Transcription of MDHHS WRAP AROUND CODE LIST INSTRUCTIONS …
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MDHHS WRAP AROUND CODE LIST INSTRUCTIONS …
MDHHS WRAP AROUND CODE LIST INSTRUCTIONS outpatient hospital 04/01/2018 This document contains information for interpreting the Michigan Medicaid outpatient hospital outpatient Prospective Payment System (OPPS) Wrap AROUND Code List. Providers are instructed to refer to the Michigan Medicaid Provider Manual and/or MSA Bulletins for specific coverage, reimbursement policies, and required forms. To access this information via the Michigan Department of Health and Human Services ( MDHHS ) website: >> Billing & Reimbursement >> Provider Specific Information >> outpatient Hospitals. MDHHS follows as closely as possible the Centers for Medicare & Medicaid Services (CMS) Medicare current OPPS coverage policies as published in the CMS Addendum A and Addendum B. ( ). The Addenda include HCPCS codes and CMS Status Indicators (SI) which determine the CMS OPPS payment status. Payments for Michigan Medicaid OPPS services are calculated utilizing the current Medicare conversion factors and rates with an MDHHS reduction factor (RF) applied.
MDHHS WRAP AROUND CODE LIST INSTRUCTIONS Outpatient Hospital 04/01/2018 . This document contains information for interpreting the Michigan Medicaid Outpatient Hospital Outpatient
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