Procedure Codes Sample Clauses

Procedure Codes. ‌ Many MCEs accept and use non-standard codes such as State specific and MCE specific codes. Current validating process at EHS DW looks for standard codes only - CPT, HCPCS, and ADA. HIPPAA regulations require that only standard HCPCS Level I (CPT) and II be used for reporting and data exchange. The only field containing HCPCS Level 1 and II procedure codes is the Procedure Code field (#26). ICD-10 PCS procedure codes should be populated in the Surgical Procedure Code fields (103-111, 206-221).
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Procedure Codes. VR Central Office will establish procedure codes for all vocational, non-medical services provided for clients.
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Procedure Codes.  The current state-defined procedure code set will be required by the system, and must be used in all claims. A copy of acceptable procedure code set can be obtained by contacting xxxxxxxxxx@xxxxx.xxx or call (000) 000-0000 (ask for Claims Unit)  The MDHHS code set is consistently under development by the state. Any additions and changes will be forwarded to the provider as soon as they are available.
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Procedure Codes.  The current state-defined procedure code set will be required by the system, and must be used in all claims. A copy of acceptable procedure code set can be obtained by contacting xxxxxxxxxx@xxxxx.xxx or call (000) 000-0000 (ask for Claims Unit)  The MDHHS code set is consistently under development by the state. Any additions and changes will be forwarded to the provider as soon as they are available. Diagnostic Codes  ICD 10 coding system and descriptors must be utilized in accordance with national standards.  Primary diagnosis must be appropriate for services provided under this agreement listed on claim to avoid rejection. Primary diagnosis code must be listed one of the diagnosis codes accepted by the Michigan Department of Health and Human Services, if appropriate. COORDINATION OF BENEFIT (COB)  Provider is accountable for COB and required to follow all COB rules as funds under this agreement are those of last resort.  Detroit Xxxxx Mental Health Authority is payers of last resort. Providers must collect payment from all other payers prior to submission of claims.  Claims and encounters for services with COB shall be submitted electronically or on paper as directed by the network with EOB/payment advice from 3rd party payer stapled to claim.  Network claims adjudicators will screen claims encounters for potential COB, and will require providers to pursue uncollected 3rd party payments.  Providers not complying with appropriate COB rules and regulations will be subject to contract compliance standards and protocols.  COB claim must be received within 60 days of receiving payment from primary insurance in order to process claim as Coordination of Benefits.  Primary Payer must be billed within 90 days of date of service. Member Numbers  The DWMHA assigned Member Number must be included on all claims/encounters in the Insurance ID field  For services that require authorization, the authorization number must also be included on the claim form to process. Claims Help  Until further notice, inquiry regarding claims, claims status, and/or adjudication issues contact: xxxxxxxxxx@xxxxx.xxx or call (000) 000-0000 (ask for Claims Unit) Website Help xxx.xxxxx.xxx and xxx.xxxxx.xxx MHWIN ACCESS Subject to the terms and conditions of this Agreement, the Authority hereby grants S e r v i c e Provider non-transferable and non-exclusive access to MHWIN to permit the Service Provider and their office administrators, secretaries and clinicians (collectively...
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Procedure Codes a) All procedure codes listed in this section were reviewed and revised as necessary on June to ensure that the most recent code numbers for currently cov- ered services are used. In the event of any omissions or errors arising as a result of this conversion, coverage will be extended to include those services.
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Related to Procedure Codes

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  • SAFETY PROCEDURES The Contractor shall:

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  • Procedure If any action is brought against an Underwriter, a Selected Dealer or a Controlling Person in respect of which indemnity may be sought against the Company pursuant to Section 6.1, such Underwriter, such Selected Dealer or Controlling Person, as the case may be, shall promptly notify the Company in writing of the institution of such action and the Company shall assume the defense of such action, including the employment and fees of counsel (subject to the reasonable approval of such Underwriter or such Selected Dealer, as the case may be) and payment of actual expenses. Such Underwriter, such Selected Dealer or Controlling Person shall have the right to employ its or their own counsel in any such case, but the fees and expenses of such counsel shall be at the expense of such Underwriter, such Selected Dealer or Controlling Person unless (i) the employment of such counsel at the expense of the Company shall have been authorized in writing by the Company in connection with the defense of such action, or (ii) the Company shall not have employed counsel to have charge of the defense of such action, or (iii) such indemnified party or parties shall have reasonably concluded that there may be defenses available to it or them which are different from or additional to those available to the Company (in which case the Company shall not have the right to direct the defense of such action on behalf of the indemnified party or parties), in any of which events the reasonable fees and expenses of not more than one additional firm of attorneys selected by such Underwriter (in addition to local counsel), Selected Dealer and/or Controlling Person shall be borne by the Company. Notwithstanding anything to the contrary contained herein, if any Underwriter, Selected Dealer or Controlling Person shall assume the defense of such action as provided above, the Company shall have the right to approve the terms of any settlement of such action which approval shall not be unreasonably withheld.

  • LABOR CODE REQUIREMENTS Provided that the Contract Price is more than $1,000, and the Work is a “public works” under the Labor Code, the parties agree as follows:  The Work is subject to compliance monitoring and enforcement by the Department of Industrial Relations.

  • New Procedures New procedures as to who shall provide certain of these services in Section 1 may be established in writing from time to time by agreement between the Fund and the Transfer Agent. The Transfer Agent may at times perform only a portion of these services and the Fund or its agent may perform these services on the Fund's behalf;

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