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mmis codes list maryland

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By , June 25, 2017 9:29 am

AARP MedicareRx Plans United Healthcare (PDF download)

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mmis codes list maryland

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Guide to Maryland Medical Assistance Coverage Groups

Although some are obsolete, there are 75 coverage group codes in MMIS. … This
edition of the Guide presents active groups first, followed by the list of …

CMS 1500 Billing Instructions – Maryland Medicaid –

Oct 1, 2015 … Directory of Local Department of Social Services … code sets and forms,
Maryland Medicaid has replaced all local procedure codes to nationally ……
MMIS-II edits all claims to search for duplications and overlaps by providers.

Scanned Document – Maryland Medicaid

General Article §13-2504, Annotated Code of Maryland) was enacted in part to ….
for the South Atlantic region starting in July 2008 (see Attachment 1 for a list …..
Medical Care Program coverage group P02 or P11 in the CY MMIS eligibility …

ISAS Provider Reference Guide – Maryland Medicaid –

Apr 20, 2015 … Below is a list of the major changes and additions made to the Guide. Page(s) … (
MMIS) for payment. To access the ISAS ….. Under Code of Maryland Regulations, providers can bill DHMH for only those services …

MMIS Carrier Code, Carrier: , Address, Carrier Address-Line 2, City …

Nov 1, 2014 … The following is a list of TPL coverage-type codes that identify the type of …..
0028026 Blue Cross Blue Shield of Maryland, P. O. Box 9784, …

EOB Codes and Messages List – eohhs


Maryland Department of Health and Mental Hygiene – Medicaid

Jun 30, 2016 … This waiver permits Maryland to operate HealthChoice, its ….. A list of requested
changes and description of the requested waiver … Beginning in 2009, DHMH
also increased dental fees for selected codes for preventive and.

Access Monitoring Review Plan for the State of Maryland – Medicaid

Sep 22, 2016 … As of June 2016, Maryland Medicaid covered nearly 1.3 million individuals, …
individuals with a specified list of rare diseases who would otherwise be eligible
for ….. using the specialty code included in the MMIS provider files.

provider type code provider specialty code taxonomy code

Neuropsychologist … 405-Clinical Genetics (MD). 207SG0201X. 118-Clinical
Molecular …

Claim Adjustment Reason Code Remittance Advice Remark Code …

Code. MMIS EOB Description. 4. 7. The procedure code modifier listed on your
claim is either invalid or ….. Medicaid is following the Medicare list of surgery.

Treatment Episode Data Set (TEDS) – DASIS – SAMHSA

Rockville, Maryland 20857. OMB No. 0930- ….. Data Submission Schedule . ….. A
Diagnostic Code Set identifier indicator and Substance Abuse Diagnostic Code
capable of …. MIS: State contact with Management Information System expertise.

PDF, 50 pages – Government Accountability Office

Jan 30, 2015 … Information System (MMIS) to process claims and support their program integrity
efforts, and ….. identified on lists that exclude or bar them from participating in
other …. medical billing codes that indicate to program integrity analysts any ….
Maryland's MMIS claims processing subsystem was implemented in.

MMIS User's Guide for DSS E-1 Chapter E 4/2/2012 Table of …

Apr 2, 2012 … CMS containing records of the Buy-In Transaction Codes to add, delete …. The
following is a list of screen selections and the description of the …

DC Medicaid EAPG Training – dhcf

Sep 16, 2014 … out-of-District hospitals except Maryland. •. Currently using … Institutional rate –
flat, hospital-specific rate triggered by list of visit codes. (mostly E&M … HCPCS
procedure code pricing – mostly lab & radiology. –. $50 per ….. EAPG payment
adjusted by any applicable MMIS edits, denials, and/or adjustments …


Joint Polar Satellite System (JPSS) Ground Project. Code 474. 474-00093 …
Check the JPSS MIS Server at
to verify that … JPSS Configuration Management Office. NASA/GSFC. Code 474.
Greenbelt, MD 20771 …. 29Mar06 – Updated the List of Figures to capture M-

ACD Codes Descriptions Abbreviations

This table lists the ACD codes used to communicate convictions and withdrawals
…. IMP CLS/NDOR. Misrepresentations (MIS Group). ACD. Code. Description.

Appendix G: Comparison of WIC Information Systems – USDA Food …

agency's management information system (MIS) with a high-level …. The system
allows users to schedule individual participant …… highlighted based on risk


5. Report Date. August 2012. 6. Performing Organization Code … Sponsoring
Agency Code. 15. … Danielle Betkey, in the Driver Safety Division of the
Maryland Motor Vehicle Administration, …. LIST OF TABLES ….. Drivers who mis-
applied the.

