The SC Department of
Health and Human Services

Quick Reference Guide (for the Hospital Provider Manual) 

	ITEM	PAGE NUMBER
1	Abortion Guidelines	209-12 Thru 209-13
2	Admistrative Days	209-1 Thru 209-5
3	Alcohol and Other Drug Abuse Treatment Services	210-5
4	Appeals	316-6
5	Billing Notes for Covered and Non-Covered Services	206-2
6	Completion of the UB-92 Claim Form	307-1 Thru 307-7
7	Diagnostic Codes by Outpatient Reimbursement Levels	204-18 Thru 204-38
8	Discharge/Re-admission within 24 Hours	304-1
9	Edit Codes and Resolutions for the UB-92	311-1 Thru 311-50
10	Elective Sterilization	209-9 Thru 209-12
11	Family Planning Waiver	210-1
12	Forms and Publications	318-1 Thru 318-70
13	Health Maintenance Organization (HMO)	211-7 Thru 211-10
14	Hospice	210-1 Thru 210-3
15	Hysterectomy	209-7 Thru 209-9
16	Incomplete or Cancelled Surgery	304-2
17	Inpatient DRG Relative Weights	313-1 Thru 313-10
18	Interim Payment	304-2
19	Medicaid Non-covered Services	206-1 Thru 206-2
20	Out of State Services	208-1 Thru 208-3
21	Outpatient Fee Schedule	204-8
22	Payment Calculations for inpatient claims	312-1 Thru 312-11
23	Physician Enhanced Program (PEP)	211-2 Thru 211-6
24	Pre-Admission Services (72-hour rule)	204-5
25	Reimbursement Rates for TTT Laboratory/Pathology and Radiology and CPT Codes	204-39 Thru 204-46
26	Replacement Claims	316-4 Thru 316-6
27	Revenue Codes	308-1 Thru 308-18
28	Revenue Codes that require special coding	308-18 Thru 308-19
29	Same Day Admission and Discharge	304-1
30	Surgical Procedures by Outpatient Reimbursement Class	204-9 Thru 204-17
31	Transplants	209-5 Thru 209-7
32	Treatment Room	204-4