Title | Approval Status | RPCategory | Market | Name (for use in forms) |
---|
Drugs and Injectable Limits | Approved | Drugs | Virginia | VAVA_CAID_RP_DrugsInjectableLimits.pdf |
Assistant at Surgery (Modifiers 80/81/82/AS) | Approved | Coding | Virginia | VAVA_CAID_RP_AssistantSurgery.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ClaimsTimelyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_CodeClinicalEditingGuidelines.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_DocumentationStandards.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_LocumTenensPhysicians.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | Virginia | VAVA_CAID_RP_MultipleandBilateralSurgery.pdf |
Vaccines for Children (VFC) Program | Approved | Prevention | Virginia | VAVA_CAID_RP_VaccinesforChildren.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | Kentucky | KYKY_CAID_RP_Abortion.pdf |
Assistant at Surgery (Modifiers 80/81/82/AS) | Approved | Coding | Kentucky | KYKY_CAID_RP_AssistantatSurgery.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ClaimsReqAddDocs.pdf |
Claims Submission – Required Information for Professional Providers | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ClaimsSub.pdf |
Claims Submission – Required Information for Facilities | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ClaimsSubReqInfoFacilites.pdf |
Consultations | Approved | Evaluation and Management | Virginia | VAVA_CAID_RP_Consultations.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_DuplicateofSubseqServ.pdf |
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) | Approved | Prevention | Virginia | VAVA_CAID_RP_EPSDT.pdf |
Global Surgical Package | Approved | Surgery | Virginia | VAVA_CAID_RP_GlobalSurgicalPackg.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | Virginia | VAVA_CAID_RP_Mod59DistinctProceduralSvc.pdf |
Modifier 66 Surgical Teams | Approved | Coding | Virginia | VAVA_CAID_RP_Mod66.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | Virginia | VAVA_CAID_RP_Mod76RepeatProcedSamePhys.pdf |
Modifier 77: Repeat Procedure by another Physician | Approved | Coding | Virginia | VAVA_CAID_RP_Mod77RepeatProcedAnothPhysician.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | Virginia | VAVA_CAID_RP_Mod78UnplanRettoORProcPostop.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | Virginia | VAVA_CAID_RP_Modifier91RepeatLabTest.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | Virginia | VAVA_CAID_RP_ModifierLTandRT.pdf |
Modifier Usage | Approved | Coding | Virginia | VAVA_CAID_RP_ModifierUsage.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | Virginia | VAVA_CAID_RP_MultipleRadiologyPayReduction.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_OtherProvPreventableConditions.pdf |
Portable/Mobile/Handheld Radiology Services | Approved | Radiology | Virginia | VAVA_CAID_RP_PortableMobileHandheldRadiology.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | Virginia | VAVA_CAID_RP_PreventiveandSickonSameDay.pdf |
Sterilization | Approved | Surgery | Virginia | VAVA_CAID_RP_Sterilization.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_EmergServNonParticProvFac.pdf |
Hysterectomy | Approved | Surgery | Virginia | VAVA_CAID_RP_Hysterectomy.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | Virginia | VAVA_CAID_RP_ProstheticOrthoticDevices.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ReimbClaimswithChargeDiscrep.pdf |
Reimbursement for Items under Warranty | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ReimbItemsunderWarranty.pdf |
Reimbursement of Sanctioned Providers | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ReimbSanctionedOptOutProv.pdf |
Robotic Assisted Surgery | Approved | Surgery | Virginia | VAVA_CAID_RP_RoboticAssistedSurgery.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ScopeofPractice.pdf |
Site of Service Payment Differential — Professional | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_SiteofSvcPayDifferential.pdf |
Split-Care Surgical Modifiers | Approved | Coding | Virginia | VAVA_CAID_RP_SplitCareModifiers.pdf |
Claims Requiring Additional Documents | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ClaimsRequiringAdditionalDocumentation.pdf |
Claims Submission - Required Information for Facilities | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ClaimsSubmissionRequiredInformationFacilities.pdf |
Claims Timely Filing | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ClaimsTimelyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_CodeandClinicalEditingGuidelines.pdf |
Consultations | Approved | Evaluation and Management | Kentucky | KYKY_CAID_RP_Consultations.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | Kentucky | KYKY_CAID_RP_DiagnosesUsedinDRGComputation.pdf |
Drugs and Injectable Limits | Approved | Drugs | Kentucky | KYKY_CAID_RP_DrugandInjectableLimits.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_DuplicateorSubsequentSvcsonSameDateSvc.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_EmergencySvcsNonParProvidersFacilities.pdf |
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) | Approved | Prevention | Kentucky | KYKY_CAID_RP_EPSDT.pdf |
Facility Take-Home Drugs | Approved | Drugs | Kentucky | KYKY_CAID_RP_FacilityTakeHomeDrugs.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | Kentucky | KYKY_CAID_RP_GlobalSurgicalPackage.pdf |
Hysterectomy | Approved | Surgery | Kentucky | KYKY_CAID_RP_Hysterectomy.pdf |
Inpatient Readmission | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_InpatientReadmissions.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_LocumTenensPhysicians.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier22IncreasedProcSvc.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier24UnrelatedEMService.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier25SignificantSeparatelyIdentifiableEMServices.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier57DecisionforSurgery.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier59DistinctProceduralService.pdf |
Modifier 62 Co-Surgeons | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier62CoSurgeons.pdf |
Modifier 66 Surgical Teams | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier66SurgicalTeams.pdf |
Modifier 76: Repeat Procedure by Same Physician | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier76RepeatProcedurebySamePhysician.pdf |
Modifier 77: Repeat Procedure by Another Physician | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier77RepeatProcedurebyAnotherPhysician.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | Kentucky | KYKY_CAID_RP_ModifierLTandRT.pdf |
