Coverage Issues Manual
|
|
- Reginald Franklin Davidson
- 8 years ago
- Views:
Transcription
1 Department f Health and Medicare Human Services (DHHS) HEALTH CARE FINANCING ADMINISTRATION (HCFA) Cverage Issues Manual Transmittal 125 Date: AUGUST 29, 2000 CHANGE REQUEST 1002 HEADER SECTION NUMBERS PAGES TO INSERT PAGES TO DELETE pp. 4 pp. NEW/REVISED MATERIAL--EFFECTIVE DATE: 10/01/00 IMPLEMENTATION DATE: 10/01/00 Sectin , Stem Cell Transplantatin, is revised t add the fllwing: (1) multiple myelma as a cvered cnditin nly fr beneficiaries less than age 78 wh have Durie-Salmn stage II r III newly diagnsed r respnsive multiple myelma and adequate cardiac, renal, pulmnary and hepatic functin; (2) nnprimary amylidsis as a nn-cvered cnditin; and (3) primary (AL) amylidsis as a nn-cvered cnditin fr Medicare beneficiaries age 64 and lder. Multiple runds f autlgus stem cell transplantatin (knwn as tandem transplantatin) fr patients with multiple myelma will, hwever, remain nn-cvered. These instructins shuld be implemented within yur current perating budget. DISCLAIMER: The revisin date and transmittal number nly apply t the redlined material. All ther material was previusly published in the manual and is nly being reprinted. This sectin f the cverage manual is a natinal cverage decisin made under 1862(a)(1) f the Scial Security Act (the Act). Natinal cverage determinatins are binding n all Medicare carriers, fiscal intermediaries, Peer Review Organizatins, Health Maintenance Organizatins, Cmpetitive Medical Plans, Health Care Prepayment Plans, and Medicare+Chice Organizatins ( 1852 (a)(1)(a) f the Act). An administrative law judge may nt disregard, set aside, r therwise review a natinal cverage decisin issued under 1862(a)(1) f the Act. 42 CFR
2 HCFA-Pub. 6
3 08-00 COVERAGE ISSUES - MEDICAL PROCEDURES TREATMENT OF OBESITY Obesity itself cannt be cnsidered an illness. The immediate cause is a calric intake which is persistently higher than calric utput. Prgram payment may nt be made fr treatment f besity alne since this treatment is nt reasnable and necessary fr the diagnsis r treatment f an illness r injury. Hwever, althugh besity is nt in itself an illness, it may be caused by illnesses such as hypthyridism, Cushing's disease, and hypthalamic lesins. In additin, besity can aggravate a number f cardiac and respiratry diseases as well as diabetes and hypertensin. Therefre, services in cnnectin with the treatment f besity are cvered services when such services are an integral and necessary part f a curse f treatment fr ne f these illnesses. Crss refer: CIM and SUPPLEMENTED FASTING Supplemented fasting is a type f very lw calrie weight reductin regimen used t achieve rapid weight lss. The reduced calrie intake is supplemented by a mixture f prtein, carbhydrates, vitamins and minerals. Serius questins exist abut the safety f prlnged adherence fr 2 mnths r mre t a very lw calrie weight reductin regimen as a general treatment fr besity, because f instances f cardipathlgy and sudden death, as well as pssible lss f bdy prtein. Therefre, supplemented fasting is nt cvered as a general treatment fr besity. In cases where weight lss is necessary befre surgery in rder t amelirate the cmplicatins psed by besity when it cexists with pathlgical cnditins such as cardiac and respiratry diseases, diabetes r hypertensin (and ther mre cnservative techniques t achieve this end are nt regarded as apprpriate), supplemented fasting with adequate mnitring f the patient are cvered under Medicare n a case-by-case basis, as determined by yur medical cnsultant. The risks assciated with the achievement f rapid weight lss must be carefully balanced against the risk psed by the cnditin requiring surgical treatment BIOFEEDBACK THERAPY Bifeedback therapy prvides visual, auditry r ther evidence f the status f certain bdy functins s that a persn can exert vluntary cntrl ver the functins, and thereby alleviate an abnrmal bdily cnditin. Bifeedback therapy ften uses electrical devices t transfrm bdily signals indicative f such functins as heart rate, bld pressure, skin temperature, salivatin, peripheral vasmtr activity, and grss muscle tne int a tne r light, the ludness r brightness f which shws the extent f activity in the functin being measured. Bifeedback therapy differs frm electrmygraphy, which is a diagnstic prcedure used t recrd and study the electrical prperties f skeletal muscle. An electrmygraphy device may be used t prvide feedback with certain types f bifeedback.
