Transcription of Billing Guidelines Section - Florida Blue
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Billing Guidelines Section - Florida Blue
Billing Guidelines Section 2 Billing Guidelines .. 4 coding A CLAIM .. 4 AMBULATORY SURGICAL CENTER .. 13 ASC Payment Program ..13 ASC Fee Schedule Progr am .. 14 ASC Fee Schedule Allowance Calculation Examples ..15 Outpatient Fee Schedule Program .. 16 Revenue and HCPCS/CPT Codes ..18 Outpatient Fee Schedule Allowance Calculation Examples ..21 Billing Guidelines for Specific services .. 28 Ambulatory Infusion ..28 Pain Management Billing Guidelines FOR ANCILLARY PROVIDERS .. 32 Behavioral Health Outpatient Clinic Groups ..32 Birthing Centers ..32 Chiropractic services ..33 Convenient Care Centers (CCC) ..39 Dialysis Centers ..40 DME/HME Providers ..41 Home Health/Home Infusion A genc i es ..44 Independent Diagnostic Testing Orthotic and Prosthetic Providers ..49 Outpatient Hospital Requirements ..50 Physical Therapy Centers ..52 Psychiatric and Substance Abuse Facilities ..54 Skilled Nursing Facilities.
Coding a Claim . Coding a Faci lity Claim Procedure, Modifier and Diagnosis Codes . A critical element in claims filing is the submission of current and accurate codes to reflect the services provided. Correct coding is essential for correct reimbursement. We have applied procedure code edits …
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