Modifier Usage | Approved | Coding | Kentucky | KYKY_CAID_RP_ModifierUsage.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | Kentucky | KYKY_CAID_RP_MultipleandBilateralSurgery.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | Kentucky | KYKY_CAID_RP_MultipleRadiologyPaymentReduction.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_OtherProviderPreventableConditions.pdf |
Portable/Mobile/Handheld Radiology Services | Approved | Radiology | Kentucky | KYKY_CAID_RP_PortableMobileHandheldRadiologyServices.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | Kentucky | KYKY_CAID_RP_PreAdmissionServicesforInpatientStay.pdf |
Present on Admission Indicator for Health Care Acquired Conditions | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_PresentonAdmissionHospitalAcquiredCond.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ProofofTimelyFiling.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | Kentucky | KYKY_CAID_RP_ProstheticandOrthoticDevices.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | Kentucky | KYKY_CAID_RP_ReducedandDiscontinuedServices.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ReimbursementClaimswithChargeDiscrepancies.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ReimbursementItemsUnderWarranty.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | Kentucky | KYKY_CAID_RP_ReimbursementofObsoleteCodes.pdf |
Reimbursement of Sanctioned Providers | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ReimbursementSanctionedandOptOutProviders.pdf |
Robotic Assisted Surgery | Approved | Surgery | Kentucky | KYKY_CAID_RP_RoboticAssistedSurgery.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ScopeofPractice.pdf |
Site of Service Payment Differential – Professional | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_SiteofServicePaymentDifferential.pdf |
Split-Care Surgical Modifiers | Approved | Coding | Kentucky | KYKY_CAID_RP_SplitCareSurgicalModifiers.pdf |
Sterilization | Approved | Surgery | Kentucky | KYKY_CAID_RP_Sterilization.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | Kentucky | KYKY_CAID_RP_UnlistedorMiscCodes.pdf |
Vaccines for Children (VFC) Program | Approved | Prevention | Kentucky | KYKY_CAID_RP_VaccinesforChildrenProgram.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_DocumentationStandardsEpisodesCare.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | Wisconsin | WIWI_CAID_RP_Abortion.pdf |
Assistant at Surgery (Modifiers 80/81/82/AS) | Approved | Coding | Wisconsin | WIWI_CAID_RP_Assistant_at_Surgery.pdf |
Claims Submission – Required Information for Facilities | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Claims_Submission_Required_Info_Facilities.pdf |
Claims Submission – Required Information for Professional Providers | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Claims_Submission_Required_Info_Prof_Providers.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Claims_Timely_Filing.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Code_Clinical_Editing.pdf |
Consultations | Approved | Evaluation and Management | Wisconsin | WIWI_CAID_RP_Consultations.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | Wisconsin | WIWI_CAID_RP_Diagnoses_DRG_Computation.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Documentation_Episodes_Care.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Duplicate_Subsequent_Services_Same_Date.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Emergency_Services_Non-Participating_Providers.pdf |
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) | Approved | Prevention | Wisconsin | WIWI_CAID_RP_EPSDT.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | Wisconsin | WIWI_CAID_RP_Global_Surgical_Package.pdf |
Hysterectomy | Approved | Surgery | Wisconsin | WIWI_CAID_RP_Hysterectomy.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Locum_Tenens_Physicians.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod_Left_Right_Side_Procedures.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod22_Increased_Procedural_Service.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod25_Signif_Separately_Identif_EM_Svc.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod57_Decision_for_Surgery.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod59_Distinct_Procedural_Service_External.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod62_Co-Surgeons.pdf |
Modifier 63: Procedure Performed on Infants less than 4 kg | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod63_Proced_Performed_Infants_4kg.pdf |
Modifier 66 Surgical Teams | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod66_Surgical_Teams.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod76_Repeat_Proc_Same_Physician.pdf |
Modifier 77: Repeat Procedure by another Physician | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod77_Repeat_Procedure_Another_Physician.pdf |
Modifier Usage | Approved | Coding | Wisconsin | WIWI_CAID_RP_Modifier_Usage.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | Wisconsin | WIWI_CAID_RP_Multiple_Bilateral_Surgery.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | Wisconsin | WIWI_CAID_RP_Multiple_Radiology_Payt_Reduction.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Other_Provider_Preventable_Conditions.pdf |
Portable/Mobile/Hand-held Radiology Services | Approved | Radiology | Wisconsin | WIWI_CAID_RP_Portable_Mobile_Handheld_Radiology.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | Wisconsin | WIWI_CAID_RP_Pre_Admission_Services.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Present_on_Admission_Hospital_Acqd_Conds.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | Wisconsin | WIWI_CAID_RP_Preventative_Sick_Visits_Same_Day.pdf |
Professional Anesthesia Services | Approved | Anesthesia | Wisconsin | WIWI_CAID_RP_Professional_Anesthesia_Services.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | Wisconsin | WIWI_CAID_RP_Prosthetic_Orthotic_Devices.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | Wisconsin | WIWI_CAID_RP_Reduced_Discontinued_Services.pdf |
Reimbursement of Sanctioned Providers | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Reimburse_Sanctioned_Opt_Out_Providers.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Reimbursement_Claims_Charge_Discrepancies.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Reimbursement_Items_Under_Warranty.pdf |
Robotic Assisted Surgery | Approved | Surgery | Wisconsin | WIWI_CAID_RP_Robotic_Assisted_Surgery.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Scope_of_Practice.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | Wisconsin | WIWI_CAID_RP_Services_Obsolete_Codes.pdf |
Site of Service Payment Differential - Professional | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_Site_of_Service_Payment_Differential.pdf |
