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)

10,513 Bytes39,424 Bytes

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

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Appeal Form Completion (appeal form)

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

116,392 Bytes173,568 Bytes

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

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

63,223 Bytes663,040 Bytes

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

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

168,257 Bytes333,312 Bytes

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

11,392 Bytes40,960 Bytes

HCPCS Introduction (hcpcs)

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

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Hospice Care (hospic)

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Hospice Care Billing Codes (hospic bil cd)

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Hospice Care Billing Examples (hospic bil ex)

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Hospice Care: General Billing Instructions (hospic ge)

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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)

36,196 Bytes194,048 Bytes

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

8,336 Bytes31,744 Bytes

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

15,577 Bytes63,488 Bytes

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® 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)

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)

29,510 Bytes182,784 Bytes

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

10,686 Bytes35,328 Bytes

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

109,943 Bytes166,400 Bytes

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

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

77,638 Bytes139,776 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

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

29,312 Bytes121,856 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)

370,701 Bytes564,224 Bytes

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

25,427 Bytes61,952 Bytes

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

21,512 Bytes88,576 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

15,521 Bytes58,880 Bytes

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



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