Cross Track Infrared Sounder (CrIS) Sensor Data Records (SDR)

Dec 23, 2014 … Code 474 … the JPSS MIS Server at
cfm to … Greenbelt, MD 20771 ….. 1.6.3 List of Symbols Used .

Iowa Medicaid Guide PROVIDER SPECIALTY CODES (02200 …

Sep 27, 2013 … PROVIDER CATEGORY OF SERVICE CODES (03010)……………………………………….

medicare alpha prefix list 2015

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By , May 9, 2016 12:05 pm

AARP MedicareRx Plans United Healthcare (PDF download)

AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicare alpha prefix list 2015

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Professional Provider Office Manual – BCBSLA – Blue Cross and …

December 2015 … Medicare Advantage Members from Other Blue Plans. 31 …..
Select the “Provider Update Form” form from the list and fill in the blanks. ….
January 2016, our HMO Louisiana service expanded to be a …. Plan-specific
alpha prefixes are assigned to every BCBS Plan and start with X, Y, Z or Q. The
first two.

June – BlueCross BlueShield of Tennessee

Jun 27, 2015 … Reauthorization Act of 2015, most health care … Medicare Advantage lines of
business beginning Jan. 1, 2016. Contracts will be …. our list of covered services.
CPT® is a …. including alpha prefix and verify by pressing 1. 9.

Medicare Advantage Member Identification Prefixes Updated for 2015

Empire BlueCross moved Individual (non-group) Medicare Advantage … 2015
member identification prefixes for individual Medicare Advantage plans are listed

New name. – Providers – Amerigroup

Prefix. Former plan name. New plan name. JLJ. HealthPlus, an Amerigroup …
Starting October 1, 2015, the new site can be accessed at … HealthPlus
Amerigroup follows the Centers for Medicare & Medicaid … Patient history list …..
period of April 1, 2015 – April 1, 2016, this …. n Characters 3-7 are alpha or
numeric. (alpha …

November Provider Bulletin – Blue Cross of Northeastern …

Nov 1, 2015 … covered by Highmark's Freedom Blue PPO, a Medicare Advantage plan. Please
note that there … The list of procedure codes that apply to the program is ……
Highmark Blue Cross Blue Shield Plan. Alpha Prefix. 2015. 2016.

Washington 2015 Fall Workshop presentation – Premera Blue Cross

Providers treating Medicare Advantage members must … The Alpha Plan
Prefixes list is available … offered both on and off the Exchange beginning with

August 2014 – Premera Blue Cross

15, 2015. Individuals may also qualify for special enrollment periods outside of
open enrollment if … In 2016, the Affordable Care Act will ….. The Premera Blue
Cross Medicare Advantage formulary, or list of covered drugs, can be found …
Here you'll find BlueCard resources like reference manuals, the Alpha Plan Prefix

New Affordable Care Act (ACA) Medical … – Premera Blue Cross

the 2015 legislative session—you can link to each one for more details. …. 1,
2016, Premera will launch a new PersonalCare Partner Systems network that will
support … You can offer your patients a preventive benefit list and mark the …..
We'll ask for the member's alpha prefix; once we confirm that the plan participates
, …

current list of accepted insurance plans – Denver Family Medicine

Insurance Participation List. (Effective January 1, 2016 — Updated 11/2015). •
United Healthcare AARP Medicare Complete. • Aetna**. • Anthem BCBS, BCBS
… Anthem BCBS – Alpha Prefix: VAB, XFV, VAC, VAG. • CHP+. • Cigna Local

2014 Regional Provider Workshops – Blue Cross and Blue Shield of …

Sep 15, 2014 … Applicable for Medicare PPOSM and Blue Medicare HMOSM. + With HealthTrio
…. new technology platform by the end of 2016. + As the system … recognized by
the new alpha prefixes on their BCBSNC ID cards: YPS, YPQ or …. + Beginning
on January 1, 2015, SHP will provide benefits for the treatment of …

Medtronic's SpineLine reimbursement and coding information for …

Oct 8, 2015 … Physicians. Alerts; Guides; ICD-10 Guides; Medicare Calculator; Coding Tips;
CPT Data Sheets; Modifiers; FAQS; Updates …

Medicare Monthly Review (MMR) June 2015-06

Jul 1, 2015 … List (MM9142). 24. Quarterly Update to the Medicare Physician Fee Schedule
Database – July Calendar Year 2015. Update (MM9152). 26.

