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Or specifications version 12.1 Details changes included in the April update to those payment files ...................................5 Implementation of application fees for Medicare provider/ supplier enrollment Summary of new enrollment application fee for institutional providers ................................ 7 MRI in Medicare beneficiaries with implanted permanent pacemakers or implantable cardioverter defibrillators Outlines new coverage information regarding magnetic resonance imag.
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Biologicals FAQ
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Revenue code 272 is usually not a primary service since a hospital normally does not just dispense supplies to patients, and the charges allocated to that revenue code are most often just a sum of the various supplies used, for example, during an infusion or a surgical procedure.
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Leave of Absence (LOA) Report: Revenue Code 018X. Number of LOA days as units.
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Section 6401 of the Affordable Care Act provides that a “provider of medical or other items or services or supplier within a particular industry sector or category” shall establish a compliance program as a condition of enrollment in Medicare, Medicaid, or the Children's Health Insurance Program (CHIP).
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Leave of Absence (LOA) Report: Revenue Code 018X. Number of LOA days as units.
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Providers bill CPT code 90471 (immunization administration; one vaccine) to Medi-Cal to be reimbursed for the administration of vaccines that are free to the provider through a source other than the VFC program, including doses purchased by public health departments.
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Use occurrence span code 74 (LOA) to report the dates the leave began and ended.
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77 Provider Liability-- Code indicates the From/Through dates Utilization Charged for a period of noncovered care for which the provider is liable (other than for lack of medical necessity or as custodial care.) The beneficiary's record is charged with Part A days, Part A or Part B deductible, and Part B coinsurance.
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Revenue code 0761 should be used to bill for the treatment room in which a specific procedure was performed or a treatment was rendered. This procedure or treatment should be reported with the appropriate Healthcare Common Procedure Coding System (HCPCS). The HCPCS for E&M do not qualify as a procedure or treatment.
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