4 Rev.125
5 35-29 COVERAGE ISSUES - MEDICAL PROCEDURES Bifeedback therapy is cvered under Medicare nly when it is reasnable and necessary fr the individual patient fr muscle re-educatin f specific muscle grups r fr treating pathlgical muscle abnrmalities f spasticity, incapacitating muscle spasm, r weakness, and mre cnventinal treatments (heat, cld, massage, exercise, supprt) have nt been successful. This therapy is nt cvered fr treatment f rdinary muscle tensin states r fr psychsmatic cnditins. (See HCFA-Pub. 14-3, 2200ff, 2215, and 4161; HCFA-Pub. 13-3, , 3148, and 3149; HCFA-Pub. 10, 242 and fr special physical therapy requirements. See als and 65-8.) OXYGEN TREATMENT OF INNER EAR/CARBON THERAPY (Effective fr services perfrmed n and after August 1, 1978).--NOT COVERED Oxygen (95 percent) and carbn dixide (5 percent) inhalatin therapy fr inner ear disease, such as endlymphatic hydrps and fluctuant hearing lss, is nt reasnable and necessary. The therapeutic benefit deriving frm this prcedure is highly questinable BLOOD PLATELET TRANSFUSIONS Effective fr services perfrmed n r after August 1, 1978, bld platelet transplants are safe and effective fr the crrectin f thrmbcytpenia and ther bld defects. It is cvered under Medicare when treatment is reasnable and necessary fr the individual patient STEM CELL TRANSPLANTATION Stem cell transplantatin is a prcess in which stem cells are harvested frm either a patient's r dnr's bne marrw r peripheral bld fr intravenus infusin. The transplant can be used t effect hematpietic recnstitutin fllwing severely myeltxic dses f chemtherapy (HDCT) and/r raditherapy used t treat varius malignancies. Allgeneic stem cell transplant may als be used t restre functin in recipients having an inherited r acquired deficiency r defect. A. Allgeneic Stem Cell Transplantatin.--Allgeneic stem cell transplantatin (ICD-9-CM prcedure cdes 41.02, 41.03, 41.05, and 41.08) is a prcedure in which a prtin f a healthy dnr's stem cell r bne marrw is btained and prepared fr intravenus infusin. 1. Cvered Cnditins.--The fllwing uses f allgeneic bne marrw transplantatin are cvered under Medicare: Effective fr services perfrmed n r after August 1, 1978, fr the treatment f leukemia, leukemia in remissin (ICD-9-CM cdes thrugh ), r aplastic anemia (ICD-9-CM cdes thrugh 284.9) when it is reasnable and necessary; and Effective fr services perfrmed n r after June 3, 1985, fr the treatment f severe cmbined immundeficiency disease (SCID) (ICD-9-CM cde 279.2), and fr the treatment f Wisktt - Aldrich syndrme (ICD-9-CM ). 2. Nncvered Cnditins.--Effective May 24, 1996, allgeneic stem cell transplantatin is nt cvered as treatment fr multiple myelma (ICD-9-CM cdes and 238.6). B. Autlgus Stem Cell Transplantatin (Effective fr Services Perfrmed n r After 04/28/89).--Autlgus stem cell transplantatin (ICD-9-CM prcedure cdes 41.01, 41.04, 41.07, and 41.09) is a technique fr restring stem cells using the patient's wn previusly stred cells. 1. Cvered Cnditins.--Autlgus stem cell transplantatin (ICD-9-CM cdes 41.01, 41.04, 41.07, 41.09, CPT-4 cde 38241) is cnsidered reasnable and necessary under l862(a)(1)(a) f the Act fr the fllwing cnditins and is cvered under Medicare fr patients with:
6 Rev.125
7 08-00 COVERAGE ISSUES - MEDICAL PROCEDURES Acute leukemia in remissin (ICD-9-CM cdes , lymphid; , myelid; , mncytic; , acute erythremia and erythrleukemia; and unspecified cell type) wh have a high prbability f relapse and wh have n human leuccyte antigens (HLA)- matched; Resistant nn-hdgkin's lymphmas (ICD-9-CM cdes , , , , , , and ) r thse presenting with pr prgnstic features fllwing an initial respnse; malignant); r Recurrent r refractry neurblastma (see ICD-9-CM Neplasm by site, Advanced Hdgkin's disease (ICD-9-CM cdes ) wh have failed cnventinal therapy and have n HLA-matched dnr; Effective Octber 1, 2000, multiple myelma (ICD-9-CM and 238.6) fr beneficiaries less than age 78 wh have Durie-Salmn stage II r III newly diagnsed r respnsive multiple myelma with adequate cardiac, renal, pulmnary and hepatic functining. This includes thse patients with previusly untreated disease, thse with at least a partial respnse t prir chemtherapy (partial respnse is defined as a 50% decrease either in measurable paraprtein [serum and/r urine] r in bne marrw infiltratin, sustained fr at least ne mnth), and thse in respnsive relapse. Multiple runds f autlgus stem cell transplantatin (knwn as tandem transplantatin) will, hwever, remain nn-cvered. 