Split Care Surgical Modifiers | Approved | Coding | Wisconsin | WIWI_CAID_RP_Split_Care_Surgical_Modifiers.pdf |
Sterilization | Approved | Surgery | Wisconsin | WIWI_CAID_RP_Sterilization.pdf |
Facility Take-Home Drugs | Approved | Drugs | Wisconsin | WIWI_CAID_RP_Take_Home_Drugs.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | Wisconsin | WIWI_CAID_RP_Unlisted_Miscellaneous_Codes.pdf |
Vaccines for Children (VFC) Program | Approved | Prevention | Wisconsin | WIWI_CAID_RP_Vaccines_for_Children.pdf |
Professional Anesthesia Services | Approved | Anesthesia | Virginia | VAVA_CAID_RP_Anesthesia.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | Virginia | VAVA_CAID_RP_DRGComputation.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | Virginia | VAVA_CAID_RP_Modifier25.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | Virginia | VAVA_CAID_RP_Modifier57DecisionforSurgery.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | Virginia | VAVA_CAID_RP_Modifier62Surgeons.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | Virginia | VAVA_CAID_RP_ObsoleteCodes.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | Virginia | VAVA_CAID_RP_PreAdmissSvcforInpatientStays.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | Virginia | VAVA_CAID_RP_ReducedandDiscontinuedServices.pdf |
Take-Home Drugs | Approved | Drugs | Virginia | VAVA_CAID_RP_TakeHomeDrugs.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | Virginia | VAVA_CAID_RP_UnlistedorMisc.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | Kentucky | KYKY_CAID_RP_PreventiveSickSameDay.pdf |
Inpatient Readmissions | Approved | Facilities | Virginia | VAVA_CAID_RP_InpatientReadmissions.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | Virginia | VAVA_CAID_RP_Abortion.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | VA MMP | VAVA_MMP_RP_Abortion.pdf |
Anesthesia | Approved | Anesthesia | VA MMP | VAVA_MMP_RP_Anesthesia.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_Claims_Requiring_Additional_Documentation.pdf |
Claims Timely Filing | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ClaimsTimelyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_CodeandClinicalEditingGuidelines.pdf |
Consultations | Approved | Evaluation and Management | VA MMP | VAVA_MMP_RP_Consultations.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | VA MMP | VAVA_MMP_RP_DecisionforSurgery.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | VA MMP | VAVA_MMP_RP_DiagnosesUsedinDRGComputation.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_DocumentationStandardsEpisodesofCare.pdf |
Drug and Injectable Limits | Approved | Drugs | VA MMP | VAVA_MMP_RP_DrugandInjectableLimits.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_DuplicateServicesSameDate.pdf |
Facility Take-Home Drugs | Approved | Drugs | VA MMP | VAVA_MMP_RP_FacilityTakeHomeDrugs.pdf |
Global Surgical Package | Approved | Surgery | VA MMP | VAVA_MMP_RP_GlobalSurgicalPackage.pdf |
Hysterectomy | Approved | Surgery | VA MMP | VAVA_MMP_RP_Hysterectomy.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | VA MMP | VAVA_MMP_RP_LeftSideRightSideProcedures.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_LocumTenens.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod22_IncreasedProceduralService.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod24_UnrelatedEvaluationManagementService.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod25_SignificantSeparate.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod59_DistinctProceduralService.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod62_Co-Surgeons.pdf |
Modifier 66 Surgical Teams | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod66_SurgicalTeams.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod76_RepeatProcedureSamePhysician.pdf |
Modifier 77: Repeat Procedure by another Physician | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod77_RepeatProcedureAnotherPhysician.pdf |
Modifier Usage | Approved | Coding | VA MMP | VAVA_MMP_RP_ModifierUsage.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | VA MMP | VAVA_MMP_RP_MultipleBilateralSurgery.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_OtherPreventableProviderConditions.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | VA MMP | VAVA_MMP_RP_PreadmissionServicesforInpatientStays.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ProofTimelyFiling.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | VA MMP | VAVA_MMP_RP_ProstheticOrthoticDevices.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | VA MMP | VAVA_MMP_RP_ReducedDiscontinuedServices.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ReimbursementItemsUnderWarranty.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | VA MMP | VAVA_MMP_RP_ReimbursementObsoleteCodes.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ReimbursementofClaimswithChargeDiscrepancies.pdf |
Claims Submission – Required Information for Facilities | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_RequiredInfoFacilities.pdf |
Claims Submission – Required Information for Professional Providers | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_RequiredInfoProviders.pdf |
Robotic Assisted Surgery | Approved | Surgery | VA MMP | VAVA_MMP_RP_RoboticAssistedSurgery.pdf |
Same Day Preventive Medicine & Sick Visits | Approved | Evaluation and Management | VA MMP | VAVA_MMP_RP_SameDayPreventativeSickVisits.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ScopeofPractice.pdf |
Site of Service Payment Differential | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_SiteofServicePaymentDifferential.pdf |
Split-Care Surgical Modifiers | Approved | Coding | VA MMP | VAVA_MMP_RP_Split-Care_Surgical_Modifiers.pdf |
Sterilization | Approved | Surgery | VA MMP | VAVA_MMP_RP_Sterilization.pdf |
Transportation Services | Approved | Transportation | VA MMP | VAVA_MMP_RP_TransportationServices.pdf |
Unlisted or Miscellaneous Codes | Approved | Coding | VA MMP | VAVA_MMP_RP_UnlistedorMiscCodes.pdf |
Reimbursement of Sanctioned and Opt-Out Providers | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ReimbursementSanctionedOptOutProviders.pdf |
Transportation Services: Ambulance and Non-Emergent Transport | Approved | Transportation | Kentucky | KYKY_CAID_RP_Transportation.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier91RepeatClinicalDiagnosticLabTest.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier78UnplannedReturntotheOperatingRoom.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_EmergencyServicesNonparticipating.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod78UnplannedReturntoOperating.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | VA MMP | VAVA_MMP_RP_Mod91RepeatClinicalDiagnosticTest.pdf |
