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Provider Administrative Policy (PAP)

 

200 - 299   

General Billing


200 Diagnosis and Procedure Codes 
201 Medicare Part B Crossover Claims 
202 Claim Submission Requirements 
203 Professional Claim Submission Number Requirements 
204 Coding Standards 
205 Referring Provider Number Requirements 
206 Reprocessed and Corrected Claims 
207 Pre-existing Information Request 
208 From and To Dates of Service on a CMS 1500 
209 Oxygen and Oxygen Equipment 
210 Diabetic Education and Nutrition 
211 Data Accuracy 
212 CPT Modifier 78 
213 Claim Submission for Future Dates 
214 Accidental Injury Questionnaire 
215 Provider Liability 
216 Surgical Suites 
217 E Codes 
218 Accidental and Injury Billing 
219 Outpatient Radiology Prior Authorization
220 CPT Modifiers 26 and TC 
221 NPI Notification 
222 Durable Medical Equipment/Prosthetics/Orthotics/Supplies (DMEPOS) Modifiers 
223 CPT Modifier 25 
224 Place of Service
225 Claim Overpayment and Recoupment 
226 Category II CPT Codes 
227 Unlisted CPT, Unclassified HCPCS Codes and NDC Codes 
228 Billing Timed Procedures 
229 Medical Records 
230 Provider Information Changes 
231 Recommended Preventive Benefits 
232 Simultaneous Preventive, Evaluation and Management Services 
233 Home Healthcare Coding 
234 Coordination of Benefits (COB) 
235 Anesthesia
236 Inquiry and Appeals Process 
237 V Codes 
238 Newborn Metabolic Screening Kit 
239 Claim Submission of a Right and Left Modifier 
240 Requests for Medical Necessity on Elective Procedures 
241 Prior Authorization Requirements 
242 Bundle/Rebundle of Claims
243 Home IV Therapy Billing 
244 Flu Shot Requirements and Roster Claims Submission 
245 Hospice Coding 
246 Prompt Pay 
247 Covered Providers 
248 CPT Modifiers GA, GX, GY or GZ 
249 Imaging Accreditation 
250 Facility Claim Submission Number Requirements 
251 Advanced Imaging Pre/Post Service Process
252 Electronic Submission of Lab Results
253 CPT Modifiers 54, 55 and 56
254  Medicare Opt-Out Providers
255 Maximum Daily Frequency Edits
256 Billing for Multiple Births
257 Multiple Procedures
258 Bilateral Procedures
259 Online Remittance Advice
260 Implantable Device Audit Procedure
261 Services Allowed in an Ambulatory Surgical Center (ASC)
262 Billing Guidelines for Intensity Modulated Radiation Therapy (IMRT)
263  Medical Necessity Reviews for Non Authorized Services 
264 Chiropractic Quality Initiative Program
265 Diagnostic Testing in a Hospital Setting
266 Healthy Measures
267   Modifier 22; Increased Procedural Services
268 Drug Replacement Program
269  Modifiers 52 & 53 
270 Billing for Drug Waste
271  Infusion Therapy Guidelines for Non-Home Infusion, Specialty Infusion and Specialty Pharmacy Providers 
272  Adding Provider to an Existing Practice 
274 CPT Modifier 63
275 HCPCS Q0091, G0101-G0102, and S0610-S0612 with Evaluation & Management Services
276 Chiropractic Compliance with Alternative Integration Medicine of Idaho (AMI)
277 Implantable Device L8699 or Other Unspecified Implantable Devices Billed by ASC
278 Skilled Nursing Facility Coding
279 Clinical Criteria
280 Cone Beam Computed Tomography (CBCT)