2. Nncvered Cnditins.--Insufficient data exist t establish definite cnclusins regarding the efficacy f autlgus stem cell transplantatin fr the fllwing cnditins: Acute leukemia nt in remissin (ICD-9-CM cdes , , , and ); Chrnic granulcytic leukemia (ICD-9-CM cdes and ); Slid tumrs (ther than neurblastma) (ICD-9-CM cdes l99.1); Up t Octber 1, 2000, multiple myelma; Tandem transplantatin (multiple runds f autlgus stem cell transplantatin) fr patients with multiple myelma; Effective Octber 1, 2000, nn-primary (AL) amylidsis (ICD-9-CM 277.3); Effective Octber 1, 2000, primary (AL) amylidsis (ICD-9-CM 277.3) fr Medicare beneficiaries age 64 r lder. In these cases, autlgus stem cell transplantatin is nt cnsidered reasnable and necessary within the meaning f l862(a)(1)(a) f the Act and is nt cvered under Medicare TREATMENT OF DECUBITUS ULCERS An accepted prcedure fr healing decubitus ulcers is t remve dead tissue frm the lesins and t keep them clean t prmte the grwth f new tissue. This may be accmplished by hydrtherapy (whirlpl) treatments. Hydrtherapy (whirlpl) treatment fr decubitus ulcers is a cvered service under Medicare fr patients when treatment is reasnable and necessary. Sme ther methds f treating decubitus ulcers, the safety and effectiveness f which have nt been established, are nt cvered under the Medicare prgram. Sme examples f these types f treatments are: ultravilet light, lw intensity direct current, tpical applicatin f xygen, and tpical dressings with Balsam f Peru in castr il.
8 Rev.125
9 35-32 COVERAGE ISSUES - MEDICAL PROCEDURES VERTEBRAL ARTERY SURGERY Obstructins which blck the flw f bld thrugh the vertebral artery can cause vertig, visual r speech defects, ataxia, mental cnfusin, r strke. These symptms in patients result frm reductin in bld flw t the brain and range frm symptms f transient basilar ischemia t mental deteriratin r cmpleted strke. Five types f surgical prcedures are perfrmed t relieve bstructins t vertebral artery bld flw. They are: Vertebral artery endarterectmy, a prcedure which cleans ut arterisclertic plaques which are inside the vertebral artery; Vertebral artery by-pass r resectin with anastmsis r graft; Subclavian artery resectin with r withut endarterectmy; Remval f laterally lcated stephytes anywhere in the C6(C7)-C2 curse f the vertebral artery; and Arterilysis which frees the artery frm surrunding tissue, with r withut arteripexy (fixatin f the vessel). These prcedures can be medically reasnable and necessary, but nly if each f the fllwing cnditins is met: Symptms f vertebral artery bstructin exist; Other causes have been cnsidered and ruled ut; There is radigraphic evidence f a valid vertebral artery bstructin; and Cntraindicatins t the prcedure d nt exist, such as cexistent bstructins f multiple cerebral vessels. Angigrams dcumenting a valid bstructin shuld shw nt nly the artic arch with the vessels ff the arch, but als shw the vessels in the neck and head (prviding biplane views f the cartid and vertebral vascular system). In additin, serial views are needed t diagnse "subclavian steal," the cnditin in which subclavian artery bstructin causes the symptms f vertebral artery bstructin. Because the symptms are nt specific fr vertebral artery bstructin, ther causes must be cnsidered. In additin t vertebral artery bstructin, the differential diagnsis shuld include varius degenerative disrders f the brain, rthstatic hyptensin, acustic neurma, labyrinthitis, diabetes mellitus and hypglycemia related disrders. Obstructins which can cause symptms f blcked vertebral artery bld flw and which can be dcumented by an angigram include: arteries. Intravascular bstructins - arterisclertic lesins within the vertebral artery r in ther Extravascular bstructins -
10 Rev. 125
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...
More informationTransmittal 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
More informationNew 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
More informationUpdated 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.
More informationClinical Guidelines for the Park Medical Practice July 2010. Based on NICE (2006), CKS (2009)
Clinical Guidelines fr the Park Medical Practice July 2010 Based n NICE (2006), CKS (2009) ATRIAL FIBRILLATION Gals T establish the diagnsis T cntrl ventricular rate T identify thse peple wh may benefit
More informationPRIOR AUTHORIZATION Preauthorization is required for BlueCHiP for Medicare and recommended for all other BCBSRI products.