2014 Immunization for Life Enrollment –

Enter your entire PIN. (including any alpha prefixes such as “AV” or “H”). … “Total
2015-2016 Doses Available for Order”. All State … New – IMPORTANT: MFFS –
Medicare Fee for. Service … The Licensed Vaccine Provider list should consist of

2016 BlueExclusive Upstate 1 and BusinessADVANTAGE Select …

Dec 3, 2015 … 2016 Small Group Narrow Network Products. MyHealth First …. and/or surgery: •
We will pay OON services at the Medicare-allowable … Enter the alpha prefix
from the ID card. 20 … Note: A full list of excluded services, supplies or limitations
is available on www. … Thursday, December 10, 2015. Greenville …

This manual applies to discharges July 1, 2015 and later only. This …

Jul 1, 2015 … Current changes noted on this list in red text are also indicated in the … DRG
Version update for fiscal 2016. … Threshold Audit in a future reporting period,
likely in 2015-02. ….. Alpha characters must be UPPER CASE … Do not place
spaces inside last names with a prefix, such as McBeth, OConner (report.

Fall-Winter 2013 – Aetna Medicaid

Nov 1, 2013 … … and Human Services Commission (HHSC) removed the alpha prefix and
issued ….. This summary provides the available products and their Texas
Medicaid Preferred Drug List status. …. in state fiscal year 2016 with the … years
2014 and 2015 (no change from … of the Medicare fee schedule for similar.

2015-2016 CDO JOB SEARCH GUIDE – University of Maryland …

Dec 15, 2015 … 2015-2016. CDO …. Furthermore, the Honor Code enunciates a list of specific
prohibited ….. social security, medicaid/medicare, workers' compensation and
landlord/tenant … Sigma Tau Alpha service fraternity ….. prefix. Esquire is used
alone at the end of a person's name to indicate that he or she is an.

Download entire manual – South Carolina Department of Health and …

Updated January 1, 2016 …. December 1, 2015 – Replaced manual cover. 11-04-
15. 3. 39. Updated …. Updated Medicare/Medicaid (Dually. Eligible) ….. Updated
SCDHHS Area Prefixes. •. Updated Retro-Medicare …. Authorization Codes list:
85.55, 86.87, 86.90. 09-01-11 … Updated alpha and numeric carrier code lists to.

Utilizing Data Consortia to Monitor Safety and Effectiveness of …

Vol. 21, No. 1. January 2015. JMCP … A full list of task force members is shown at
the end of this article. …. mates that by 2016, 7 of the top 10 drugs in terms of
sales will ….. whether the biosimilar TNF-alpha inhibitor exhibits a better …. the
use of interchangeable products), or using a prefix or suf- fix to the originator'…


will be a new alpha prefix in front of the ID number. …. the 2015 group plans will
transition to different plans for 2016 coverage effective … “direct pay” Medicare
plan when your plan renews in 2016. ….. Tier $0 drugs will be on the $3 copay list

medicaid occurrence code list

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By , April 22, 2016 12:37 am

AARP MedicareRx Plans United Healthcare (PDF download)

AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicaid occurrence code list

PDF download:

Claim Adjustment Reason Codes and Remittance … – Mass.Gov

Reason Codes and Remittance Advice Remark Codes (CARCs and RARCs)–
Effective 01/01/2016 … PRIMARY CONDITION CODE INVALID 16.

Error Status Codes with Detailed Descriptions –


Inpatient Hospital Services Provider Guide – Health Care Authority

January 1, 2016 … State for Medicaid, the children's health insurance program (
CHIP), and state- … provider must bill with inpatient status code 30 to ….. Use
appropriate condition codes when billing for qualified trauma cases ……………………

Inpatient Billing Guidelines –

Oct 1, 2015 … eMedNY is the name of the New York State Medicaid system. ….. For a current list
of patient status codes, please refer to the NUBC UB-04 Manual. …. The APR
DRG claim will have an occurrence code 75 with the date range …

PT01 with Medicare v7.1 – Finance and Administration Cabinet

Aug 8, 2014 … Updated Appendix F, KY Medicaid card and ICN. 2.2. 02/21/2007 … Updated with
changes for Medicare. v2.9 – 3.0 are …. Outpatient Revenue Code list per Alisha
Clark. …… women who have a confirmed cancerous or pre-cancerous condition
of the breast or cervix. In order to … Frankfort, KY 40602-2016.

Section 12, Part 2 – Fidelis Care

V16.0 – 1/4/2016 … Center for Medicare Services (CMS), National Correct Coding
Initiative (NCCI), … Condition Code(s). X. Occurrence Codes and Dates. X …. list
all the diagnoses that affect the treatment received, including any disease being …

2016 Provider Reimbursement Manual – MDwise

Jan 1, 2014 … can also find the exclusion list at the end of this manual. Please note that these
lists ….. NCCI edits, except as indicated in the supplemental Medicaid covered
code list. …. The member's condition must require the ambulance.

