage Additinal apprpriately licensed medical persnnel as medically necessary fr member s health status Unusual waiting time Dispsable/first aid supplies in greater than nrmal use Transprtatin Mdifiers Claims fr transprtatin services must be billed with the fllwing rigin and destinatin mdifiers. Claims fr transprtatin services submitted withut rigin and destinatin mdifiers will be denied. Mdifier D: Diagnstic r therapeutic site/free standing facility ther than P r H Mdifier E: Residential, dmiciliary, custdial facility Mdifier G: Hspital-based dialysis facility (hspital r hspitalassciated) Mdifier H: Hspital (inpatient r utpatient) Mdifier I: Site f transfer between types f ambulance Mdifier J: Nnhspital-based dialysis Mdifier N: Skilled Nursing Facility (SNF), including swingbed Mdifier P: Physician s ffice, including HMO nnhspital facility, clinic, etc. Mdifier R: Private residence Mdifier S: Scene f accident r acute event Mdifier X: Intermediate stp at the physician s ffice en rute t
4 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 4 f 7 hspital (includes HMO nnhspital facility, clinic, etc.) Mdifier X can nly be used as a destinatin cde in the secnd psitin f a mdifier In additin t the rigin and destinatin mdifiers, the fllwing mdifiers are t be used when apprpriate: Mdifier GM: Indicates multiple members n ne trip Mdifier QL: Indicates the member died after the ambulance was called Mdifier QM: Indicates the prvider arranged fr the transprtatin services Mdifier QN: Indicates the prvider furnished the transprtatin services Mdifier TK: Indicates multiple carry trips Mdifier TQ: Indicates life supprt transprt by a vlunteer ambulance prvider Mdifiers fr transprtatin f prtable/mbile radilgy equipment Nnreimbursable Empire des nt allw reimbursement f the fllwing fr any ambulance r medical transprt service prvided: A member wh is nt available (n-shw) Additinal rates fr night, weekend, and/r hliday calls Mileage in transit t pick up r drp ff the member (unladed mileage) Mileage fr additinal passengers Mileage fr extra attendant fr additinal passengers Mileage when the transprt service has been denied r is nt cvered Transprt fr a member s r caregiver s cnvenience Transprt available free f charge Fr ambulance services nly: Fr reasns ther than medical care Where anther means f transprtatin culd be used withut endangering the member s health Fr separate reimbursement fr services/items included in the base ambulance rate
5 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 5 f 7 Fr a higher level f care when a lwer level is mre apprpriate Fr bth basic and advanced life supprt when ALS services are prvided Fr services prvided by the Emergency Medical Technician [EMT] in additin t ALS r BLS base rates Fr services prvided n the ambulance by hspital staff Additinal grund and/r air ambulance prviders that respnd but d nt transprt the member Transprt frm the member s hme t a facility ther than a hspital, skilled nursing facility, dialysis facility, r nursing hme Transprt frm a facility ther than a hspital, skilled nursing facility, dialysis facility, r nursing hme t the member s hme Transprt f persns ther than the member and a medically required attendant wh d nt require medical attentin Transprt fr a member prnunced dead prir t the grund and/r air ambulance being cntacted Mileage beynd the nearest apprpriate facility (excessive mileage) Fr medical transprt services nly: Transprtatin vendr/supplier ldging r meals Vehicle maintenance r gas Histry Initial Empire review apprved and effective 08/18/14 References and Research Materials Definitins This plicy has been develped thrugh cnsideratin f the fllwing: CMS State Medicaid State cntracts Optum Learning: Understanding Mdifiers, 2014 Editin Ambulance Services Ambulance services entail the medically necessary transprt f a member by medically skilled persnnel t the nearest apprpriate facility equipped t prvide care fr the member s injury and/r
