Transcription of HOSPITAL SERVICES PROVIDER MANUAL
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HOSPITAL SERVICES PROVIDER MANUAL
HOSPITAL SERVICES PROVIDER MANUAL Chapter Twenty five of the Medicaid SERVICES MANUAL Issued July 1, 2011 State of Louisiana Bureau of Health SERVICES Financing Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable ICD 10 diagnosis/surgical procedure codes that reflect the policy intent. References in this MANUAL to ICD 9 diagnosis/surgical procedure codes only apply to claims/authorizations with dates of service prior to October 1, 2015. LOUISIANA MEDICAID PROGRAM ISSUED: 07/15/13 REPLACED: 04/15/13 CHAPTER 25: HOSPITAL SERVICES SECTION: TABLE OF CONTENTS PAGE(S) 5 Page 1 of 5 Table of Contents HOSPITAL SERVICES TABLE OF CONTENTS SUBJECT SECTION OVERVIEW PROVIDER REQUIREMENTS Licensure Clinical Laboratory Improvement Amendments of 1988 (CLIA) Distinct Part Psychiatric Units INPATIENT SERVICES Preadmission Certification and Length of Stay Assignment Distinct Part Psychiatric Units Obstetrical and Gynecological SERVICES Requiring Special Procedures Sterilizations Exceptions to Sterilization Policy Informed Consent Abortions Dilations and Curettage Ectopic Pregnancies Molar Pregnancies Hysterectomies Exceptions to the Hysterectomy Policy Deliveries with Non-Payable Sterilizations Other Inpatient SERVICES Blood HOSPITAL -Based Ambulance SERVICES Mother/Newborn/Nursery Inpat
Neonatal Intensive Care Units . Pediatric Intensive Care Units . Change in Level of Care in Specialty Unit . Burn Units . Transplant Services . Outliers . Qualifying Loss Review Process . Permissible Basis . Basis Not Allowable . Burden of Proof . Required Documentation .
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