Multiple Radiology Payment Reductions | Approved | Radiology | VA MMP | VAVA_MMP_RP_MultipleRadiologyPaymentReductions.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_PresentonAdmissionAcquiredConditions.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | Kentucky | KYKY_CAID_RP_InpatientFacilityTransfers.pdf |
Maternity Services | Approved | Surgery | Kentucky | KYKY_CAID_RP_MaternityServices.pdf |
Modifier 63: Procedure Performed on Infants less than 4 kg | Approved | Coding | Kentucky | KYKY_CAID_RP_Mod63_ProceduresonInfants.pdf |
Maternity Services | Approved | Surgery | Virginia | VAVA_CAID_RP_MaternityServices.pdf |
Modifier 63: Procedure Performed on Infants less than 4 kg | Approved | Coding | Virginia | VAVA_CAID_RP_Mod63ProceduresonInfants.pdf |
Inpatient Readmission | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_InpatientReadmissions.pdf |
Maternity Services | Approved | Surgery | Wisconsin | WIWI_CAID_RP_MaternityServices.pdf |
Transportation Services: Ambulance and Nonemergent Transport | Approved | Transportation | Wisconsin | WIWI_CAID_RP_TransportationServices.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | Wisconsin | WIWI_CAID_RP_InpatientFacilityTransfers.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod78_UnplannedReturn.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_PreAdmissionHospAcqCond.pdf |
Anesthesia | Approved | Anesthesia | Kentucky | KYKY_CAID_RP_Anesthesia.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | Virginia | VAVA_CAID_RP_Mod24UnrelatedEMSvc.pdf |
Transportation Services: Ambulance and Non-Emergent Transport | Approved | Transportation | Virginia | VAVA_CAID_RP_TransportationServices.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod24_UnrelatedEvalPostOp.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | Virginia | VAVA_CAID_RP_InpatientFacilityTransfers.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | Indiana | ININ_CAID_RP_Abortion.pdf |
Assistant at Surgery (Modifiers 80/81/82/AS) | Approved | Coding | Indiana | ININ_CAID_RP_AssistantSurgery.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ClaimsRequiringDocumentation.pdf |
Claims Submission — Required Information for Professional Providers | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ClaimsSubmissionRequiredInfoProfessionalProviders.pdf |
Consultations | Approved | Evaluation and Management | Indiana | ININ_CAID_RP_Consultations.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | Indiana | ININ_CAID_RP_CoSurgeons.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | Indiana | ININ_CAID_RP_DecisionSurgery.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | Indiana | ININ_CAID_RP_DistinctProceduralService.pdf |
Drugs and Injectable Limits | Approved | Drugs | Indiana | ININ_CAID_RP_DrugsInjectableLimits.pdf |
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) | Approved | Prevention | Indiana | ININ_CAID_RP_EPSDT.pdf |
Emergency Services: Non-Participating Providers and Facilities | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ERNonparticipatingProviders.pdf |
Facility Take-Home Drugs | Approved | Drugs | Indiana | ININ_CAID_RP_FacilityTakeHomeDrugs.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | Indiana | ININ_CAID_RP_GlobalSurgicalPackageProfessionalProviders.pdf |
Hysterectomy | Approved | Surgery | Indiana | ININ_CAID_RP_Hysterectomy.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | Indiana | ININ_CAID_RP_IncreasedProceduralService.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | Indiana | ININ_CAID_RP_InpatientFacilityTransfers.pdf |
Inpatient Readmissions | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_InpatientReadmissions.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_LocumTenens.pdf |
Maternity Services | Approved | Surgery | Indiana | ININ_CAID_RP_MaternityServices.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | Indiana | ININ_CAID_RP_ModifiersLTRTProcedures.pdf |
Modifier Usage | Approved | Coding | Indiana | ININ_CAID_RP_ModifierUsage.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | Indiana | ININ_CAID_RP_MultipleBilateralSurgery.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_OtherProviderPreventableConditions.pdf |
Portable/Mobile/Handheld Radiology Services | Approved | Radiology | Indiana | ININ_CAID_RP_PortableRadiologyServices.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | Indiana | ININ_CAID_RP_PreadmissionInpatient.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_PresentAdmissionsHCAcquiredConditions.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | Indiana | ININ_CAID_RP_PreventiveMedsSickVisits.pdf |
Modifier 63: Procedure Performed on Infants Less Than 4 kg | Approved | Coding | Indiana | ININ_CAID_RP_ProcedureInfantsUnder4kg.pdf |
Professional Anesthesia Services | Approved | Anesthesia | Indiana | ININ_CAID_RP_ProfessionalAnesthesiaServices.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | Indiana | ININ_CAID_RP_ProstheticOrthoticDevices.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | Indiana | ININ_CAID_RP_ReducedDiscontinuedServices.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | Indiana | ININ_CAID_RP_RepeatClinicalDiagnosticLabTest.pdf |
Modifier 77: Repeat Procedure by Another Physician | Approved | Coding | Indiana | ININ_CAID_RP_RepeatProcedureAnotherPhysician.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | Indiana | ININ_CAID_RP_RepeatProcedureSamePhysician.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_RequiredDocumentationProofTimelyFiling.pdf |
Robotic Assisted Surgery | Approved | Surgery | Indiana | ININ_CAID_RP_RoboticAssistedSurgery.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ScopeofPractice.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | Indiana | ININ_CAID_RP_ServicesObsoleteCodes.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | Indiana | ININ_CAID_RP_SignificantEvalMgmtSamePhysicianSameDay.pdf |
Site of Service Payment Differential – Professional | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_SoSPaymentDifferential.pdf |
Split-Care Surgical Modifiers | Approved | Coding | Indiana | ININ_CAID_RP_SplitCareSurgicalModifiers.pdf |
Sterilization | Approved | Surgery | Indiana | ININ_CAID_RP_Sterilization.pdf |
Modifier 66 Surgical Teams | Approved | Coding | Indiana | ININ_CAID_RP_SurgicalTeams.pdf |
Transportation Services: Ambulance and Nonemergent Transport | Approved | Transportation | Indiana | ININ_CAID_RP_Transportation.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | Indiana | ININ_CAID_RP_UnplannedReturnORSamePhysician.pdf |