6 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 6 f 7 illness. Services are initially delineated as Basic Life Supprt (BLS) r Advanced Life Supprt (ALS) levels f care, and then further delineated as emergency r nn-emergency: BLS cnsists f nninvasive services prvided by persnnel trained as Emergency Medical Technicians (EMTs) (basic) in cnjunctin with applicable state laws ALS cnsists f invasive services prvided by persnnel trained as EMTs (intermediate r paramedic) in cnjunctin with applicable state laws Emergency ambulance transprtatin is an urgent service in which the member experiences a sudden, unexpected nset f acute illness r injury requiring immediate medical r surgical care which the member secures immediately after the nset, (r as sn thereafter as practical) and, if nt immediately treated, culd result in death r permanent impairment t the member s health Nnemergency ambulance transprtatin is a scheduled r unscheduled service in which the member requires attentin by EMT-trained persnnel while in transit Ambulance Types There are tw types f ambulance transprts: Grund ambulance an equipped and staffed land r water vehicle designed t transprt a member in the supine psitin Air ambulance an equipped and staffed aircraft necessary t rapidly transprt a member t the nearest apprpriate facility that culd nt therwise be accmplished r be accessed by a grund ambulance withut endangering the member s health. Air ambulances are either rtary-wing (helicpter) r fixed-wing (cmmercial r private aircraft) Medical Transprt Services Medical Transprt Services, als referred t as Nn-Emergency Medical Transprt (NEMT), entails the transprt f a member by nnmedically skilled persnnel (i.e. laypersns) t receive cvered services. There are several types f medical transprts: ambulette/medi-van, wheelchair van, invalid cach, taxicab, minibus, and public transprtatin (i.e. bus and/r subway). Transprtatin Mdifiers: Single alpha characters with distinct definitins that are paired tgether t frm a tw-character mdifier; the first character indicates the riginatin f the member, and the secnd character indicates the destinatin f the member. General Reimbursement Plicy Definitins
7 Empire BlueCrss BlueShield HealthPlus Transprtatin Services Page 7 f 7 Related Plicies Prtable/Mbile/Handheld Radilgy Services Related Materials Nne
Subject: Transportation Services: Ambulance and Non-Emergent Transport
Anthem BlueCrss BlueShield Medicaid Reimbursement Plicy Subject: Transprtatin Services: Ambulance and Nn-Emergent Transprt Effective Date: 08/18/14 Cmmittee Apprval Obtained: 08/18/14 Sectin: Transprtatin
Subject: Transportation Services: Ambulance and Nonemergent Transport
UniCare Health Plan of West Virginia, Inc. Medicaid Managed Care Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 03/01/15 Committee Approval Obtained:
Subject: Transportation Services: Ambulance and Non-Emergent Transport
Reimbursement Policy Subject: Transportation Services: Ambulance and Non-Emergent Transport Effective Date: 01/01/15 Committee Approval Obtained: 01/01/15 Section: Transportation ***** The most current
Reimbursement Policy. Subject: Transportation Services: Ambulance and Nonemergent Transport. Policy
Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 12/06/10 Committee Approval Obtained: 08/18/14 Section: Transportation *****The most current version
Ambulance and Medical Transport Services
MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Ambulance and Medical Transprt Services Number 10.01.512* Effective
**Examples of specialized medical services that may not be available at all hospitals or acute care facilities include but are not limited to:
MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Ambulance and Medical Transprt Services Number 10.01.512* Effective
Chapter 3: Ambulance Services
Payment Plicies fr Healthcare Services Prvided t Injured Wrkers and Crime Victims Effective July 1, 2014 Link: Lk fr pssible updates and crrectins t these payment plicies at: www.lni.wa.gv/claimsins/prviders/billing/feesched/2014/
1. Section Modifications
Idah MMIS Prvider Handbk Table f Cntents Transprtatin Services - Ambulance 1. Sectin Mdificatins... 1 2. Transprtatin Services (Ambulance)... 2 2.1. Intrductin... 2 2.2. Definitins... 2 2.2.1. Emergency
Wyoming Trauma Conference
Wyming Trauma Cnference Wyming Medicaid Ambulance Services August 22, 2015 Presenters: Kilee Thmpsn and Melissa Davis, Field Representatives CMS-1500 Prvider Manual Lcated n the Wyming Medicaid Website
Updated PT, OT, and ST Benefit Changes for Acute Services for Texas Medicaid Effective January 1, 2014
Updated PT, OT, and ST Benefit Changes fr Acute Services fr Texas Medicaid Effective January 1, 2014 Infrmatin psted December 31, 2013 Nte: This article applies t claims submitted t TMHP fr prcessing.
