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Institutional / UB Manual and Bulletins

 

Institutional/UB Manuals

Institutional/UB General Manual
Institutional Covered Services
Outpatient Prospective Payment System (OPPS)

Nursing Home Manuals

Institutional/UB General Manual
Nursing Home Covered Services

Swing Bed Manuals

Institutional/UB General Manual
Swing Bed Covered Services

 

Important Policy Changes/Additions


Institutional Bulletins

Institutional Bulletins
PASSR-LT101 Reminder
3rd Qtr 2009 Health Check (1MB)
PASSR-LT101 Delay Notification (231K)
2010 Budget Letter
Letter of Attestation PRTFs (219K)
IVR/Email Communication Bulletin
PASSR/LT101 Bulletin (500KB)
HealthCheck Newsletter 05/07/2009 (2MB)
Dr. Sherard OIG Exclusions Letter (110K)
CAP Limit Waiver Request Form (28K)
SBIRT Services 02/13/09
HealthCheck Newsletter 02/16/2009 (1MB)
PERM Letter 01/29/2009 (101K)
PERM Brochure 01/29/2009 (163K)
RHC/FQHC Billing - 7/22/2008
RHC/FQHC EPSDT Bulletin - 12/12/2007
Billing for Eligible Alien - 11/16/2006 Revised!
Home Health Rates - 06/19/2006 (181 K)
Billing&ReimbursmentObservationServices02/06
AmbulanceServicesPostPaymentReview-10/03/05

Billing&ReimbursmentObservationServices11/05
OPPS Delayed until October 06/28/2005 (301k)
Patient Status Codes 08/25/2005 (313K)
RHC & FQHC Update 01/18/05 (321K)
OPPS Bulletin 08/16/2004 (306 K)
Rural Health Care - 05/20/2004 (101 K)
Revenue Code & Billing Update - 03/22/2004(73 K)
Inpatient-Only Procedure Code List 01/07/05 (55K)
Inpatient-Only Procedures Bulletin 11/11/04 (839K)
Long term Care & Hospice Update 03/22/05 (303K)
Home Health Letter- 07/26/2004 (333 K)
Nursing Home Bulletins
Tamper Resistant Rx Pads 02/13/08 (325K) Revised
Tamper Resistant RX Pads 10/23/07 (366K)
Tamper Resistant RX Pads 8/23/07 (320K)
Nursing Home Medicare Part D 09/20/05 (297K)
Long term Care & Hospice Update 03/22/05 (303K)
Nursing Facility Requirements10/10/05(210K)

 


Additional Links

Nursing Facility Revenue Codes: Provides a table of appropriate revenue codes for Nursing Facilities.
EqualityCare & State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
Explanation of Benefit Codes (EOB) Code Listing: Lists the EOB code and description. This is helpful when working the remittance advice.
NDC Crosswalk PDF: Provides a listing of the drug related procedure codes requiring an NDC. The listing provides the NDC, HCPCS (J codes), HCPCS and NDC descriptions, effective dates, end dates, and if applicable for Medicare crossovers only.
NDC Crosswalk Excel: Provides a listing of the drug related procedure codes requiring an NDC. The listing provides the NDC, HCPCS (J codes), HCPCS and NDC descriptions, effective dates, end dates, and if applicable for Medicare crossovers only.
NPI News and Information: Provides historical transition information, billing instructions and examples, etc.

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