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)

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

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

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

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

55,943 Bytes623,104 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)

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Forms Reorder Request: Guidelines (forms reo)

168,257 Bytes333,312 Bytes

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

11,009 Bytes36,352 Bytes

HCPCS Introduction (hcpcs)

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

22,221 Bytes80,384 Bytes

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)

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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)

7,951 Bytes26,624 Bytes

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

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

16,266 Bytes54,784 Bytes

Other Health Coverage (OHC) (oth hlth)

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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)

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)

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)

77,141 Bytes138,240 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)

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TAR Submission: Transmittal Form (tar submis)

10,532 Bytes33,792 Bytes

TAR: Submitting Appeals (tar submit)

369,718 Bytes560,640 Bytes

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

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

21,512 Bytes88,576 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,952 Bytes58,368 Bytes

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


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