Medicare Advantage Outreach and Education Bulletin
Medicare Advantage Outreach and Educatin Bulletin Anthem BlueCrss BlueShield 2014 Cnnecticut Medicare Advantage Plan Changes Dear Healthcare Prvider, Annual benefits changes fr Medicare Advantage plan
Therapy guidelines. Diagnosis. Revised October 2011-1 - Therapy guidelines asuris.com. Asuris Administrative Manual
Therapy guidelines The guidelines in this sectin are subject t individual plan benefits and may nt apply t every member. Please access the Availity Web Prtal at availity.cm t verify patient cverage, benefit
TRAVEL & ENTERTAINMENT REIMBURSABLE POLICY TRAVEL MANAGEMENT GUIDELINES FOR AGENCY CONTRACTORS, CONSULTANTS, AND SERVICE COMPANY PERSONNEL
TRAVEL & ENTERTAINMENT REIMBURSABLE POLICY TRAVEL MANAGEMENT GUIDELINES FOR AGENCY CONTRACTORS, CONSULTANTS, AND SERVICE COMPANY PERSONNEL APPLIES TO: All Petrleum prductin units, perating units and/r
Enrollee Health Assessment Program Implementation Guide and Best Practices
Enrllee Health Assessment Prgram Implementatin Guide and Best Practices March 2015 033129 (03-2015) This guide will help yu answer these questins: What is the Enrllee Health Assessment (EHA) prgram and
Care Plan Oversight. Home Health Certification. July 23, 2014. Agenda
Care Plan Oversight Hme Health Certificatin July 23, 2014 Agenda Care Plan Oversight Why We Are Prviding the Educatin Prcedure cdes Descriptin f Services Wh Can Perfrm Frequency f Services Face-t-Face
EXTENDED BENEFITS FOR TOTAL DISABILITY
ADMINISTRATIVE POLICY EXTENDED BENEFITS FOR TOTAL DISABILITY Plicy Number: ADMINISTRATIVE 49.8 T2 Effective Date: January, 205 Table f Cntents APPLICABLE LINES OF BUSINESS/PRODUCTS PURPOSE... DEFINITIONS...
POLICIES AND PROCEDURES
POLICIES AND PROCEDURES Department: Campus Safety and Security and Welcme Center/Infrmatin Subject: Rental Vehicle Insurance Date Issued: December 16, 2005 Date Revised: March 23, 2009; Octber 1, 2011
Guidance on Documentation Requirements for Medicare Recovery Audits
Guidance n Dcumentatin Requirements fr Medicare Recvery Audits Instructins fr Ordering Physicians Medicare requires that rdering physicians chart ntes in the patient s medical recrds t reflect the need
ACQUIRED RARE DISEASE DRUG THERAPY EXCEPTION PROCESS
ADMINISTRATIVE POLICY ACQUIRED RARE DISEASE DRUG THERAPY EXCEPTION PROCESS Plicy Number: ADMINISTRATIVE 19.8 T Effective Date: Octber 1, 014 Table f Cntents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS...
THIRD PARTY PROCUREMENT PROCEDURES
ADDENDUM #1 THIRD PARTY PROCUREMENT PROCEDURES NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS TRANSPORTATION DEPARTMENT JUNE 2011 OVERVIEW These prcedures establish standards and guidelines fr the Nrth Central
TABLE OF CONTENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS
TABLE OF CONTENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS... 9-1 IMPORTANT REMINDER... 9-1 MEDICAL RECORD DOCUMENTATION AND EVALUATION REQUIREMENTS...
ICD-10 Frequently Asked Questions: (resource CMS website)
ICD-10 Frequently Asked Questins: (resurce CMS website) 1. Will ICD-9-CM cdes be accepted n claims with FROM dates f service r dates f discharge/through dates n r after Octber 1, 2015? N. ICD-9-CM cdes
Systems Support - Extended
1 General Overview This is a Service Level Agreement ( SLA ) between and the Enterprise Windws Services t dcument: The technlgy services the Enterprise Windws Services prvides t the custmer. The targets
Coordinating Dual Eligibles Medicare and Medicaid Managed Medical Assistance Benefits
Crdinating Dual Eligibles Medicare and Medicaid Managed Medical Assistance Benefits Medicare beneficiaries wh have limited incme and resurces may get help paying fr their Medicare premiums and ut-f-pcket
Billing & Reimbursement for Hospital Services Hospital Manual
Billing & Reimbursement fr Hspital Services Hspital Manual Table f Cntents Overview....1 Inpatient Services....1 Inpatient claims....1 Maternity admissins....4 Per case reimbursed admissins nly....4 Outpatient
Merchant Processes and Procedures
