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Part 2 - Chronic Dialysis Clinics (DIA)

Contents (Part 2 – Medi-Cal Billing and Policy): Chiropractic (2toc chr) (Revision Date May 29, 2020) | (125KB)

Contents (Part 2 – Medi-Cal Billing and Policy): Chronic Dialysis Clinics (2toc dia) (Revision Date May 29, 2020) | (116KB)

Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)

Blood and Blood Derivatives (blood) (Revision Date Jun 30, 2020) | (192KB)

Blood and Blood Derivatives Billing Examples: UB-04 (blood ub) (Revision Date May 29, 2020) | (466KB)

California Children's Services (CCS) Program (cal child) (Revision Date May 29, 2020) | (298KB)

California Children’s Services (CCS) Program Approved Hospitals (cal child appr) (Revision Date May 29, 2020) | (22KB)

California Children's Services (CCS) Program Billing (cal child bil) (Revision Date May 29, 2020) | (164KB)

CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 29, 2020) | (68KB)

California Children's Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub) (Revision Date May 29, 2020) | (254KB)

California Children’s Services (CCS) Program County Office Directory (cal child county) (Revision Date May 29, 2020) | (187KB)

California Children's Services (CCS) Program Eligibility (cal child elig) (Revision Date May 29, 2020) | (298KB)

California Children's Services (CCS) Program Medical Therapy Program (cal child med) (Revision Date May 29, 2020) | (22KB)

California Children's Services (CCS) Program Provider Paneling (cal child panel) (Revision Date May 29, 2020) | (326KB)

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Physicians and Podiatrists (DHS 4514) (Revision Date May 29, 2020) | (44KB)

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 ) (Revision Date May 29, 2020) | (69KB)

California Children's Services (CCS) Program Referrals (cal child ref) (Revision Date May 29, 2020) | (24KB)

California Children's Services (CCS) Program Service Authorization Request (SAR) (cal child sar) (Revision Date May 29, 2020) | (200KB)

California Children’s Services (CCS) Program Service Code Groupings (cal child ser) (Revision Date May 29, 2020) | (327KB)

California Children’s Services (CCS) Program Special Care Centers (cal child spec) (Revision Date May 29, 2020) | (11KB)

Chiropractic Services (chiro) (Revision Date May 29, 2020) | (138KB)

Chiropractic Services: Billing Codes and Reimbursement Rates (chiro cd) (Revision Date May 29, 2020) | (12KB)

Chiropractic Services Billing Example: CMS-1500 (chiro exc) (Revision Date May 29, 2020) | (430KB)

CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)

CIF Special Billing Instructions for Outpatient Services (cif sp op) (Revision Date Jul 16, 2020) | (213KB)

CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)

Correct Coding Initiative: National (correct) (Revision Date Jul 16, 2020) | (101KB)

Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date Jul 16, 2020) | (225KB)

Dialysis: Chronic Dialysis Services (dial chr) (Revision Date May 29, 2020) | (126KB)

Dialysis: End Stage Renal Disease Services (dial end) (Revision Date May 29, 2020) | (122KB)

Dialysis Examples: UB-04 (dial ex ub) (Revision Date May 29, 2020) | (278KB)

Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5) (Revision Date Jul 31, 2020) | (501KB)

Forms: Legibility and Completion Standards (forms leg) (Revision Date May 29, 2020) | (99KB)

Forms Reorder Request: Guidelines (forms reo) (Revision Date May 29, 2020) | (86KB)

Forms Reorder Request: Inpatient and Outpatient Services (forms reo io) (Revision Date May 29, 2020) | (446KB)

Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date May 29, 2020) | (225KB)

HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii) (Revision Date May 29, 2020) | (119KB)

Immunizations (immun) (Revision Date Jun 16, 2020) | (214KB)

Immunizations Code List (immun cd) (Revision Date Jun 16, 2020) | (69KB)

Injections: An Overview (inject an over) (Revision Date May 29, 2020) | (127KB)

Injections: Billing Example for UB-04 (inject bil ub) (Revision Date May 29, 2020) | (183KB)

