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Part 2 - Chronic Dialysis Clinics (DIA)

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Feb 16, 2022) |392KB)
Getting Started: Where to Find the Answers (0C get start) (Revision Date Jan 14, 2022) |269KB)
Appeal Form Completion (appeal form) (Revision Date May 16, 2022) |632KB)
Blood and Blood Derivatives (blood) (Revision Date Jun 16, 2022) |291KB)
Blood and Blood Derivatives Billing Examples: UB-04 (blood ub) (Revision Date Sep 16, 2020) |263KB)
California Children’s Services (CCS) Program (cal child) (Revision Date Dec 31, 2021) |166KB)
California Children’s Services (CCS) Program Approved Hospitals (cal child appr) (Revision Date Aug 14, 2020) |111KB)
California Children’s Services (CCS) Program Billing (cal child bil) (Revision Date Jun 16, 2022) |140KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date Jun 16, 2022) |77KB)
California Children’s Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub) (Revision Date Jun 16, 2022) |256KB)
California Children’s Services (CCS) Program County Office Directory (cal child county) (Revision Date Oct 15, 2021) |182KB)
California Children’s Services (CCS) Program Eligibility (cal child elig) (Revision Date Jun 16, 2022) |170KB)
California Children’s Services (CCS) Program Medical Therapy Program (cal child med) (Revision Date Nov 30, 2021) |158KB)
California Children’s Services (CCS) Program Provider Paneling (cal child panel) (Revision Date Nov 30, 2021) |207KB)
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 Jun 16, 2022) |147KB)
California Children’s Services (CCS) Program Service Authorization Request (SAR) (cal child sar) (Revision Date Apr 29, 2022) |227KB)
California Children’s Services (CCS) Program Service Code Groupings (cal child ser) (Revision Date Jan 31, 2022) |498KB)
California Children’s Services (CCS) Program Special Care Centers (cal child spec) (Revision Date Sep 16, 2020) |91KB)
Chiropractic Services (chiro) (Revision Date Sep 16, 2020) |194KB)
Chiropractic Services: Billing Codes and Reimbursement Rates (chiro cd) (Revision Date Sep 16, 2020) |100KB)
Chiropractic Services Billing Example: CMS-1500 (chiro exc) (Revision Date Oct 15, 2021) |502KB)
CIF Completion (cif co) (Revision Date May 16, 2022) |710KB)
CIF Special Billing Instructions for Outpatient Services (cif sp op) (Revision Date Aug 18, 2020) |276KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
Correct Coding Initiative: National (correct) (Revision Date Jun 16, 2022) |159KB)
Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date May 16, 2022) |241KB)
Dialysis: Chronic Dialysis Services (dial chr) (Revision Date Apr 15, 2022) |147KB)
Dialysis: End Stage Renal Disease Services (dial end) (Revision Date Apr 15, 2022) |146KB)
Dialysis Examples: UB-04 (dial ex ub) (Revision Date Apr 15, 2022) |487KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Dec 31, 2021) |107KB)
Forms Reorder Request: Inpatient and Outpatient Services (forms reo io) (Revision Date Sep 16, 2020) |438KB)
Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date Dec 31, 2021) |246KB)
HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)
HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii) (Revision Date Aug 31, 2020) |143KB)
Immunizations (immun) (Revision Date Jun 16, 2022) |516KB)
Immunizations Code List (immun cd) (Revision Date Jun 16, 2022) |126KB)
Injections: An Overview (inject an over) (Revision Date Aug 31, 2020) |135KB)
Injections: Billing Example for UB-04 (inject bil ub) (Revision Date Aug 14, 2020) |211KB)
Injections: Code List (inject cd list) (Revision Date Jun 16, 2022) |427KB)
Injections: Drugs A-D Policy (inject drug a-d) (Revision Date Jun 16, 2022) |549KB)
Injections: Drugs E-H Policy (inject drug e-h) (Revision Date May 16, 2022) |638KB)
Injections: Drugs I-M Policy (inject drug i-m) (Revision Date Dec 16, 2021) |380KB)
Injections: Drugs N-R Policy (inject drug n-r) (Revision Date May 16, 2022) |444KB)