Medical Cverage Plicy Bariatric Surgery sad EFFECTIVE DATE: 10/15/2013 POLICY LAST UPDATED: 07/05/2012 OVERVIEW Bariatric surgery is perfrmed fr the treatment f mrbid (clinically severe) besity. Mrbid
More informationCare 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
More informationAmbulance 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
More informationTherapy 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
More informationAccessible 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
More informationSpecial Tax Notice Regarding 403(b) (TSA) Distributions
Special Tax Ntice Regarding 403(b) (TSA) Distributins P.O. Bx 7893 Madisn, WI 53707-7893 1-800-279-4030 Fax: (608) 237-2529 The IRS requires us t prvide yu with a cpy f the Explanatin f Direct Rllver,
More informationA Guide to Understanding and Claiming the Disability Tax Credit:
A Guide t Understanding and Claiming the Disability Tax Credit: The Gvernment f Canada ffers a variety f tax benefits t peple with disabilities. These benefits are prvided under the assumptin that peple
More informationEMR 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
More information**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
More informationPATIENTS WITH SPECIAL NEEDS
PATIENTS WITH SPECIAL NEEDS This prtcl includes: Patient with trachestmies Patient n ventilatrs Patients with indwelling catheters Patients with gastrstmy tubes Bariatric patients GENERAL CONSIDERATIONS
More informationYale 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
More informationHereditary 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
More informationLicensed Practical Nurse (LPN) Role and Scope Course
Licensed Practical Nurse (LPN) Rle and Scpe Curse LPN Rle and Scpe 7/11/2014 1 Intrductin This mdule was develped t implement the educatinal prvisins in R4-19-301, which requires candidates wh are graduates
More informationGuidance 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
More informationEnrollee 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
More informationKey Primary CPT Codes: Refer to pages: 5-6 Last Review Date: May 28, 2015 Medical Coverage Guideline Number:
Natinal Imaging Assciates, Inc. Clinical guidelines LUMBAR SPINE SURGERY: LUMBAR SPINAL FUSION LUMBAR DECOMPRESSION LUMBAR MICRODISCECTOMY Original Date: July 1, 2015 Page 1 f 6 FOR FLORIDA BLUE MEMBERS
More informationGUIDANCE FOR BUSINESS ASSOCIATES
GUIDANCE FOR BUSINESS ASSOCIATES This Guidance fr Business Assciates dcument is intended t verview UPMCs expectatins, as well as t prvide additinal resurces and infrmatin, t UPMC s HIPAA business assciates.
More informationThe ad hoc reporting feature provides a user the ability to generate reports on many of the data items contained in the categories.
11 This chapter includes infrmatin regarding custmized reprts that users can create using data entered int the CA prgram, including: Explanatin f Accessing List Screen Creating a New Ad Hc Reprt Running
More informationKnowledge and Perceptions of Cord Blood Donation among Pregnant Women
Knwledge and Perceptins f Crd Bld Dnatin amng Pregnant Wmen Crd bld is cllected frm an infant s umbilical crd after delivery. This methd pses n risk t the mther r infant. Mst ften the cells are discarded
More informationMalpractice and Maladministration Policy
TR340 Malpractice and Maladministratin Plicy This plicy aims t: Define malpractice and maladministratin in the cntext f CIM/CAM studying members, Accredited study centres (ASCs), examinatin centres, invigilatrs
More informationMedical Management. At a Glance 2. When to Notify Medical Management 3. Procedures Requiring Predetermination 4. Care Management Services 5
Medical Management At a Glance 2 When t Ntify Medical Management 3 Prcedures Requiring Predeterminatin 4 Care Management Services 5 Abut Identifi TM 5 Cmplex Care Management 6 Maternity Prgram 8 Medical
More informationCoordinating 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
More informationChildhood Acute Myeloid Leukaemia (AML) Leukaemia is a cancer of the white blood cells. White blood cells help to fight infection.
Cancer Assciatin f Suth Africa (CANSA) Fact Sheet n Childhd Acute Myelid Leukaemia (AML) Intrductin Leukaemia is a cancer f the white bld cells. All bld cells are prduced in the bne marrw, the spngy substance
More informationTHE 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
More informationData Protection Act Data security breach management
Data Prtectin Act Data security breach management The seventh data prtectin principle requires that rganisatins prcessing persnal data take apprpriate measures against unauthrised r unlawful prcessing
More informationACQUIRED 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...
