Transcription of 508C Provider Administration Manual
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508C Provider Administration Manual
Provider Administration ManualRevised March 2018 BlueCare Tennessee Provider Administration Manual i Provider Administration Manual Table of Contents I. INTRODUCTION A. BlueCross BlueShield of Tennessee Statement of Purpose B. Description of Health Plans and Health Plan Sub-Programs 1. BlueCare Tennessee operates two TennCare Program Health Plans. BlueCare TennCareSelect 2. Enhanced Services Programs: CHOICES Long-Term Services and Supports (LTSS) (currently available from TennCareSelect only) Employment and Community First (ECF) CHOICES SelectCommunity (TennCareSelect only) C. General Information 1. Interpretation Services 2. Health Literacy and Cultural Competency Provider Toolkit 3. Medical Referrals 4. Outpatient/Inpatient Behavioral Health Services 5. Prior Authorization 6.
Reimbursement Guidelines for Online Evaluation and Management Services 19. New Patient Replacement Edit for Evaluation and Management Services 20. Billing Guidelines and Documentation Requirements for CPT ® Code 99211. 21. Reimbursement Guidelines for Measurement Reporting Codes 22. Modifiers Requiring Special Handling 23. Medically …
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