Injections: Drugs S-Z Policy (inject drug s-z) (Revision Date May 16, 2022) |287KB)
Injections: Hydration (inject hydra) (Revision Date Aug 31, 2020) |118KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms) (Revision Date Apr 15, 2022) |267KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa) (Revision Date Aug 31, 2020) |360KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra) (Revision Date Aug 31, 2020) |591KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op) (Revision Date Apr 15, 2022) |309KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex) (Revision Date Feb 17, 2021) |2842KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr) (Revision Date Aug 31, 2020) |357KB)
Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub) (Revision Date Sep 16, 2020) |186KB)
Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex) (Revision Date Aug 31, 2020) |1330KB)
Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 14, 2021) |107KB)
Medicare Non-Covered Services: CPT® Codes (medi non cpt) (Revision Date Jun 16, 2022) |118KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date Jun 16, 2022) |129KB)
Modifiers (modif) (Revision Date Mar 16, 2021) |158KB)
Modifiers: Approved List (modif app) (Revision Date Jun 16, 2022) |339KB)
Modifiers Used with Procedure Codes (modif used) (Revision Date Jun 16, 2022) |260KB)
Non-Injectable Drugs (non inject) (Revision Date Apr 15, 2022) |258KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Dec 31, 2021) |93KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date Jun 16, 2022) |124KB)
Pathology: An Overview of Enrollment and Proficiency Testing Requirements (path an over) (Revision Date Aug 31, 2020) |164KB)
Pathology: Billing and Modifiers (path bil) (Revision Date May 16, 2022) |300KB)
Pathology Billing Examples: UB-04 (path bil ub) (Revision Date Aug 31, 2020) |223KB)
Pathology: Blood Collection and Handling (path blood) (Revision Date Sep 16, 2020) |120KB)
Pathology: Chemistry (path chem) (Revision Date Dec 16, 2021) |175KB)
Pathology: Cytopathology (path cyto) (Revision Date Aug 31, 2020) |134KB)
Pathology: Organ or Disease-Oriented Panels (path organ) (Revision Date Sep 16, 2020) |186KB)
Physician-Administered Drugs – NDC (physician ndc) (Revision Date Dec 31, 2021) |150KB)
Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub) (Revision Date Aug 31, 2020) |120KB)
Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date Dec 31, 2021) |127KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 16, 2022) |131KB)
Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op) (Revision Date Sep 16, 2020) |335KB)
Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 16, 2022) |75KB)
Share of Cost (SOC): UB-04 for Outpatient Services (share op) (Revision Date Aug 31, 2020) |343KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)
Supplies and Drugs (supp drug) (Revision Date Aug 31, 2020) |116KB)
Supplies and Drugs Billing Examples: UB-04 (supp drug bil) (Revision Date Aug 31, 2020) |174KB)
Supplies and Drugs for Outpatient Services (supp drug op) (Revision Date Aug 31, 2020) |138KB)
TAR Completion (tar comp) (Revision Date Jun 16, 2022) |398KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Dec 31, 2021) |1563KB)
TAR Field Office Addresses (tar field) (Revision Date Dec 31, 2021) |357KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date Aug 31, 2020) |220KB)
TAR: Submitting Appeals (tar submit) (Revision Date Sep 28, 2020) |114KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date Oct 15, 2021) |735KB)
UB-04 Special Billing Instructions for Outpatient Services (ub spec op) (Revision Date Jan 14, 2022) |195KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date Feb 16, 2022) |167KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date Aug 31, 2020) |165KB)
Vaccines For Children (VFC) Program (vaccine) (Revision Date Feb 16, 2022) |237KB)


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