NHIC California Providers

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Subject	Title of Article/Date	HCPCS/CPT Code(s)
Ambulance	Ambulance Providers: Origin and Destination Modifiers (2/22/07)	n/a
	Ambulance Transports and Medicare Payments - Revision (1/24/08)	n/a
	PQRI Notification of New Quarterly Updates to the Ambulance Fee Schedule Public Use File (PUF) – Contractor Instruction (06/26/08)	n/a
	Reminder for Ambulance Provider Regarding the 2007 Revision to the International Classification of Diseases (ICD-9-CM) (12/14/06)	n/a
	Returning Ambulance Claims with Missing Modifiers (12/01/05)	n/a
	Revision to the Specialty Care Transport (SCT) Definition (04/05/07)	n/a

Ambulatory Surgical Centers (ASC)	Ambulatory Surgery Center (ASC) Billing of Prosthetic Implants (03/23/06) (reviewed 12/28/07)	L8699
Ambulatory Surgical Centers (ASC)	ASC Billing Tip - Diagnostic Services (04/03/08)	17311, 17312, 17313, 17314, 17315, 78110TC, 78111TC, 78120TC, 78121TC, 78122TC, 78130TC, 78191TC, 78270TC, 78271TC, 78272TC

Anesthesia	Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service (09/27/07)	99143, 99144, 99145, 99146, 99147, 99148, 99149, 99150

Appeals/Redeterminations	Appeals Address Updates (4/12/2007)	n/a
	Appeals Process for 2008 (03/06/08)	n/a
	Appeals Reminder - 2008 (03/06/08)	n/a
	Change in the Amount in Controversy Requirement for Federal District Court (03/06/08)	n/a
	Clerical Error Reopening or Redetermination (10/04/07)	n/a
	Redeterminations Reminder (02/08/07)	n/a

Billing Issues/Tips	Dermatology Billing Reminders – Removal of Skin Lesions (02/14/08)	17000, 17003, 17004, 17110, 17111
	Diagnostic Radiology - Duplicate Claim Denials(02/21/08)	G0202, G0204, G0206, 70450, 71010, 71020, 72192, 72193, 74000, 74150, 76083, 76091, 76092, 77052, 77057
	Duplicate Claim Submissions and the Carrier Bulletin Board System (CABBS) (01/24/08)	n/a
	Top Ten Claim Submission Errors (12/20/07)	n/a
	Focus on...CCI Claim Submission Errors (12/28/07)	n/a
	Focus on...Medical Necessity Denials – National Coverage Determination(NCD) for Clinical Labs (12/28/07)	n/a
	Focus on...Medicare Eligibility (12/20/07)	n/a
	Focus on...Medicare as Secondary Payer (12/20/07)	n/a
	Focus on... Development Letters (12/20/07)	n/a
	Focus on... Services Denied When Performed During the Same Session/Date as a Previously Processed Service (12/28/07)	n/a
	Focus on... Items or Services Not-Covered by Medicare – Modifier GY Billing Reminder (12/20/07)	n/a
	Focus on...Global Surgery Denials (12/20/07)	n/a
	How to Avoid Duplicate Claim Denials (12/20/07)	n/a
	Intraoperative Monitoring (04/05/07) (Reviewed 12/28/07)	95920, 92585, 95822, 95860, 95861, 95867, 95868, 95870, 95900, 95904, 95925, 95926, 95927, 95928, 95929, 95930, 95931, 95932, 95933, 95934, 95935, 95936, 95937
	Medical Necessity Denials - Local Coverage Determinations (02/07/08)	n/a
	Nerve Conduction Studies - Redetermination Analysis Findings (12/28/07)	95900, 95903, 95904
	OIG Finds Place of Service Coding Errors for NHIC Physician Services (reviewed 12/28/07)	n/a
	Otolaryngology’s Duplicate Claim Denials (12/20/07)	99213, 99214, 99243, 31575, 69210, 92567, 92557, 92553, 92556, 99212, 92568, 99244, 31575, 69210, 69210, 92504
	Place of Service Coding for Physician Services (04/03/08)	n/a
	Physical Therapist Duplicate Claim Denials (01/31/08)	n/a
	Proper Billing of Technical & Professional Components (01/24/08)	n/a
	Radiopharmaceutical Imaging Agents - Billing Proper Quantities (04/10/08)	A9500, A9502, A9510, A9537, A9538, A9540, A9560, A9561
	Referring/Ordering Physician Name, UPIN & NPI (12/20/07)	n/a
	Rendering Provider Identification Number (12/20/07)	n/a
	Review of Immunization Administration Code (03/06/08)	90471, 90472
	Rural Health Clinics Services Billing (12/28/07)	n/a
	Services Not Reasonable and Necessary (12/20/07)	n/a
	Status of Services Which Support Non-covered Services or Device (08/30/07) (Reviewed 12/28/07)	n/a
	Tips for Medi-Cal Billing (12/28/07)	n/a
	Top 10 Duplicate Claim Submitters by Specialty (03/06/08)	n/a
	Top 10 Duplicate Procedure Codes by Specialty (12/20/07)	n/a

06/26/2008