Quick Reference Guide (for the Hospital Provider Manual)
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|
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 |
