This Computes! Authorizations and Claims Processing

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This Computes! Authorizations and Claims Processing

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268 - HCPCS/CPT Codes Update Effective 09/01/2008 (08/20/2008)
267 - Provider Billing For Medical Supplies And Low Cost Durable Medical Equipment (DME) (08/14/2008)
266 - Update on Medical Foods (08/06/2008)
265 - Reminder: Blood Factor and Factor Products Must Be Separately Authorized (07/30/2008)
264 - Control III Disinfectant Germicide Concentrate (07/21/2008)
257 - Update to This Computes #226, Nutritional Therapy for Phenylketonuria (PKU) (05/12/2008)
253 - Hearing Aid and Cochlear Implant Batteries: Instructions for Billing (04/17/2008)
252 - Timeliness Override (04/16/2008)
251 - Service Authorization File (SAF) (04/07/2008)

249 - Legacy Authorization for Orthodontics (03/28/2008)
247 - Update of CCS Restricted Enteral Products List (03/28/2008)

245 - Medical Transportation by Ambulance (Air or Ground) (03/10/2008)

242 - Deactivation of the Legacy Authorization Functionality (02/15/2008)
240 - National Provider Identifier (01/21/2008)
237 - Procedures for Canceling Service Authorization Requests (11/27/2007)
236 - Correction of CCS Numbered Letter 01-0707 (11/13/2007)
233 - Manufacturer Codes for Medical Supplies and Contracted Medical Supplies (10/23/2007)
232 - New Addition to the “Medical Supply/Procedure Group” (10/23/2007)
231 - Spanish Notice of Action (NOA) Issue (10/12/2007)
230 - Reimbursement of Sexual or Erectile Dysfunction Drugs and Products (10/03/2007)
226 - Nutritional Therapy for Phenylketonuria (PKU) (09/12/2007)
223 - Modifier Usage with Cochlear Implant Billing Codes (08/27/2007)
220 - Inappropriate Claim Authorizations (11/08/2007)
216 - Automobile Orthopedic Positioning Devices (AOPD) (07/10/2007)
212 - Inappropriate Use of SARs Issued for Inpatient Days (05/21/2007)
210 - New Benefit: External Drug Infusion Pump Supplies (04/26/2007)
207 - Notice Of Actions (NOAs)/Denial Letters Issued to Healthy Families (HF) Subscribers (03/30/2007)
204 - Use of Medi-Cal Billing ID Only - Use of Social Security Number Prohibited (02/14/2007)
202 - SAR Reminders and Helps (02/02/2007)
201 - Legacy Authorizations for Rite Aid Pharmacies (01/30/2007)
199 - Legacy Authorizations (01/19/2007)
198 - SAR Milestone (12/29/2006)
196 - Revised Coding for Oxygen Delivery Equipment (12/21/2006)
195 - Clarification on Albustix Strip Coverage (12/21/2006)
193 - Cancellation of Dental and or Orthodontic SARs (12/11/2006)
191 - CCS Restricted Enteral Nutrition Product Tools (11/16/2006)
190 - Synagis Distribution Network (11/15/2006)
187 - Synagis Worksheet (10/19/2006)
184 - SAR Modification Number of Days Restriction (10/04/2006)
182 - Legacy Authorizations (09/26/2006)
180 - New Aid Code 0C (09/15/2006)
179 - Synagis Instructions for RSV Season 2006-07 (09/01/2006)
176 - Medicare Part D Reminder and the “Doughnut Hole” (08/17/2006)
175 - MEDS Eligibility Responses (08/01/2006)
174 - Audiology Authorizations for Clients with Commercial Health Maintenance Organization Coverage (04/26/2007)
172 - Indian Health Clinics, Federally Qualified Health Clinics (FQHC’s) and Rural Health Clinics (06/28/2006)
171 - New Blood Factor Billing Method for Pharmacy Providers (06/28/2006)
169 - Modifications to Dental SARs (06/14/2006)
166 - Updated Restricted Drug Table (05/16/2006)
165 - A Claim Denial Reason 314 - Patient not Eligible for Month of Service (05/05/2006)
163 - Claims Reprocessing Information (04/06/2006)
162 - The Mother and Newborn Connection (12/27/2006)