Merchant Prcesses and Prcedures Table f Cntents EXHIBIT C 1. MERCHANT INTRODUCTION TO T-CHEK 3 1.1 Wh is T-Chek Systems? 3 1.2 Hw t Cntact T-Chek Systems 3 1.3 Hw t Recgnize T-Chek Frms f Payment 3 1.3.1
Wire Transfer Request
Wire Transfer Request Requirements and Instructins OFFICE OF DISBURSEMENTS Categry: Dcument Name: Payment Prcessing Wire Transfer Request - Requirements and Instructins Respnsible Department: Office f
Electronic Data Interchange (EDI) Requirements
Electrnic Data Interchange (EDI) Requirements 1.0 Overview 1.1 EDI Definitin 1.2 General Infrmatin 1.3 Third Party Prviders 1.4 EDI Purchase Order (850) 1.5 EDI PO Change Request (860) 1.6 Advance Shipment
P CARD College of Health and Rehabilitation Sciences: Sargent Internal Policy
P CARD Cllege f Health and Rehabilitatin Sciences: Sargent Internal Plicy All purchasing card hlders must read the Purchasing Card Prgram Manual (P Card Manual) and cnfirm upn ding s via email t the SAM
edoc Lite Recruitment Guidelines
edc Lite Recruitment Guidelines Intrductin OneStart & the Academic Psitin Search Channel edc Lite Ruting and Wrkgrups Ruting Actin List Ruting Cntrls Wrkgrups Dcument Search edc Lite Dcuments Vacancy Ntice
Cell Phone & Data Access Policy Frequently Asked Questions
Cell Phne & Data Access Plicy Frequently Asked Questins 1. Wh is eligible fr a technlgy allwance? First and fremst, the technlgy allwance is fr the benefit f the University, rather than fr the cnvenience
IMPORTANT INFORMATION ABOUT MEDICAL CARE FOR YOUR WORK-RELATED INJURY OR ILLNESS
IMPORTANT INFORMATION ABOUT MEDICAL CARE FOR YOUR WORK-RELATED INJURY OR ILLNESS MEDICAL PROVIDER NETWORK (MPN) NOTIFICATION If yu are injured at wrk, Califrnia Law requires yur emplyer t prvide and pay
Agency Fund (Non-Student Org X-Fund) Guidelines Last Revision: 12/7/2009
Agency Fund (Nn-Student Org X-Fund) Guidelines Last Revisin: 12/7/2009 Definitin f Agency Fund: An Agency Fund cnsists f funds held by Eastern Michigan University as custdian r fiscal agent fr thers, such
Texas Department of Insurance Division of Workers Compensation. Insurance Carrier/Utilization Review Agent Plan-Based Audit
Texas Department f Insurance Divisin f Wrkers Cmpensatin Insurance Carrier/Utilizatin Review Agent Plan-Based Audit Octber 22, 2012 1 P age Sectin I: General Statement and Overview The Texas Department
FINANCIAL OPTIONS. 2. For non-insured patients, payment is due on the day of service.
FINANCIAL OPTIONS 1. Fr thse patients wh carry dental insurance, all c-payments are due n date f service. We will file yur claim as a service t yu, and will d ur very best t maximize yur benefits. We accept
INSTRUCTIONS ON HOW TO IMPORT (Attach) DOCUMENTS TO TRANSACTIONS IN THE EMPLOYEE REIMBURSEMENT SYSTEM
INSTRUCTIONS ON HOW TO IMPORT (Attach) DOCUMENTS TO TRANSACTIONS IN THE EMPLOYEE REIMBURSEMENT SYSTEM In the Emplyee Reimbursement System, users with verifier and apprver/prxy access rights have the ability
CLAIMS Section 6. Overview. Timely Claims Submission. Clean Claim. Prompt Payment. Claim Submission Format
Overview The Claims department partners with the Prvider Relatins, Health Services and Custmer Service departments t assist prviders with any claim-related questins. The fcus f the Claims department is
Volume THURSTON COUNTY CLERK S OFFICE. e-file SECURE FTP Site (January 2011) User Guide
Vlume 1 THURSTON COUNTY CLERK S OFFICE e-file SECURE FTP Site (January 2011) User Guide Table f Cntents C H A P T E R 1 FTP e-filing SERVICE 1 Dcument Requirements 1 Scanners 2 File naming cnventin 2 e-file
EMR Certification Comprehensive Care Management Billing Support Specification
EMR Certificatin Cmprehensive Care Management Billing Supprt Specificatin Versin 1.0 December 1, 2015 Table f Cntents 1 Intrductin... 3 2 Requirements... 4 2.1 Billing Requirements... 5 2.2 Billing Alert
ADMINISTRATIVE PROCEDURE
ADMINISTRATIVE PROCEDURE TRANSPORTATION OF STUDENTS IN PRIVATE ADMINISTRATIVE PROCEDURE NO.: VI - 7 VEHICLES DRIVEN BY OTHER STUDENTS DATE : FEBRUARY 1996 AMENDED: OCTOBER 11, 2005 AMENDED: MARCH 18, 2008
What are the roles and responsibilities of BlueCross BlueShield of Tennessee to the providers?