More informationIMPORTANT 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
More informationDraft Specification for Comprehensive Diabetes Care for Individuals with SMI Page 1
Cmprehensive Diabetes Care fr Peple with Severe Mental Illness (based n HEDIS Cmprehensive Diabetes Care (nt NQF-endrsed) and Minnesta Cmmunity Measurement s Optimal Diabetes Care (NQF #0729)) Measure
More informationMedicare Issues 2015 Final Rules for Hospital Outpatient, Ambulatory Surgical Center and Physician Payment GI and Pulmonary Endoscopy
Medicare Issues 2015 Final Rules fr Hspital Outpatient, Ambulatry Surgical Center and Physician GI and Pulmnary Endscpy SUMMARY: On Octber 31, 2014, the Centers fr Medicare and Medicaid Services (CMS)
More informationHIPAA Notice of Privacy Practices. Central Ohio Surgical Associates, Inc.
HIPAA Ntice f Privacy Practices Central Ohi Surgical Assciates, Inc. THIS NOTICE OF PRIVACY PRACTICES (THE NOTICE ) DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
More informationRIVERSIDE 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
More informationADMINISTRATION AND FINANCE POLICIES AND PROCEDURES TABLE OF CONTENTS
CONTROL Revisin Date: 1/21/03 TABLE OF CONTENTS 10.01 OVERVIEW OF ACCOUNTING FOR INVESTMENT IN PLANT... 2 10.01.1 CURRENT POLICY... 2 10.02 INVENTORY MAINTENANCE AND CONTROL... 3 10.02.1 PROCEDURES FOR
More informationNursing Pragdocs and Freign Instituteutins - A Review
Statutry Authrity As prvided under sectin 498 f the Higher Educatin Act f 1965, as amended (Title IV, HEA prgrams), the Secretary determines whether freign institutins chsing t participate r participating
More informationOTOLARYNGOLOGY PHYSICIAN ASSISTANT CLINICAL PRIVILEGES
Ntice t Applicant: Applicants have the burden f prducing infrmatin deemed adequate by University f Mississippi Medical Center (UMMC) fr a prper evaluatin f current cmpetence, current clinical activity,
More informationAMOUNT DURATION AND SCOPE OF MEDICAL AND REMEDIAL CARE AND SERVICES PROVIDED
STATE PLAN UNDER TITLE XIX Of THE SOCIAL SECURITY ACT STATE OF LOUISIANA Attachment 3.I-A Item 7, Page I AMOUNT DURATION AND SCOPE OF MEDICAL AND REMEDIAL CARE AND SERVICES PROVIDED LIMITATIONS ON THE
More informationWorkers 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).
More informationRadiation Exposure Screening & Education Program Clinical Guidelines: Uranium Ore Transporters
Radiatin Expsure Screening & Educatin Prgram Clinical Guidelines: Uranium Ore Transprters Uranium Ore Transprters Eligibility A persn wh was emplyed fr at least ne year as a transprter f uranium re r vanadium-uranium
More informationThe 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
More informationDr. Vernique Mirn, PhD. The University of Edinburgh (MRC) And MS
NEW STRATEGY FOR BRAIN REPAIR IN MULTIPLE SCLEROSIS By Dr. Vernique Mirn, Ph.D. Pstdctral fellw, MRC Centre fr Regenerative Medicine, The University f Edinburgh www.crm.ed.ac.uk Multiple sclersis is caused
More informationWelcome to CNIPS Training: CACFP Claim Entry
Welcme t CNIPS Training: CACFP Claim Entry General Cmments frm SCN CACFP claiming begins with submissin f the Octber claim due by Nvember 15, 2012. Timelines/Due Dates With CNIPS, SCN will cntinue t enfrce
More informationFIREFIGHTER HEART AND CIRCULATORY MALFUNCTION BENEFITS PROGRAM STANDARD OPERATING GUIDELINES Approved by the DOLA Executive Director July 1, 2014
FIREFIGHTER HEART AND CIRCULATORY MALFUNCTION BENEFITS PROGRAM STANDARD OPERATING GUIDELINES Apprved by the DOLA Executive Directr July 1, 2014 Prgram Overview: As f July 1, 2014, the Department f Lcal
More informationPT, 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
More informationCERTIFICATION CRITERIA
2014 Editin Test Prcedure fr 170.314(a)(1) Cmputerized prvider rder entry Apprved Test Prcedure Versin 1.3, December 19, 2014 Test Prcedure fr 170.314(a)(1) Cmputerized prvider rder entry This dcument
More informationinsurers cannot deny coverage for patients with preexisting conditions or because an insured got sick;
The Affrdable Care Act Health Insurance Respnsibilities f Large, Midsize & Small Emplyers; Buying Insurance n the Individual Health Insurance Marketplace and the Small Business Health Optins Prgram Intrductin:
More informationSystems 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
More informationMarch 2016 Group A Payment Issues: Missing Information-Loss Calculation letters ( MILC ) - deficiency resolutions: Outstanding appeals:
The fllwing tpics were discussed in the March 24, 2016 meeting with law firms representing VCF claimants. Grup A Payment Issues: We cntinue t fcus n paying Grup A claims in full and are meeting the schedule
More informationYOUR NEW SOUTH WALES WORKERS COMPENSATION CLAIM
Gibney & Gunsn LAWYERS New Suth Wales & Victria YOUR NEW SOUTH WALES WORKERS COMPENSATION CLAIM Nt cvered by the scheme Injuries that ccur n the way t r frm wrk (wrkers wh are injured while driving during
More informationBASIC DOCUMENTATION AND COMPLIANCE EDUCATION JANUARY 2012. UK Office of Corporate Compliance
