HIPAA: Billing Example Updates
The September Medi-Cal Update included updates to your provider manual as a result of the first phase of Health Insurance Portability and Accountability Act (HIPAA) implementation. Updates to the manual are continuing this month with billing examples that conform to HIPAA standards. Billing example updates will continue over the next several months. Please refer to the new billing examples when submitting claims for dates of service on or after September 22, 2003.
Important: When you update your manual, please retain the pages you remove. Place them after the Appendix tab at the back of your manual. These pages will help you bill for services that you rendered prior to September 22, 2003.
For Adult Day Health Care Centers (ADU), AIDS Waiver Program (AID), Heroin Detoxification (HER), Home and Community-Based Services (HOM), Hospice Care Program (HOS) and Local Educational Agency (LEA) providers, these updates are reflected on provider manual replacement pages share op 3 thru 6 (Part 2).
For Clinics and Hospitals (CAH) providers, these updates are reflected on provider manual replacement pages anest ub 2 thru 8, 10, 11 and 13 (Part 2), blood ub 2, 4, 5 and 7 (Part 2), inject bil ub 2 and 4 (Part 2), share op 3 thru 6 (Part 2) and supp drug bil 2 and 4 (Part 2).
For Chronic Dialysis Clinics (DIA) providers, these updates are reflected on provider manual replacement pages blood ub 2, 4, 5 and 7 (Part 2), inject bil ub 2 and 4 (Part 2), share op 3 thru 6 (Part 2) and supp drug bil 2 and 4 (Part 2).
For Rehabilitation Clinics (REH) providers, these updates are reflected on provider manual replacement pages inject bil ub 2 and 4 (Part 2), share op 3 thru 6 (Part 2) and supp drug bil 2 and 4 (Part 2).
Note:
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