BlueCard Prgram Answers t Frequently Asked Questins What is the BlueCard Prgram? BlueCard is a natinal prgram that enables members f ne Blue Plan t btain healthcare service benefits while traveling r living
Planning Considerations: Emergency Medical Services Regional Response Approach
Planning Cnsideratins: Emergency Medical Services Reginal Respnse Apprach It is incumbent upn all ambulance services and advanced life supprt first respnse services in New Yrk State t cmply with the Acting
Recertification of the Hospice Terminal Illness. Compliance Tip Sheet. Version 2, Revised March 2012. Contents of Tip Sheet
Cmpliance Tip Sheet Natinal Hspice and Palliative Care Organizatin www.nhpc.rg/regulatry Recertificatin f the Hspice Terminal Illness Cmpliance Tip Sheet Versin 2, Revised March 2012 Cntents f Tip Sheet
Transportation Allowance Program
Transprtatin Allwance Prgram Respnsibilities, Prcedures and Guidelines I. INTRODUCTION This manual describes respnsibilities, prcedures and guidelines (including vehicle specificatins and reimbursable
WHAT SHOULD I LOOK FOR WHEN I BUY HEALTH INSURANCE?
WHAT SHOULD I LOOK FOR WHEN I BUY HEALTH INSURANCE? The Maine Bureau f Insurance 34 State Huse Statin Augusta, Maine 04333 207-624-8475 r 1-800-300-5000 (in Maine) http://www.maine.gv/pfr/insurance Paul
Transmittal 1744 Date: MARCH 12, 2002. HEADER SECTION NUMBERS PAGES TO INSERT PAGES TO DELETE 2154-2158 2-86.7-2-86.10 (4 pp.) 2-86.7-2-86.10 (4 pp.
Medicare Carriers Manual Department f Health & Human Services (DHHS) Centers fr Medicare & Medicaid Services (CMS) Part 3 - Claims Prcess Transmittal 1744 Date: MARCH 12, 2002 CHANGE REQUEST 2068 HEADER
Public consultation paper
Public cnsultatin paper Nvember 2012 Public cnsultatin n guidelines fr prfessinal indemnity insurance arrangements fr nurses and nurse practitiners. Please prvide feedback by email t: nmbafeedback@ahpra.gv.au
ICD-10 Handbook APPLICATION MANUAL
APPLICATION MANUAL Table f Cntents Definitin...3 Billing...3 Transactin Cdes...3 Diagnsis Cdes...3 PQRS Measures (frmerly PQRI Measures)...5 Parameters...5 System Wide Defaults...5 System...5 Patient Definitin...6
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT MEDICAL ASSISTANCE PROGRAM. State of Colorado
Page 1 f5 Taraet Grup Targeted case management services will be prvided t alchl r ther drug dependent Medicaid clients wh need assistance in btaining necessary scial educatinal vcatinal and ther services
Dual Demonstration FAQs
Dual Demnstratin FAQs Benefits What benefits are available under the Dual Demnstratin? Individuals have access t a cmprehensive netwrk f acute and lng term care services prviders, and access t the same
990 e-postcard FAQ. Is there a charge to file form 990-N (e-postcard)? No, the e-postcard system is completely free.
990 e-pstcard FAQ Fr frequently asked questins abut filing the e-pstcard that are nt listed belw, brwse the FAQ at http://epstcard.frm990.rg/frmtsfaq.asp# (cpy and paste this link t yur brwser). General
COMPREHENSIVE SAFETY ASSESSMENT INSTRUCTIONS for STUDY ABROAD PROGRAMS
COMPREHENSIVE SAFETY ASSESSMENT INSTRUCTIONS fr STUDY ABROAD PROGRAMS Belw is a list f items t address and questins that need t be addressed in the cmprehensive safety assessment. In additin t the safety
WORKPLACE INJURY/ILLNESS/INCIDENT INVESTIGATION & REPORTING POLICY (BC VERSION)
WORKPLACE INJURY/ILLNESS/INCIDENT INVESTIGATION & REPORTING POLICY (BC VERSION) Intrductin: Hw t Use This Tl As d all ther jurisdictins, BC requires emplyers t investigate and reprt specific kinds f wrkplace
Consumer Complaint Roadmap
Cnsumer Cmplaint Radmap Step 1. What yu shuld knw befre yu begin. Refund and Exchange Plicies The nly case where a cnsumer has the abslute right t a return is when there is a defect in the prduct. Mst
Revised CMS-1500 Health Insurance Claim Form (02/12)