BASIC DOCUMENTATION AND COMPLIANCE EDUCATION JANUARY 2012 UK Office f Crprate Cmpliance Outline What is the imprtance f crrect dcumentatin and cding? What are the dcumentatin guidelines? What are the key
More informationRisk Adjustment Review Summary for Tennessee
Risk Adjustment Review Summary fr Tennessee This review has been prvided fr Tennessee prviders at the request f Ingenix fr 2007 and 2008. Fr this practice, the dcumentatin fr Tennessee prviders has been
More informationState Aid to the Needy Disabled-AND/ NO MEDICAID
Belw is a brief descriptin f Adult Financial, Adult Medical, MSP and Lng Term Care Prgrams in Clrad. This infrmatin will assist yu in determining which prgram is mst suited t yur needs r situatin. Fr additinal
More informationNextGenJustice Florida attorneys have prepared the following Frequently Asked Questions to help you with your uncontested divorce.
NextGenJustice Flrida attrneys have prepared the fllwing Frequently Asked Questins t help yu with yur uncntested divrce. Frequently asked questins abut yur uncntested Flrida divrce: Q. Hw lng will my divrce
More informationCMS Eligibility Requirements Checklist for MSSP ACO Participation
ATTACHMENT 1 CMS Eligibility Requirements Checklist fr MSSP ACO Participatin 1. General Eligibility Requirements ACO participants wrk tgether t manage and crdinate care fr Medicare fee-fr-service beneficiaries.
More informationICD-10: Is Your Practice on Track for October 1, 2014 Implementation?
ICD-10: Is Yur Practice n Track fr Octber 1, 2014 Implementatin? Presented by: Cindy Hegner, CCS Patrick A. Wilsn, MD, FCAP Wednesday, February 19, 2014 We will begin n the half hur. There is n audi at
More information67.50. Your child s health is our priority. Bupa schools scheme. bupa.co.uk ONLY PER TERM PER CHILD. Provided by
Prvided by Bupa schls scheme Yur child s health is ur pririty 67.50 PER TERM PER CHILD * ONLY bupa.c.uk *Thesubscriptinrateappliesfrmembershipyear1September2013 t31august2014.thissubscriptinrateincludesinsurancepremium
More informationRecertification 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
More informationHeythrop College Disciplinary Procedure for Support Staff
Heythrp Cllege Disciplinary Prcedure fr Supprt Staff Intrductin 1. This prcedural dcument des nt apply t thse academic-related staff wh are mentined in the Cllege s Ordinance, namely the Librarian and
More informationApplication for Inclusion of a Developed Practice Area in Professional Psychology for Purposes of Doctoral and Internship Program Accreditation
Applicatin fr Inclusin f a Develped Practice Area in Prfessinal Psychlgy fr Purpses f Dctral and Internship Prgram Accreditatin Cmmittee n Accreditatin c/ Office f Prgram Cnsultatin and Accreditatin Educatin
More informationTennCare Level 2 Adult Mental Health Case Management Definition
TennCare Level 2 Adult Mental Health Case Management Definitin Level 2 adult case management is defined as services furnished t assist individuals in gaining access t needed medical, scial, educatinal,
More informationICD-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
More informationFundingEdge. Guide to Business Cash Advance & Bank Statement Loan Programs
Guide t Business Cash Advance & Bank Statement Lan Prgrams Cash Advances: $2,500 - $1,000,000 Business Bank Statement Lans: $5,000 - $500,000 Canada Cash Advances: $5,000 - $500,000 (must have 9 mnths
More informationUnderstanding Federal Direct Consolidation Loans. 2012 Spring MASFAA Conference
Understanding Federal Direct Cnslidatin Lans 2012 Spring MASFAA Cnference UNDERSTANDING FEDERAL DIRECT & SPECIAL CONSOLIDATION LOANS Amy M. Mser, Reginal Directr Nelnet Educatin Lan Services 2 Nelnet Educatin
More informationHow To Ensure Your Health Care Is Safe
Guidelines fr Custdians t assess cmpliance with the Persnal Health Infrmatin Privacy and Access Act (PHIPAA) This dcument is designed t help custdians evaluate readiness fr cmpliance with PHIPAA and t
More informationMaryland 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
More informationHearing Loss Regulations Vendor information pack
Hearing Lss Regulatins Vendr infrmatin pack Nvember 2010 Implementing the Accident Cmpensatin (Apprtining Entitlements fr Hearing Lss) Regulatins 2010 The Minister fr ACC, the Hn. Dr Nick Smith, has annunced
More informationUSE OF MODIFIER 59 TO BYPASS MEDICARE S NATIONAL CORRECT CODING INITIATIVE EDITS
Department f Health and Human Services OFFICE OF INSPECTOR GENERAL USE OF MODIFIER 59 TO BYPASS MEDICARE S NATIONAL CORRECT CODING INITIATIVE EDITS Daniel R. Levinsn Inspectr General Nvember 2005 OEI-03-02-00771
More information7 October 2011. Re: Themed Inspection into Third Party Personal Injury Claims. Dear
7 Octber 2011 Re: Themed Inspectin int Third Party Persnal Injury Claims Dear During 2011 the Central Bank f Ireland ( Central Bank ) undertk a themed inspectin prject in relatin t the prcessing f third
More informationFINANCIAL 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
More informationWhat Does Specialty Own Occupation Really Mean?