Vaccines for Children Program | Approved | Prevention | Indiana | ININ_CAID_RP_VaccinesforChildrenProgram.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_WarrantyItems.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_ClaimsRequiringAdditionalDocumentation.pdf |
Drugs and Injectable Limits | Approved | Drugs | Wisconsin | WIWI_CAID_RP_DrugsandInjectableLimits.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_ReimbursementforEligibleBilledCharges.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_ReimbursementforEligibleBilledCharges.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ReimbursementforEligibleBilledCharges.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ReimbursementforEligibleBilledCharges.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_EligibleBilledChargesReimbursement.pdf |
Assistant at Surgery (Modifiers 80/81/82/AS) | Approved | Coding | VA MMP | VAVA_MMP_RP_AssistatSurgery.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | VA MMP | VAVA_MMP_RP_InpatientFacilityTransfers.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | Kentucky | KYKY_CAID_RP_FacilityTakeHomeDMEandMedicalSupplies.pdf |
Facility Take-Home DME and Medical Supplies | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_FacilityTakeHomeDMEandMedicalSupplies.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | VA MMP | VAVA_MMP_RP_FacilityTakeHomeDMEandMedicalSupplies.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | Wisconsin | WIWI_CAID_RP_FacilityTakeHomeDMEandMedicalSupplies.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | Indiana | ININ_CAID_RP_TakeHomeDMEMedicalSupplies.pdf |
Claims Submission – Required Information for Professional Providers | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_ClaimsSubmissionRequiredInformationProviders.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_MedicalRecalls.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_MedicalRecalls.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_MedicalRecalls.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_MedicalRecalls.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_MedicalRecalls.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | Indiana | ININ_CAID_RP_DMERenttoPurchase.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | Indiana | ININ_CAID_RP_DMEModifiersRentedUsedEquipment.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ReimbursementMaxUnitsPerDay.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | Wisconsin | WIWI_CAID_RP_DurableMedicalEquipment.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | Wisconsin | WIWI_CAID_RP_DMEModifiersNewRentedUsedEquipment.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_ReimbursementMaxUnitsPerDay.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | Virginia | VAVA_CAID_RP_DMEModifiersNewRentedUsedEquipment.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | Virginia | VAVA_CAID_RP_DurableMedicalEquipment.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_MaxUnitsPerDay.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | Kentucky | KYKY_CAID_RP_DMEModifiersNewRentedUsedEquipment.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | | KYKY_CAID_RP_DurableMedicalEquipment.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_MaxUnitsPerDay.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | VA MMP | VAVA_MMP_RP_DurableMedicalEquipment.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | VA MMP | VAVA_MMP_RP_DMEModifiersNewRentedUsedEquipment.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_ReimbursementMaxDaysPerUnit.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_DuplicateSubsequentServicesSameDOS.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | Kentucky | KYKY_CAID_RP_DMERenttoPurchase.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | Indiana | ININ_CAID_RP_DiagnosesUsedDRGComputation.pdf |
Reimbursement of Sanctioned Providers | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ReimbursementSanctionedProviders.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ClaimsChargeDiscrepancies.pdf |
Diagnosis-Related Group (DRG) Inpatient Facility Transfers | Approved | Facilities | California | CACA_CAID_RP_DRGInpatientFacilityTransfers.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | VA MMP | VAVA_MMP_RP_CorrectClaims.pdf |
Correct Claims | Approved | Reimbursement Administration - General | Virginia | VAVA_CAID_RP_CorrectedClaims.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | Virginia | VAVA_CAID_RP_Mod26TechnicalComponent.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_CorrectedClaims.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | Indiana | ININ_CAID_RP_ProfessionalTechnicalComponent.pdf |
Inpatient Readmissions | Approved | Facilities | California | CACA_CAID_RP_InpatientReadmissions.pdf |
Correct Claims | Approved | Reimbursement Administration - General | Wisconsin | WIWI_CAID_RP_CorrectClaims.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | Wisconsin | WIWI_CAID_RP_Mod26andTC_ProfandTechComponent.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | Wisconsin | WIWI_CAID_PU_Mod91_RepeatLabTest.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | Kentucky | KYKY_CAID_RP_CorrectedClaims.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | Kentucky | KYKY_CAID_RP_Modifier26.pdf |
Emergency room auto-pay list | Approved | ER Auto Pay List | Indiana | ININ_CAID_RP_ERAutoPayList.pdf |
Modifier 24: Unrelated Evaluation and Management Service By the Same Physician During the Postoperative Period | Approved | Coding | Indiana | ININ_CAID_RP_Mod24UnrelatedEvaluation.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_CodeClinicalEditingGuidelines.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | Indiana | ININ_CAID_RP_UnlistedMiscCodes.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | Indiana | ININ_CAID_RP_MultipleRadiologyPaymentReduction.pdf |
Professional Anesthesia Services | Approved | Anesthesia | CAMMP | CACA_MMP_RP_ProfessionalAnesthesiaServices.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | CAMMP | CACA_MMP_RP_DMERenttoPurchase.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | CAMMP | CACA_MMP_RP_FacilityTakeHomeDME.pdf |
Drugs and Injectable Limits | Approved | Drugs | CAMMP | CACA_MMP_RP_DrugsInjectableLimits.pdf |
Facility Take-Home Drugs | Approved | Drugs | CAMMP | CACA_MMP_RP_FacilityTakeHomeDrugs.pdf |
Consultations | Approved | Evaluation and Management | CAMMP | CACA_MMP_RP_Consultations.pdf |
Diagnosis-Related Group Inpatient Facility Transfers | Approved | Facilities | CAMMP | CACA_MMP_RP_DRGInpatientFacilityTransfers.pdf |
