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

Part 2 – Hospice Care Program (HOS)

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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)

9,740 Bytes33,792 Bytes

Contents (Part 2 – Program Medi-Cal Billing and Policy): Hospice Care (2toc hos)

116,097 Bytes178,176 Bytes

Appeal Form Completion (appeal form)

125,697 Bytes212,992 Bytes

CIF Completion (cif co)

115,215 Bytes173,568 Bytes

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

68,012 Bytes110,080 Bytes

CIF Submission and Timeliness Instructions (cif sub)

58,532 Bytes632,832 Bytes

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

16,442 Bytes51,200 Bytes

Forms: Legibility and Completion Standards (forms leg)

11,735 Bytes39,936 Bytes

Forms Reorder Request: Guidelines (forms reo)

35,141 Bytes72,704 Bytes

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

14,749 Bytes51,200 Bytes

HCPCS Introduction (hcpcs)

10,838 Bytes57,856 Bytes

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

21,642 Bytes79,360 Bytes

Hospice Care (hospic)

10,470 Bytes34,816 Bytes

Hospice Care Billing Codes (hospic bil cd)

413,302 Bytes561,152 Bytes

Hospice Care Billing Examples (hospic bil ex)

19,032 Bytes61,440 Bytes

Hospice Care: General Billing Instructions (hospic ge)

13,637 Bytes55,296 Bytes

Hospice Care: General Inpatient Information Sheet (hospic ge inf)

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Form: Hospice General Inpatient Information Sheet (DHS 6194)

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

818,651 Bytes967,168 Bytes

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

36,252 Bytes194,560 Bytes

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

4,725 Bytes29,696 Bytes

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

15,573 Bytes65,536 Bytes

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

15,752 Bytes53,248 Bytes

Other Health Coverage (OHC) (oth hlth)

12,455 Bytes49,152 Bytes

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

15,656 Bytes54,272 Bytes

Physician-Administered Drugs: NDC (physician ndc)

18,357 Bytes58,880 Bytes

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

11,854 Bytes43,520 Bytes

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

11,661 Bytes39,424 Bytes

Remittance Advice Details (RAD) (remit adv)

28,129 Bytes183,296 Bytes

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

10,322 Bytes35,328 Bytes

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

690,784 Bytes803,328 Bytes

Resubmission Turnaround Document (RTD) Completion (resub comp)

109,943 Bytes166,400 Bytes

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

11,715 Bytes45,056 Bytes

Sign Language Interpretation (sign)

122,667 Bytes191,488 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

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

29,359 Bytes122,368 Bytes

TAR Field Office Addresses (tar field)

104,194 Bytes151,552 Bytes

TAR Submission: Transmittal Form (tar submis)

10,532 Bytes33,792 Bytes

TAR: Submitting Appeals (tar submit)

368,715 Bytes556,032 Bytes

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

24,884 Bytes62,464 Bytes

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

20,137 Bytes83,456 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,623 Bytes56,320 Bytes

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


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