What Des Specialty Own Occupatin Really Mean? Plicy definitins are cnfusing, nt nly t cnsumers but als t many f the insurance prfessinals wh sell them. Belw we will try t prvide an understandable explanatin
More informationSKILLS CANADA - ONTARIO
Emplyment Plicy and Prcedure Manual Sectin: Cmmunicatin SPP N: 4.06 Subject: AODA Custmer Service Issued: January 31, 2016 Issue t: All Manual Hlders Replaces: NA Issued by: Re-Evaluatin Date: NA Executive
More informationOnline Learning Portal best practices guide
Online Learning Prtal Best Practices Guide best practices guide This dcument prvides Micrsft Sftware Assurance Benefit Administratrs with best practices fr implementing e-learning thrugh the Micrsft Online
More informationGROUP HEALTH INSURANCE ACCEPTANCE FORM. New Customer Number of Customer Group Number Of Customer Policy Number
GROUP HEALTH INSURANCE ACCEPTANCE FORM Clred area will be filled by Anadlu Sigrta / The Agent. Cde Number f Agent Cde Number f Sub-Agent Cde f Staff New Custmer Number f Custmer Grup Number Of Custmer
More informationMISSOURI S&T SPORTS MEDICINE CONCUSSION MANAGEMENT PROGRAM
MISSOURI S&T SPORTS MEDICINE CONCUSSION MANAGEMENT PROGRAM (Updated April 2014) The MS&T Sprts Medicine Department recgnizes the imprtance f prper diagnsis, treatment, and management f cncussins. NCAA
More informationCLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS
CLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS Only the Ministry f Training, Clleges & Universities can cnsider clearance reviews fr mst ther student restrictin issues. These
More informationKey Steps for Organizations in Responding to Privacy Breaches
Key Steps fr Organizatins in Respnding t Privacy Breaches Purpse The purpse f this dcument is t prvide guidance t private sectr rganizatins, bth small and large, when a privacy breach ccurs. Organizatins
More informationThe ADA: Your Employment Rights as an Individual With a Disability
The ADA: Yur Emplyment Rights as an Individual With a Disability The U.S. Equal Emplyment Opprtunity Cmmissin ADDENDUM Since The Americans with Disabilities Act: Yur Respnsibilities as an Emplyer was published,
More informationThe aim of the procedure is to insert a central venous catheter to safely administer drugs, liquid food or take blood samples over a period of time.