Revised CMS-1500 Health Insurance Claim Frm (02/12) Effective July 1, 2014, prfessinal claims submitted via paper billing must be submitted n the new 02/12 versin f the CMS-1500 Health Insurance Claim
Creating Vehicle Requests
Overview Vehicle requisitins, including additins, replacements, dnatins and leases, are submitted, reviewed, and apprved using the State f Gergia Frms in VITAL Insights. The prcess has three levels f review
10.0 Electronic Data Interchange (EDI) Requirements
10.0 Electrnic Data Interchange (EDI) Requirements 10.1 General Infrmatin The Cmpany requires all vendrs t exchange business dcuments via EDI. These dcuments include; purchase rders (850 PO), purchase
Title IV Refund Policy (R2T4)
Title IV Refund Plicy (R2T4) Charter Oak State Cllege s revised Refund Plicy cmplies with the amended 34 CFR Sectin 668.22 f the Higher Educatin Amendment f 1998. This plicy reflects new regulatins that
Calling 9-1-1 from a Cell Phone
Calling 9-1-1 frm a Cell Phne When calling 9-1-1 frm a cell phne, yur lcatin may nt autmatically display t the 9-1-1 center as it des when calling frm mst hmes r businesses. Be Prepared t tell the 9-1-1
Maryland General Service (MGS) Area 29 Treatment Facilities Committee (TFC) TFC Instructions
Maryland General Service (MGS) Area 29 Treatment Facilities Cmmittee (TFC) TFC Instructins Lve And Service Facility Presentatin t Patients We are frm Alchlics Annymus (AA), fr AA, and ur service is fr
IT Account and Access Procedure
IT Accunt and Access Prcedure Revisin Histry Versin Date Editr Nature f Change 1.0 3/23/06 Kelly Matt Initial Release Table f Cntents 1.0 Overview... 1 2.0 Purpse... 1 3.0 Scpe... 1 4.0 Passwrds... 1 4.1
Personal Data Security Breach Management Policy
Persnal Data Security Breach Management Plicy 1.0 Purpse The Data Prtectin Acts 1988 and 2003 impse bligatins n data cntrllers in Western Care Assciatin t prcess persnal data entrusted t them in a manner
National Care Management
Natinal Care Management Subject Nn-Participating Prvider Plicy Review and Revised Dates: July 2004, September 2005, June 2006, June 2007, June 2008, March 2009, March 2010 Originating Department Natinal
Hereditary Breast and Ovarian Cancer (HBOC) Syndrome Testing Criteria*
Breast Cancer Gene 1 and 2 (BRCA) Benefits t Change fr Texas Medicaid Effective July 1, 2015 Infrmatin psted May 15, 2015 Nte: This article applies t claims submitted t TMHP fr prcessing. Fr claims prcessed
Phi Kappa Sigma International Fraternity Insurance Billing Methodology
Phi Kappa Sigma Internatinal Fraternity Insurance Billing Methdlgy The Phi Kappa Sigma Internatinal Fraternity Executive Bard implres each chapter t thrughly review the attached methdlgy and plan nw t
HSBC Online Home Loan Application Process
HSBC Online Hme Lan Applicatin Prcess Versin 1.0 Nvember 2005 Cpyright. HSBC Bank Australia Limited 2005 ALL RIGHTS RESERVED N part f this publicatin may be reprduced, stred in a retrieval system, r transmitted,
PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid
PT, OT, and ST Benefits t Change fr Acute Services fr Texas Medicaid Infrmatin psted Nvember 15, 2013 Effective fr dates f services n r after January 1, 2014, benefit criteria fr physical (PT), ccupatinal
Internal Audit Revenue Cycle Risks
Tuesday, December 9, 2014 2 3 p.m. Central time Internal Audit Revenue Cycle Risks Sally A. Hardgrve, RHIA Directr BKD, LLP shardgrve@bkd.cm T Receive CPE Credit Participate in entire webinar Answer plls
Professional indemnity insurance arrangements for enrolled nurses, registered nurses and nurse practitioners
Guideline August 2013 Prfessinal indemnity insurance arrangements fr enrlled nurses, registered nurses and nurse practitiners Intrductin This guideline has been develped by the Nursing and Midwifery Bard
The Family Cost Share system is designed so families with the ability to pay will share in the cost of services.