159 - Special Instructions for Aid Codes 9R and 9N (03/08/2006)
158 - Temporary Physician Approval Process (03/21/2006)
155 - Due Process for CCS Orthodontic Clients Who Score Less Than 26 Points and Do Not Have an Automatic Qualifying Condition on the HLD Index Orthodontic Scoring Form (02/8/2006)
151 - CGP NUMBERS (01/19/2006)
149 - Authorizing Botox (01/04/2006)
145 - 0C Aid Code (12/12/2005)
144 - Outpatient Surgery Authorizations (06/09/2006)
143 - Modifications of Dental SARs (12/07/2005)
142 - EDS Claims Processing Error (12/30/2005)
141 - Claim Denials for Eligibility RAD 314 (11/23/2005)
139 - Service Code 07 Update Problem (03/14/2006)
138 - New Codes for Pressure Support Ventilators and Publication of DME Codes for CCS Clients Only (10/31/2005)
137 - Synagis Calculator Instructions for RSV Season 2005-06 (10/26/2005)
136 - November 1, 2005 Hearing Aids/Accessories Changes (10/26/2005)
134 - University of California Los Angeles (UCLA) Authorizations (10/06/2005)
131 - Synagis Instructions for RSV Season 2005-06 (10/11/2005)
130 - Information and Instructions for Authorizing Enteral Nutrition Products (09/02/2005)
127 - Date Change for Enteral Nutritional Products SARs (08/26/2005)
126 - Claim Payment Problems for SCG 02, 03 and 07 (11/04/2005)
124 - Inpatient SAR/TAR Differences (08/04/2005)
121 - Claims Processing Issues at EDS and Delta Dental (07/08/2005)
119 - Inpatient SARs Will Now Cover Blood Products Including Factor and Claims for Inpatient Hospitals will Only Match on Digits 4-8 (Contract vs. Non-Contract) (06/25/2005)
118 - New!! Medical Supply Grouping Feature Now Available for Web-Based Authorizations (06/25/2005)
117 - Manufacturer Codes for Medical Supplies - Update (06/25/2005)
115 - Claims Processing Error – Claims Denied: Code 9671 (06/03/2005)
114 - California Children’s Services Billing Tips (06/03/2005)
113 - Service Code Group (SCG) 07 - Orthopedic Claims Adjudication (05/25/2005)
111 - 9665 Denial Message Error (04/27/2005)
110 - Use of Individual Codes for SCC SARs (07/07/2005)
109 - Instructions for Issuing SARs to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) (04/07/2005)
108 - Delta Dental SAR Issues (04/04/2005)
107 - Special Care Center SAR - Referring Physician (03/21/2005)
105 - DME Billing Instructions and Modifier Sequence Usage (02/17/2006)
104 - DME Coding and Reimbursement Updates (03/17/2005)
103 - Authorizing Botox (03/17/2005)
102 - Brand Name Drugs (03/11/2005)
100 - Authorizing Restricted Drugs that are End Dated (03/04/2005)
99 - Taxable and Non-Taxable DME (03/11/2005)
98 - Authorization of Outpatient Dental Surgical Procedures (02/25/2005)
97 - Authorization of Outpatient Medical and Surgical Procedures (02/25/2005)
94 - Special Care Center Authorizations (02/10/2005)
90 - Inpatient Hospital SAR Issues (02/14/2005)
85 - CCS Stamp on Claims Forms (12/11/2004)
84 - The Mother and Newborn Medi-Cal Connection (Removed; see This Computes! No. 162) (02/14/2005)
81 - Sutter Memorial Hospital and Sutter General Hospital Authorizations (11/03/2004)
77 - University of California Davis (UCD) Authorizations (10/22/2004)
75 - DME and Diabetic Supply Code Changes Alert (02/25/2005)
73 - Denti-Cal Provider Bulletin (09/27/2004)
69 - Medical Supply Codes (06/24/2005)
68 - DME Rental / Emergency Medical Transportation (02/25/2005)
63 - On-line Pharmacy Billing (02/25/2005)
61 - Printing SAR Letters in CMS Net Web (02/25/2005)
58 - SAR Issues (02/15/2005)
56 - Units and Quantity (Removed; see This Computes! No. 93) (06/28/2004)

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