Inpatient Readmissions | Approved | Facilities | CAMMP | CACA_MMP_RP_PreadmissionServicesInpatientStays.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | CAMMP | CACA_MMP_RP_ProstheticOrthoticDevices.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | CAMMP | CACA_MMP_RP_MultipleRadiologyPaymentReduction.pdf |
Portable/Mobile/Handheld Radiology Services | Approved | Radiology | CAMMP | CACA_MMP_RP_PortableMobileHandheldRadiologyServices.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | CAMMP | CACA_MMP_RP_Abortion.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | CAMMP | CACA_MMP_RP_GlobalSurgicalPackage.pdf |
Hysterectomy | Approved | Surgery | CAMMP | CACA_MMP_RP_Hysterectomy.pdf |
Maternity Services | Approved | Surgery | CAMMP | CACA_MMP_RP_MaternityServices.pdf |
Multiple Delivery Services | Approved | Surgery | CAMMP | CACA_MMP_RP_MultipleDeliveryServices.pdf |
Robotic Assisted Surgery | Approved | Surgery | CAMMP | CACA_MMP_RP_RoboticAssistedSurgery.pdf |
Sterilization | Approved | Surgery | CAMMP | CACA_MMP_RP_Sterilization.pdf |
Assistant at Surgery (Modifier 80/81/82/AS) | Approved | Coding | CAMMP | CACA_MMP_RP_AssistantatSurgery.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | CAMMP | CACA_MMP_RP_CoSurgeons.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | CAMMP | CACA_MMP_RP_DecisionforSurgery.pdf |
Diagnoses Used in Diagnosis-Related Groups Computation | Approved | Coding | CAMMP | CACA_MMP_RP_DiagnosisUsedDRGComputation.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | CAMMP | CACA_MMP_RP_DistinctProceduralServices.pdf |
Durable Medical Equipment (DME) Modifiers for New, Rented and Used Equipment | Approved | Coding | CAMMP | CACA_MMP_RP_DMEModifiers.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | CAMMP | CACA_MMP_RP_IncreasedProceduralService.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | CAMMP | CACA_MMP_RP_LeftRightSideProcedures.pdf |
Modifier Usage | Approved | Coding | CAMMP | CACA_MMP_RP_ModifierUsage.pdf |
Multiple and Bilateral Surgery: Professional and Facility Reimbursement | Approved | Coding | CAMMP | CACA_MMP_RP_MultipleBilateralSurgery.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | CAMMP | CACA_MMP_RP_ObsoleteCodes.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | CAMMP | CACA_MMP_RP_ProfessionalTechnicalComponent.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | CAMMP | CACA_MMP_RP_ReducedDiscontinuedServices.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | CAMMP | CACA_MMP_RP_RepeatClinicalDiagnosticLabTest.pdf |
Modifier 77: Repeat Procedure by Another Physician | Approved | Coding | CAMMP | CACA_MMP_RP_RepeatProcedureAnotherPhysician.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | CAMMP | CACA_MMP_RP_RepeatProcedureSamePhysician.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | CAMMP | CACA_MMP_RP_SignificantSeparatelyIdentifiableEvalMgmtService.pdf |
Split-Care Surgical Modifiers | Approved | Coding | CAMMP | CACA_MMP_RP_SplitCareSurgicalModifiers.pdf |
Modifier 66: Surgical Teams | Approved | Coding | CAMMP | CACA_MMP_RP_SurgicalTeams.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | CAMMP | CACA_MMP_RP_UnlistedMiscCodes.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period | Approved | Coding | CAMMP | CACA_MMP_RP_UnplannedReturnOperatingRoomSamePhysician.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician During the Postoperative Period | Approved | Coding | CAMMP | CACA_MMP_RP_UnrelatedEvalMgmtServiceSamePhysician.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ClaimsAdditionalDocumentation.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ClaimsChargeDiscrepancies.pdf |
Claims Submission - Required Information for Facilities | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ClaimsInfoforFacilities.pdf |
Claims Submissions - Required Information for Professional Providers | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ClaimsInfoforProfessionalProviders.pdf |
Claims Timely Filing | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ClaimsTimelyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_CodeClinicalEditingGuidelines.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_CorrectedClaims.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_DocProofTimelyFiling.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_DuplicateSubsequentServicesSameDOS.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_EligibleBilledCharges.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ItemsUnderWarranty.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_LocumTenens.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_MaximumUnitsPerDay.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_MedicalRecalls.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_NonparticipatingProvidersFacilities.pdf |
Other Provider Preventable Conditions | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_OtherProviderPreventableConditions.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_PresentonAdmissionIndicatorHealthCareAcquiredConditions.pdf |
Reimbursement of Sanctioned and Opt-Out Providers | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_SanctionedOptOutProviders.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_ScopeofPractice.pdf |
Site of Service Payment Differential - Professional | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_SiteofServicePaymentDifferential.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | CAMMP | CACA_MMP_RP_StandardsEpisodesofCare.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_DocStandardsforEpisodesCare.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | Virginia | VAVA_CAID_RP_Mod22IncreasedProcSvs.pdf |
Maternity Services | Approved | Surgery | VA MMP | VAVA_MMP_RP_MaternityServices.pdf |
DRG Inpatient Facility Transfers | Approved | Facilities | California | CACA_MMP_RP_Transportation.pdf |
Claims Submission — Required Information for Facilities | Approved | Reimbursement Administration - General | Indiana | ININ_CAID_RP_ClaimsSubmissionRequiredInfoFacilities.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | California | CACA_CAID_RP_Abortion.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | California | CACA_CAID_RP_GlobalSurgical.pdf |
Hysterectomy | Approved | Surgery | California | CACA_CAID_RP_Hysterectomy.pdf |
Maternity Services | Approved | Surgery | California | CACA_CAID_RP_MaternityServices.pdf |
Multiple Delivery Services | Approved | Surgery | California | CACA_CAID_RP_MultipleDelivery.pdf |
Robotic Assisted Surgery | Approved | Surgery | California | CACA_CAID_RP_RoboticAssisted.pdf |