Paying fr Early Childhd Interventin Services What is ECI? Texas Early Childhd Interventin (ECI) prgrams serve families with children birth t 36 mnths with develpmental delays r disabilities. ECI prvides
THE CITY UNIVERSITY OF NEW YORK IDENTITY THEFT PREVENTION PROGRAM
THE CITY UNIVERSITY OF NEW YORK IDENTITY THEFT PREVENTION PROGRAM 1. Prgram Adptin The City University f New Yrk (the "University") develped this Identity Theft Preventin Prgram (the "Prgram") pursuant
Client Care Desktop Features and Modifications. (Version 4.3.2)
Client Care Desktp Features and Mdificatins (Versin 4.3.2) Cntents 1 Intrductin... 3 2 New Features... 4 2.1 New Cntract Enquiry Functinality... 4 2.1.1 Imprt... 4 2.1.2 Mapping... 4 2.2 Editable Value
0820.02 Workers Disability Compensation Claims Procedures Issued: January 1, 1994 Revised: March 29, 2012
State f Michigan Administrative Guide t State Gvernment 0820.02 Wrkers Disability Cmpensatin Claims Prcedures Issued: January 1, 1994 Revised: March 29, 2012 SUBJECT: APPLICATION: PURPOSE: CONTACT AGENCY:
POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY
Original Issue Date (Created): July 1, 2002 Mst Recent Review Date (Revised): Nvember 25, 2014 Effective Date: February 1, 2015 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT
Overview of the CMS Modification to Meaningful Use 2015 through 2017
Overview f the CMS Mdificatin t Meaningful Use 2015 thrugh 2017 On April 10, 2015, the Centers fr Medicare & Medicaid Services (CMS) issued a new prpsed rule fr the Medicare and Medicaid EHR Incentive
Issuing of qualifications and statement of attainment Policy and Procedures Version: 3.0 Last Modified: 1 March 2015
Issuing f qualificatins and statement f attainment Plicy and Prcedures Versin: 3.0 Last Mdified: 1 March 2015 Purpse ANC issues AQF certificatin dcumentatin nly t a learner whm it has assessed as meeting
Case Scenarios and Sample Claim Form Entries for Outcomes Reporting for Medicare Part B Therapy Services
Case Scenaris and Sample Claim Frm Entries fr Outcmes Reprting fr Medicare Part B Therapy Services The American Speech Language Hearing Assciatin develped the fllwing scenaris t help speech language pathlgists
IN-HOUSE OR OUTSOURCED BILLING
IN-HOUSE OR OUTSOURCED BILLING Medical billing is ne f the mst cmplicated aspects f running a medical practice. With thusands f pssible cdes fr diagnses and prcedures, and multiple payers, the ability
RIVERSIDE TRANSIT AGENCY FULL-TIME ATU EMPLOYEES NEW HIRE ENROLLMENT OVERVIEW 2015
RIVERSIDE TRANSIT AGENCY FULL-TIME ATU EMPLOYEES NEW HIRE ENROLLMENT OVERVIEW 2015 Riverside Transit Agency (RTA) is extremely prud f the package f benefits available t yu. The benefits package prvided
Bill Payment Agreement & Disclosures
Bill Payment Agreement & Disclsures Welcme t Online Banking Bill Payment Service. Use f the Bill Payment Service indicates acceptance f terms and cnditins set frth in the Online Banking Agreement & Disclsures
New Policy and Billing Requirements for Elective Delivery (C- Section and Induction of Labor) before 39 weeks without Medical Indication
New Plicy and Billing Requirements fr Elective Delivery (C- Sectin and Inductin f Labr) befre 39 weeks withut Medical Indicatin Backgrund: As stated in the enclsed June 2013 New Yrk State Department f
EDI Claims Submission Guide
EDI Claims Submissin Guide In supprt f Health Insurance Prtability and Accuntability Act (HIPAA) and its gal f administrative simplificatin, Cventry Health Care encurages physicians and medical prviders
How To Install Fcus Service Management Software On A Pc Or Macbook
FOCUS Service Management Sftware Versin 8.4 fr Passprt Business Slutins Installatin Instructins Thank yu fr purchasing Fcus Service Management Sftware frm RTM Cmputer Slutins. This bklet f installatin
Change Management Process For [Project Name]
![Change Management Process For [Project Name]](/thumbs/27/10006925.jpg "Change Management Process For [Project Name]")
Management Prcess Fr [Prject Name] i 1 Intrductin The is fllwed during the Executin phase f the Prject Management Life Cycle, nce the prject has been frmally defined and planned. 1.1 What is a Management
TERMS AND CONDITIONS. *Revised December 21, 2015 ROUTING INSTRUCTIONS FOR U.S. SUPPLIERS SHIPPING WITHIN THE UNITED STATES