Chapter 5 Claim Form Requirements – AHCCCS

Dec 1, 2014 … AHCCCS does not accept DSM-4 diagnosis codes. Behavioral … Required.
Check the second box labeled "Medicaid." … Check "YES" or "NO" to indicate
whether the patient's condition is related to ….. *Effective 07/01/2016 NDC
information will be Required if applicable ….. 34 Diagnosis …

2016 – New Mexico Workers Compensation Administration

Jan 1, 2016 … The five character codes included in the New Mexico Health Care ….. and
Medicaid Services (CMS) Ambulatory Payment Classification (APC) as follows:
….. Condition Codes are required when submitting a bill that is a duplicate or …
Enter the appropriate two-digit code from the Place of Service Code list.

1115(a) Waiver – Medicaid

Sep 4, 2015 … expressly waived in this list, shall apply to the demonstration project. …. June 30,
2016, expenditures for incentive payments to participating hospitals for ……
revised national codes, new technology, diagnosis/condition pairing …

March 2015 Medicare B Connection – First Coast Service Options Inc.

Mar 2, 2015 … Mass adjustment of claims containing codes. G0473 and 77063. ….. list is not
inclusive): ▫. Coverage for a ….. reduction in Medicare payment through March 31,
2016 ….. beneficiary, if a claim is received with occurrence code.

May 2015 Medicare A Newsline – Cahaba Government Benefit …

May 2, 2015 … The Medicare A Newsline provides information for those providers who submit
….. The following diagnosis codes have been added to the list of 'ICD- …. RHC, (5
) clarify MAC claims processing prior to January 1, 2016, …. CARC 119 – Benefit
maximum for this time period or occurrence has been reached.

September 2015 – Mercy Provider Network

Sep 2, 2015 … Medi-Pak® Advantage and CPT Category II codes. 9. Medi-Pak® … Medicaid
claims handling for Medicaid members. 16 ….. 2016, when an invoice is
requested ….. comprehensive list of …. Occurrence Codes and Date.

October 2015 Part A Medicare Advisory – Palmetto GBA

Oct 12, 2015 … Updates to the List of Medicare Severity Diagnosis Related Groups … Revision to
Medicare Code Editor (MCE) Edit, Procedure … 2015-2016 Influenza (Flu)
Resources for Health Care Professionals . …… days remaining between the from
and through dates and outside Occurrence Span Code 74) will be …

provider manual community developmental disabilities providers

Dec 1, 2015 … The FY 2016 Provider Manual for the Division of Developmental … Reference
added to Section G, clarified list of Professionals … Medicaid waiver programs is
determined by DBHDD Field Office s in … with an intellectual disability and meets
the following criteria (Code of Federal Regulations, Title.

Provider Handbook – Health Net Federal Services

March 31, 2016, the information in this handbook is current. It is important to
remember that ….. TRICARE and Medicare Eligibility . ….. HIPAA Transaction
Standards and Code Sets for Behavioral Health Claims ……………………… 111 …..
Occurrence Span Codes . … Enrollee Roster for a list of beneficiaries enrolled to
a P…

CIMOR Batch Provider Error Codes – Missouri Department of Mental …

Dec 31, 2015 … REJECT, procedure code is in error for non-consumer specific encounter. Error …
REJECT, Provider must be a Medicaid Provider. Error … REJECT, Other cannot
be entered as a Medication unless the "Drug List Override" is checked on the
Admission ….. Missing/incomplete/invalid occurrence span code(s).

ASC X12/005010X223 Health Care Claim: Institutional … –

Jul 1, 2011 … Addressing Code Set Issues in the Oregon Companion Guide. 13 …. An issuer of
a Medicare supplemental policy (as defined in section 1882(g) (1) of the Act, …..
place Occurrence Codes (External Code list 132), the HI*BH segment … a
phased-in basis between 2014 and 2016—setting the dates for each …

DALVANCE Coding and Billing Reference Guide

Oct 1, 2015 … Effective January 1, 2016, … As of January 1, 2015, Medicare and other payors …
once DALVANCE has a unique J-Code effective …. ALL-INCLUSIVE LIST; … CC=
comorbid condition; CPT=Current Procedural Terminology; …

September 2015 Medicaid Bulletin – Amazon Web Services

Sep 24, 2015 … NC Medicaid Electronic Health Records Incentive Program: … Preferred Drug List
Review Panel …. occurrence code 24 in this situation. ….. The clinical criteria
used by N.C. Medicaid (Medicaid) for the 2015/2016 Respiratory.

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