Sterilization | Approved | Surgery | California | CACA_CAID_RP_Sterilization.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ClaimsChargeDiscrepencies.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ClaimsRequiringAdditional.pdf |
Claims Submission – Required Information for Facilities | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ClaimsSubmissionsFacilities.pdf |
Claims Submission — Required Information for Professional Providers | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ClaimsSubmissionsProviders.pdf |
Claims Timely Filing | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ClaimsTimelyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_CodeClinicalEditing.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_CorrectedClaimsFINAL.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_DuplicateSubsequent.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_EligibleBilledCharges.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_EmergencyServices.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_EpisodesofCare.pdf |
Reimbursement for Items Under Warranty | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ItemsUnderWarranty.pdf |
Locum Tenens Physicians/Fee-for-Time Compensation | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_LocumTenens.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_MaximunUnits.pdf |
Medical Recalls | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_MedicalRecalls.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_OPPC.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_PresentonAdmission.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ProofTimelyFiling.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_ScopeofPractice.pdf |
Site of Service Payment Differential — Professional | Approved | Reimbursement Administration - General | California | CACA_CAID_RP_SiteofService.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | California | CACA_CAID_RP_FacilityTakeHomeDME.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | California | CACA_CAID_RP_RentToPurchaseDME.pdf |
Drugs and Injectable Limits | Approved | Drugs | California | CACA_CAID_RP_DrugsInjectableLimit.pdf |
Facility Take-Home Drugs | Approved | Drugs | California | CACA_CAID_RP_FacilityTakeHomeDrugs.pdf |
Portable/Mobile/Handheld Radiology | Approved | Radiology | California | CACA_CAID_RP_PortableHandheldRaidiology.pdf |
Prosthetics and Orthotics | Approved | Prosthetics and Orthotics | California | CACA_CAID_RP_ProstheticandOrtho.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | California | CACA_CAID_RP_DiagnosisusedDRG.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | California | CACA_CAID_RP_DistinctProcServices.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | California | CACA_CAID_RP_DMEModifiers.pdf |
Modifier Usage | Approved | Coding | California | CACA_CAID_RP_ModfierUsage.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | California | CACA_CAID_RP_Modifier22.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | California | CACA_CAID_RP_Modifier24.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | California | CACA_CAID_RP_Modifier26.pdf |
Modifier 57: Decision for Surgery | Approved | Coding | California | CACA_CAID_RP_Modifier57.pdf |
Modifier 62: Co-Surgeons | Approved | Coding | California | CACA_CAID_RP_Modifier62.pdf |
Modifier 66: Surgical Teams | Approved | Coding | California | CACA_CAID_RP_Modifier66.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | California | CACA_CAID_RP_Modifier76.pdf |
Modifier 77: Repeat Procedure by Another Physician or other Qualified Health Care Professional | Approved | Coding | California | CACA_CAID_RP_Modifier77.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | California | CACA_CAID_RP_Modifier78.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | California | CACA_CAID_RP_Modifier91.pdf |
Modifiers LT and RT: Left Side/Right Side Procedures | Approved | Coding | California | CACA_CAID_RP_ModifiersLTandRT.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | California | CACA_CAID_RP_ObsoleteCodes.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | California | CACA_CAID_RP_ReducedDisconSrv.pdf |
Unlisted, Unspecified or Miscellaneous Codes | Approved | Coding | California | CACA_CAID_RP_UnlistedMisc.pdf |
Transportation Services: Ambulance and Nonemergent Transport | Approved | Transportation | California | CACA_CAID_RP_TranspServ.pdf |
Vaccines for Children (VFC) Program | Approved | Prevention | California | CACA_CAID_RP_VFC.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | California | CACA_CAID_RP_PreadmissionServicesInpatient.pdf |
Ambulance and Nonemergent Transport | Approved | Transportation | CAMMP | CACA_MMP_RP_EmergentTransportation.pdf |
Consultations | Approved | Evaluation and Management | California | CACA_CAID_RP_Consultations.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | California | CACA_CAID_RP_PreventiveMedicine.pdf |
Multiple Delivery Services | Approved | Surgery | Kentucky | KYKY_CAID_RP_MultiDelivery.pdf |
Multiple Delivery Services | Approved | Surgery | Virginia | VAVA_CAID_RP_MultiDelivery.pdf |
Multiple Delivery Services | Approved | Surgery | Wisconsin | WIWI_CAID_RP_MultiDelivery.pdf |
Multiple Delivery Services | Approved | Surgery | Indiana | ININ_CAID_RP_MultiDelivery.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | California | CACA_CAID_RP_Modifier25.pdf |
Vaccines for Children (VFC) Program | Approved | Prevention | Nevada | NVNV_CAID_RP_VaccinesforChildren.pdf |
Transportation Services: Ambulance and Non-Emergent Transport | Approved | Transportation | Nevada | NVNV_CAID_RP_Transportation.pdf |
Reimbursement for Items under Warranty | Approved | Facilities | Nevada | NVNV_CAID_RP_ReimforItemsWarranty.pdf |
Prosthetic and Orthotic Devices | Approved | Prosthetics and Orthotics | Nevada | NVNV_CAID_RP_ProstheticandOrthoDevices.pdf |
Professional Anesthesia Services | Approved | Anesthesia | Nevada | NVNV_CAID_RP_ProfessionalAnesthesia.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Prevention | Nevada | NVNV_CAID_RP_PreventiveMedicineandSickVisitsSameDay.pdf |
Preadmission Services for Inpatient Stays | Approved | Facilities | Nevada | NVNV_CAID_RP_PreadmissionServices.pdf |
Portable/Mobile/Handheld Radiology Services | Approved | Radiology | Nevada | NVNV_CAID_RP_PortableMobileHandheldRadiology.pdf |
Facility Take-Home Drugs | Approved | Drugs | Nevada | NVNV_CAID_RP_FacilityTakeHomeDrugs.pdf |
Facility Take-Home DME and Medical Supplies | Approved | DME and Supplies | Nevada | NVNV_CAID_RP_FacilityTakeHomeDME.pdf |
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) | Approved | Prevention | Nevada | NVNV_CAID_RP_EPSDT.pdf |
