Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Part 2 – Heroin Detoxification (HER)

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Medi-Cal Program (00medi-cal)

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Medi-Cal Provider Manual Contents

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Manual Organization (0Amanorg)

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How to Use This Manual (0Bhwtouse)

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Getting Started: Where to Find the Answers (0C get start)

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Contents (Part 2 – Medi-Cal Billing and Policy): Heroin Detoxification (2toc her)

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Appeal Form Completion (appeal form)

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CIF Completion (cif co)

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CIF Special Billing Instructions for Outpatient Services (cif sp op)

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CIF Submission and Timeliness Instructions (cif sub)

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Correct Coding Initiative: National (correct)

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Correct Coding Initiative: National – Claim Preparation (correct cod)

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Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5)

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Forms: Legibility and Completion Standards (forms leg)

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Forms Reorder Request: Guidelines (forms reo)

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Forms Reorder Request: Inpatient and Outpatient Services (forms reo io)

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HCPCS Introduction (hcpcs)

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HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii)

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Heroin Detoxification (heroin)

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Heroin Detoxification Billing Codes (heroin cd)

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Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op)

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Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex)

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Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr)

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Medicare Non-Covered Services: Charts Introduction (medi non cha)

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Medicare Non-Covered Services: HCPCS Codes (medi non hcp)

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Other Health Coverage (OHC) (oth hlth)

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Other Health Coverage (OHC): CPT-4 and HCPCS Codes (oth hlth cpt)

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Physician-Administered Drugs: NDC (physician ndc)

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Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub)

12,367 Bytes44,032 Bytes

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil)

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

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Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op)

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Remittance Advice Details (RAD): Payments and Claim Status (remit pay)

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Share of Cost (SOC): UB-04 for Outpatient Services (share op)

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Sign Language Interpretation (sign)

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TAR Completion (tar comp)

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TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)

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TAR Field Office Addresses (tar field)

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TAR Submission: Transmittal Form (tar submis)

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TAR: Submitting Appeals (tar submit)

368,715 Bytes556,032 Bytes

UB-04 Completion: Outpatient Services (ub comp op)

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UB-04 Special Billing Instructions for Outpatient Services (ub spec op)

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UB-04 Submission and Timeliness Instructions (ub sub)

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UB-04 Tips for Billing: Outpatient Services (ub tips op)



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