Departments f Anaesthesia, Haematlgy, Medicine and Surgery Prcedure infrmatin leaflet Name f prcedure: Percutaneus insertin f a central venus catheter [ PICC] It has been recmmended fr yu t have a PICC
More informationERISA Compliance FAQs: Fiduciary Responsibilities
Brught t yu by Mrris & Reynlds Insurance ERISA Cmpliance FAQs: Fiduciary Respnsibilities The Emplyee Retirement Incme Security Act f 1974 (ERISA) is a federal law that sets minimum standards fr emplyee
More informationNursing Process Outline - Kim Baily RN, MSN, PhD
Nursing Prcess Outline - Kim Baily RN, MSN, PhD Five Steps f the Nursing Prcess Methd f prviding care Purpseful, systematic, and rderly Scpe and Standards f Practice Assessment: Nurse cllects data Diagnsis:
More informationPatient Participation Report
Patient Participatin Reprt In 2011, Westngrve Partnership decided t establish a PPG (Patient Participatin Grup) that wuld allw us t engage with ur patients, receive feedback frm them and ensure that they
More informationWyoming 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
More informationCalifornia DSRIP 2.0 Recommendations for Domain 4: Prevention
Califrnia DSRIP 2.0 Recmmendatins fr Dmain 4: Preventin 1. Brad Recmmendatins a. Leverage the State f Califrnia s recent effrts related t preventin Frm the Let s Get Healthy Califrnia Reprt and the wrk
More informationOccupational Therapy
Health Prfessins: Occupatinal Therapy Overview f Prfessin Pre-Requisites Applicatin Prcess Timeline Admissin Exam- GRE Additinal Requirements Overview f OT Schl Imprtant Websites Overview f Prfessin: (surce:
More informationResearch Findings from the West Virginia Virtual School Spanish Program
Research Findings frm the West Virginia Virtual Schl Spanish Prgram Funded by the U.S. Department f Educatin Cnducted by R0cKMAN ETAL San Francisc, CA, Chicag, IL, and Blmingtn, IN Octber 4, 2006 R0cKMAN
More informationBRILL s Editorial Manager (EM) Manual for Authors Table of Contents
BRILL s Editrial Manager (EM) Manual fr Authrs Table f Cntents Intrductin... 2 1. Getting Started: Creating an Accunt... 2 2. Lgging int EM... 3 3. Changing Yur Access Cdes and Cntact Infrmatin... 3 3.1
More informationCyber Security: Simulation Platform
Service Overview The Symantec Cyber Security: Simulatin Platfrm is a Web hsted Service with immersive and hands-n access t cyber exercises fr ffensive (red team) events, inspired by real-life security
More informationDodd-Frank Report on Seller Financing
Ddd-Frank Reprt n Seller Financing December 10, 2013 Published by Glbal Publishing Inc. 9799 Old St. Augustine Rd. Jacksnville, FL 32257 p. 904-262-0491 f. 904-262-1464 VIPServices@GlbalPublishinginc.cm
More informationState Opioid Prescribing Policy: Florida
State Opiid Prescribing Plicy: Flrida Pain Plicy and Regulatin: Flrida General Plicies f the Flrida Bards f Medicine and Ostepathic Medicine (Bards) The Bards recgnize that "cntrlled substances, including
More informationSECTION J QUALITY ASSURANCE AND IMPROVEMENT PROGRAM
Audit Manual Sectin J SECTION J QUALITY ASSURANCE AND IMPROVEMENT PROGRAM Ref. Plicy and Practice Requirements IIA Standards and Other references J 1 Plicy: The Head f Internal Audit shall develp and maintain
More informationOUR DISCIPLINARY POLICY
OUR DISCIPLINARY POLICY WHO is this plicy fr? Channel 4 emplyees wh ve passed their prbatinary perid Channel 4 managers This plicy des nt frm part f any emplyee s cntract f emplyment and we may amend it
More informationAnnuities and Senior Citizens
Illinis Insurance Facts Illinis Department f Insurance January 2010 Annuities and Senir Citizens Nte: This infrmatin was develped t prvide cnsumers with general infrmatin and guidance abut insurance cverages
More informationTOWN OF PAYSON WATER DEPARTMENT BACKFLOW PREVENTION PROGRAM CUSTOMER INFORMATION PACKAGE
TOWN OF PAYSON WATER DEPARTMENT BACKFLOW PREVENTION PROGRAM CUSTOMER INFORMATION PACKAGE TOWN OF PAYSON Backflw Preventin Prgram Develpers, Cntractrs and Paysn Residents: An apprved backflw preventin assembly
More informationTITLE CHANGE REQUEST CHECKLIST AND INSTRUCTIONS
CHECKLIST AND INSTRUCTIONS Thank yu fr allwing Interval Servicing t assist yu with yur title change request. We want yur transactin t be prcessed smthly and efficiently. Please be sure t review this checklist
More informationHeart Failure: Signs and symptoms, pathophysiology, how does it present in children?
Gilbert Lam Reviewed and Edited by Brenda Law, MD, Pediatrics Resident Heart Failure: Signs and symptms, pathphysilgy, hw des it present in children? General Presentatin Backgrund Heart Failure (HF) is
More informationPhi 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
More informationMaritime and Coastguard Agency LogMARINE INFORMATION NOTE. Revalidating a Certificate of Competency: New Requirements for Masters and Officers
Maritime and Castguard Agency LgMARINE INFORMATION NOTE MIN 494 (M) Revalidating a Certificate f Cmpetency: New Requirements fr Masters and Officers Ntice t all wners, peratrs, managers, Masters (STCW)
More information