TERMS AND CONDITIONS The fllwing Ruting Instructins apply specifically t shipments frm Suppliers lcated in the United States shipping within the United States and supersede all previusly issued General
Fiscal Operation of Service Centers
Oregn University System Fiscal Plicy Manual Fiscal Operatin f Service Centers Sectin: Accunting and Financial Reprting Number: 05.713 Title: Fiscal Operatin f Service Centers Index POLICY.100 POLICY STATEMENT.110
IMHU-HRM-A February 15, 2012 PAI SOP. Ft. Huachuca Personnel Asset Inventory - SOP
Ft. Huachuca Persnnel Asset Inventry - SOP I. Respnsible agencies are: Unit Battalin r separate cmpany S1 (S1) Brigade S1 Military Persnnel Divisin (MPD) Persnnel Autmatin Sectin (PAS) G1, AG, Military
Issuing of qualifications and statement of attainment Policy and Procedures Version: 5.0 Last Modified: 12 February 2015
Issuing f qualificatins and statement f attainment Plicy and Prcedures Versin: 5.0 Last Mdified: 12 February 2015 Purpse Duke Cllege issues AQF certificatin dcumentatin nly t a learner whm it has assessed
DATE APPROVED March 2011. Version Date Comments / Changes 1.0 March 2011 Initial policy released
Page 1 f 11 APPROVED (S) REVISED / REVIEWED SUMMARY Versin Date Cmments / Changes 1.0 Initial plicy released 1. PURPOSE OF THIS POLICY T define the purpses fr which Crprate Purchase Cards are t be used
HP Point of Sale FAQ Warranty, Care Pack Service & Support. Limited warranty... 2 HP Care Pack Services... 3 Support... 3
HP Pint f Sale FAQ Warranty, Care Pack Service & Supprt Limited warranty... 2 HP Care Pack Services... 3 Supprt... 3 Limited warranty Q: What des a 3/3/3 limited warranty mean? A: HP Retail Pint f Sale
Transportation Standard
1 Transprtatin Standard Disclaimer This training resurce is nt legal advice and shuld yu require assistance in interpreting the legislatin r the regulatin, please cntact yur legal adviser. This resurce
Accessible Service Policy
Accessible Service Plicy Date Created Revisin Oct. 16, 2012 1 Gal This plicy is intended t meet the requirements f the Accessibility Standards fr Custmer Service, Ontari Regulatin 429/07 under the Accessibility
Yale Medical Group Medical Billing Compliance Department CRITICAL CARE SERVICES FREQUENTLY ASKED QUESTIONS
Yale Medical Grup Medical Billing Cmpliance Department CRITICAL CARE SERVICES FREQUENTLY ASKED QUESTIONS Please see the current CPT manual regarding separate guidelines fr nenatal & pediatric critical
Workers' Compensation Employee's Guide
Wrkers' Cmpensatin Emplyee's Guide Intrductin What is Wrkers' Cmpensatin? What is a Wrk-Related Injury? Wh Is Cvered by the UCSD Wrkers' Cmpensatin Prgram and When? Where D Yu Receive Initial Medical Treatment?
HIPAA 5010 Implementation FAQs for Health Care Professionals
HIPAA 5010 Implementatin FAQs fr Health Care Prfessinals Updated September 27, 2012 Key Messages In January 2009, the Department f Health and Human Services published the final rule cntaining the requirements
Clinical Policy Guideline
Policy Title: Ambulance Service Effective Date: 10/25/01 Clinical Policy Guideline Date Reviewed: 01/18/11, 03/19/14, 05/21/14, 07/29/2015 I. DEFINITION Ambulance service means a ground, sea or air vehicle
CCHIIM ICD-10 Continuing Education Requirements for AHIMA Certified Professionals (& Frequently Asked Questions for Recertification)
CCHIIM ICD-10 Cntinuing Educatin Requirements fr AHIMA Certified Prfessinals (& Frequently Asked Questins fr Recertificatin) The transitin t ICD-10-CM and ICD-10-PCS is anticipated t imprve the capture
Workers Compensation Employee Packet
Wrkers Cmpensatin Emplyee Packet Cmplete the fllwing frms and return t Meagan Vrhies, Claims Crdinatr via fax (817) 735-0127, email at Meagan.Vrhies@untsystem.edu r in persn at Human Resurce Services (EAD-280).
Multi-Year Accessibility Policy and Plan for NSF Canada and NSF International Strategic Registrations Canada Company, 2014-2021
Multi-Year Accessibility Plicy and Plan fr NSF Canada and NSF Internatinal Strategic Registratins Canada Cmpany, 2014-2021 This 2014-21 accessibility plan utlines the plicies and actins that NSF Canada
Audit Committee Charter. St Andrew s Insurance (Australia) Pty Ltd St Andrew s Life Insurance Pty Ltd St Andrew s Australia Services Pty Ltd
Audit Cmmittee Charter St Andrew s Insurance (Australia) Pty Ltd St Andrew s Life Insurance Pty Ltd St Andrew s Australia Services Pty Ltd Versin 2.0, 22 February 2016 Apprver Bard f Directrs St Andrew