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Part 2 - Hospice Care Program (HOS)

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 Mar 16, 2023) |628KB)
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 Mar 16, 2023) |172KB)
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)
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)
Hospice Care (hospic) (Revision Date Aug 14, 2020) |167KB)
Hospice Care Billing Codes (hospic bilcd) (Revision Date Aug 14, 2020) |151KB)
Hospice Care Billing Examples (hospic bil ex) (Revision Date Feb 10, 2021) |486KB)
Hospice Care: General Billing Instructions (hospic ge) (Revision Date Aug 14, 2020) |169KB)
Hospice Care: General Inpatient Information Sheet (hospic ge inf) (Revision Date Aug 31, 2020) |164KB)
Form: Hospice General Inpatient Information Sheet (DHS 6194) (hospic ge inf 1form) (Revision Date Mar 14, 2023) |84KB)
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 Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 14, 2021) |107KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date Apr 14, 2023) |127KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Feb 16, 2023) |83KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date Oct 14, 2022) |89KB)
Palliative Care (palli care) (Revision Date Dec 16, 2022) |98KB)
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 Mar 16, 2023) |123KB)
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)
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 Apr 14, 2023) |1204KB)
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 Oct 14, 2022) |131KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date Aug 31, 2020) |165KB)


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