Injections: Code List (inject cd list) (Revision Date Jun 16, 2020) | (262KB)

Injections: Drugs A-D Policy (inject drug a-d) (Revision Date Jun 16, 2020) | (386KB)

Injections: Drugs E-H Policy (inject drug e-h) (Revision Date Jul 16, 2020) | (397KB)

Injections: Drugs I-M Policy (inject drug i-m) (Revision Date Jul 16, 2020) | (296KB)

Injections: Drugs N-R Policy (inject drug n-r) (Revision Date May 29, 2020) | (278KB)

Injections: Drugs S-Z Policy (inject drug s-z) (Revision Date Jun 16, 2020) | (270KB)

Injections: Hydration (inject hydra) (Revision Date May 29, 2020) | (109KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms) (Revision Date May 29, 2020) | (220KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa) (Revision Date May 29, 2020) | (391KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra) (Revision Date May 29, 2020) | (269KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op) (Revision Date May 29, 2020) | (310KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex) (Revision Date May 29, 2020) | (1563KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr) (Revision Date May 29, 2020) | (268KB)

Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub) (Revision Date May 29, 2020) | (233KB)

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex) (Revision Date May 29, 2020) | (689KB)

Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 29, 2020) | (60KB)

Medicare Non-Covered Services: CPT® Codes (medi non cpt) (Revision Date May 29, 2020) | (78KB)

Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date May 29, 2020) | (87KB)

Modifiers (modif) (Revision Date May 29, 2020) | (81KB)

Modifiers: Approved List (modif app) (Revision Date Jul 16, 2020) | (295KB)

Modifiers Used With Procedure Codes (modif used) (Revision Date Jul 16, 2020) | (178KB)

Non-Injectable Drugs (non inject) (Revision Date May 29, 2020) | (175KB)

Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)

Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date May 29, 2020) | (117KB)

Pathology: An Overview of Enrollment and Proficiency Testing Requirements (path an over) (Revision Date May 29, 2020) | (66KB)

Pathology: Billing and Modifiers (path bil) (Revision Date Jun 16, 2020) | (157KB)

Pathology Billing Examples: UB-04 (path bil ub) (Revision Date May 29, 2020) | (271KB)

Pathology: Blood Collection and Handling (path blood) (Revision Date May 29, 2020) | (117KB)

Pathology: Chemistry (path chem) (Revision Date May 29, 2020) | (190KB)

Pathology: Cytopathology (path cyto) (Revision Date May 29, 2020) | (126KB)

Pathology: Organ or Disease-Oriented Panels (path organ) (Revision Date May 29, 2020) | (122KB)

Physician-Administered Drugs: NDC (physician ndc) (Revision Date Jul 16, 2020) | (136KB)

Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub) (Revision Date Jul 16, 2020) | (111KB)

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date May 29, 2020) | (92KB)

Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)

Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op) (Revision Date May 29, 2020) | (211KB)

Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 29, 2020) | (77KB)

Share of Cost (SOC): UB-04 for Outpatient Services (share op) (Revision Date May 29, 2020) | (232KB)

Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)

Supplies and Drugs (supp drug) (Revision Date May 29, 2020) | (112KB)

Supplies and Drugs Billing Examples: UB-04 (supp drug bil) (Revision Date May 29, 2020) | (147KB)

Supplies and Drugs for Outpatient Services (supp drug op) (Revision Date May 29, 2020) | (111KB)

TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date May 29, 2020) | (479KB)

TAR Field Office Addresses (tar field) (Revision Date May 29, 2020) | (260KB)

TAR Submission: Transmittal Form (tar submis) (Revision Date May 29, 2020) | (258KB)

TAR: Submitting Appeals (tar submit) (Revision Date May 29, 2020) | (86KB)

UB-04 Completion: Outpatient Services (ub comp op) (Revision Date May 29, 2020) | (330KB)

UB-04 Special Billing Instructions for Outpatient Services (ub spec op) (Revision Date May 29, 2020) | (180KB)

UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)

UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date May 29, 2020) | (130KB)

Vaccines For Children (VFC) Program (vaccine) (Revision Date Jul 16, 2020) | (252KB)

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