Drugs and Injectable Limits | Approved | Drugs | Nevada | NVNV_CAID_RP_DrugsandInjectableLimits.pdf |
Durable Medical Equipment (Rent to Purchase) | Approved | DME and Supplies | Nevada | NVNV_CAID_RP_DMERenttoPurchase.pdf |
Consultations | Approved | Evaluation and Management | Nevada | NVNV_CAID_RP_Consultations.pdf |
Abortion (Termination of Pregnancy) | Approved | Surgery | Nevada | NVNV_CAID_RP_Abortion.pdf |
Global Surgical Package for Professional Providers | Approved | Surgery | Nevada | NVNV_CAID_RP_GlobalSurgicalPackage.pdf |
Hysterectomy | Approved | Surgery | Nevada | NVNV_CAID_RP_Hysterectomy.pdf |
Maternity Services | Approved | Surgery | Nevada | NVNV_CAID_RP_MaternityServices.pdf |
Multiple Delivery Services | Approved | Surgery | Nevada | NVNV_CAID_RP_MultipleDeliveryServices.pdf |
Robotic Assisted Surgery | Approved | Surgery | Nevada | NVNV_CAID_RP_RoboticAssistedSurgery.pdf |
Sterilization | Approved | Surgery | Nevada | NVNV_CAID_RP_Sterilization.pdf |
Assist at Surgery (Modifiers 80/81/81/AS) | Approved | Coding | Nevada | NVNV_CAID_RP_AssistatSurgery.pdf |
Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU) | Approved | Coding | Nevada | NVNV_CAID_RP_DistinctProceduralServices.pdf |
DME Modifiers for New, Rented and Used Equipment | Approved | Coding | Nevada | NVNV_CAID_RP_DMEModifiers.pdf |
Modifier 22: Increased Procedural Service | Approved | Coding | Nevada | NVNV_CAID_RP_Mod22_IncreasedProceduralService.pdf |
Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during the Postoperative Period | Approved | Coding | Nevada | NVNV_CAID_RP_Mod24_UnrelatedEval.pdf |
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service | Approved | Coding | Nevada | NVNV_CAID_RP_Mod25_SignificantSeparate.pdf |
Modifier 26 and TC: Professional and Technical Component | Approved | Coding | Nevada | NVNV_CAID_RP_Mod26_ProfandTechComponent.pdf |
Decision for Surgery | Approved | Coding | Nevada | NVNV_CAID_RP_Mod57_DecisionforSurgery.pdf |
Modifier 62 Co-Surgeons | Approved | Coding | Nevada | NVNV_CAID_RP_Mod62_Cosurgeons.pdf |
Modifier 63: Procedure Performed onInfants less than 4 kg | Approved | Coding | Nevada | NVNV_CAID_RP_Mod63_ProcPerformedonInfants.pdf |
Modifier 66: Surgical Teams | Approved | Coding | Nevada | NVNV_CAID_RP_Mod66_SurgicalTeams.pdf |
Modifier 76: Repeat Procedure by the Same Physician | Approved | Coding | Nevada | NVNV_CAID_RP_Mod76_RepeatProcSamePhysician.pdf |
Modifier 77: Repeat Procedure by Another Physician | Approved | Coding | Nevada | NVNV_CAID_RP_Mod77_RepeatProcAnotherPhysician.pdf |
Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure during the Postoperative Period | Approved | Coding | Nevada | NVNV_CAID_RP_Mod78_UnplannedReturn.pdf |
Modifier 91: Repeat Clinical Diagnostic Laboratory Test | Approved | Coding | Nevada | NVNV_CAID_RP_Mod91_RepeatClinicalDiagLabTest.pdf |
Modifier Usage | Approved | Coding | Nevada | NVNV_CAID_RP_ModifierUsage.pdf |
Modifiers LT and RT: Left-Side/Right-Side Procedures | Approved | Coding | Nevada | NVNV_CAID_RP_ModLTandRT.pdf |
Reimbursement of Services with Obsolete Codes | Approved | Coding | Nevada | NVNV_CAID_RP_ObsoleteCodes.pdf |
Reimbursement for Reduced and Discontinued Services | Approved | Coding | Nevada | NVNV_CAID_RP_RedandDiscServices.pdf |
Split Care Surgical Modifiers | Approved | Coding | Nevada | NVNV_CAID_RP_SplitCareSurgicalMods.pdf |
Unlisted or Miscellaneous Codes | Approved | Coding | Nevada | NVNV_CAID_RP_UnlistedorMiscCodes.pdf |
Reimbursement for Eligible Billed Charges | Approved | Reimbursement Administration - General | Nevada | NVNV__CAID_RP_ReimbursementforEligibleBilledCharges.pdf |
Claims Requiring Additional Documentation | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ClaimsRequiringAddlDoc.pdf |
Claims Submission – Required Information for Facilities | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ClaimsSub_ReqdInfoforFacilities.pdf |
Claims Submission – Required Information for Professional Providers | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ClaimsSub_ReqdInfoProfessionalProviders.pdf |
Claims Timely Filing | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ClaimsTimeyFiling.pdf |
Code and Clinical Editing Guidelines | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_CodeandClinicalEditingGuidelines.pdf |
Corrected Claims | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_CorrectedClaims.pdf |
Documentation Standards for Episodes of Care | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_DocStandardsEpisodesofCare.pdf |
Duplicate or Subsequent Services on the Same Date of Service | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_DupeorSubServicesonSameDate.pdf |
Emergency Services: Nonparticipating Providers and Facilities | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_EmergencyServices.pdf |
Locum Tenens Physicians | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_LocumTenensPhysicians.pdf |
Other Provider Preventable Conditions (OPPC) | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_OPPC.pdf |
Present on Admission Indicator for Health Care-Acquired Conditions | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_PresentonAdmisIndicator.pdf |
Reimbursement for Maximum Units Per Day | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ReimbMaxUnitsperDay.pdf |
Reimbursement of Claims with Charge Discrepancies | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ReimbofClaimsChargeDiscrep.pdf |
Reimbursement of Sanctioned and Opt-Out Providers | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ReimbofSanctionedandOpt-OutProviders.pdf |
Requirements for Documentation of Proof of Timely Filing | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ReqforDocofProofTimelyFiling.pdf |
Scope of Practice | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_ScopeofPractice.pdf |
Site of Service Payment Differential – Professional | Approved | Reimbursement Administration - General | Nevada | NVNV_CAID_RP_SiteofServicePaymentDiff.pdf |
Global Surgical Package for Professional Providers | Approved | | Virginia | VAVA_CAID_RP_GlobalSurgical.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | California | CACA_CAID_RP_MultipleRadiologyPaymentReduction.pdf |
Multiple Radiology Payment Reduction | Approved | Radiology | Nevada | NVNV_CAID_RP_MultipleRadiologyPaymentReduction.pdf |
Diagnoses Used in DRG Computation | Approved | Coding | Nevada | NVNV_CAID_RP_DiagnosisUsedDRG.pdf |
DRG Inpatient Facility Transfer | Approved | Coding | Nevada | NVNV_CAID_RP_DRGInpatient.pdf |
Preventive Medicine and Sick Visits on the Same Day | Approved | Evaluation and Management | CAMMP | CACA_MMP_RP_PreventiveMedicine.pdf |