Using Correct License-level Modifiers on Your Claims

©2005-2018 Magellan Health, Inc. Last reviewed 2/2018 Using Correct License-level Modifiers on Your Claims Magellan organizational providers and individual providers submitting professional (CPT) claims as part of an organization (using the organization’s Taxpayer Identification Number) must submit claims with the license-level modifier that …

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Coordination of Benefits - Magellan Provider

Coordination of Benefits Coordination of Benefits Magellan coordinates benefits with other payers when a member is covered by two or more group health benefit plans.

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2018 Handbook for the National Provider Network

National Provider Network Handbook 4—© 2000-2018 Magellan Health, Inc. 11/17 Case Management Member Rights and Responsibilities Magellan Clinical Practice Guidelines

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Policy and Standards - Magellan Provider

FALSE CLAIMS LAWS AND WHISTLEBLOWER PROTECTIONS Page 1 of 23 —PROPRIETARY Magellan Health policies apply to all subsidiaries and affiliates, including but not limited to Magellan Healthcare, …

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Treatment Record Review Tool - Magellan Provider

Treatment Record Review Tool This is the standard review tool used for all behavioral health records. Additional indicators may be included based on regulatory and/or customer requirements.

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Authorization to Use or Disclose Protected Health ...

Last Updated: 03/10/07 Authorization to Disclose Protected Health Information to Primary Care Physician Communication between your behavioral health provider(s) and your primary care physician (PCP) is important to make sure all care is complete,

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Magellan’s Update of its Introduction to the …

© 2005-2017 Magellan Health, Inc. This document is the proprietary information of Magellan Health, Inc. and its affiliates. 6/17 Magellan’s Update of its Introduction to the American Psychiatric Association’s Clinical Practice Guideline

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Organization & Facility Handbook Supplement

Organizational and Facility Provider Handbook Supplement 2—© 2004-2018 Magellan Health, Inc. 11/17 Table of Contents SECTION 1: INTRODUCTION ..... 4

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1. HOSPITALIZATION - Hospitalization is the highest …

MAGELLAN UNIVERSAL SERVICES LIST - Includes Preferred HIPAA Compliant Codes 3.1 Partial Hospitalization, Psychiatric. Assists individuals who …

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2018 Handbook for the National Provider Network

National Provider Network Handbook 4—© 2000-2018 Magellan Health, Inc. 11/17 Case Management Member Rights and Responsibilities Magellan Clinical Practice Guidelines

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Military Construction: Authorities, Process, and ...

Nov 26, 2019 · contracting process (e.g., solicitation, awarding the contract, obligating funds, dispersing funds), ... Military Construction: Authorities, Process, and Frequently Asked Questions Congressional Research Service 3 budget request are based on planning and design work that was funded by this

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NV Billing General - Nevada

Nov 17, 2020 · • New Frequently Asked Questions throughout the manual ... 06/14/2010 Updated Amerigroup’s physician contracting phone number to (702) 228-1308 ext. 59840. ... process; and ICD-10 effective date 38, 40-41, 33 and 43 02/20/2015 Added DMEPOS to prior authorization submission deadlines list;

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Davis Bacon Frequently Asked Questions (FAQs)

Davis Bacon Frequently Asked Questions (FAQs) If you do not receive proper pay, or require further information on the applicable wages, contact the Contracting Officer listed below: _____ _____ _____ or contact the U.S. Department of Labor's Wage and Hour Division. Can you tell me who the “Contracting Officer” is as far as this notice is ...

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MVP Health Care Frequently Asked Questions/General …

MVP Health Care Frequently Asked Questions/General Information Page 3 of 8 Providers should submit claims in accordance with the ValueOptions® claims procedures. Details regarding ValueOptions® claims procedures can be accessed through the ValueOptions® website (www.valueoptions.com).Provider Network – Contracting and Credentialing Q: I currently …

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FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION …

Set out below are Frequently Asked Questions (FAQs) regarding implementation of the ... these FAQs answer questions from stakeholders to help people understand the law and benefit from it, as intended. ... for all people with ongoing risk of contracting HCV. 3. Creatinine testing and calculated estimated creatine clearance (eCrCl) or glomerular ...

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Oscar Health Insurance Provider Frequently Asked Questions ...

Oscar Health Insurance Provider Frequently Asked Questions (FAQ) This FAQ document will continue to be reviewed and updated frequently in order to provide the

February 2005 UNIQUE IDENTIFICATION (UID) FREQUENTLY …

February 2005 UNIQUE IDENTIFICATION (UID) FREQUENTLY ASKED QUESTIONS CONTRACT REVIEW AND ADMINISTRATION 1. If the item is over $5000 and the UID DFARS Clause is not in a newly received contract, what will DCMA

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Frequently Asked Questions - eTenders

Frequently Asked Questions Question 1: To whom do the public procurement guidelines and rules apply? They apply to procurement by all public sector bodies, such as Government

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FREQUENTLY ASKED QUESTIONS Priority Placement …

FREQUENTLY ASKED QUESTIONS Priority Placement Program (PPP) Q. What is the Priority Placement Program (PPP)? A. The PPP is an automated mandatory placement program used to match eligible well-

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Frequently Asked Questions (FAQs) About Pharmacy “DIR ...

Page 1 of 4 Frequently Asked Questions (FAQs) About Pharmacy “DIR” Fees Q. What does “DIR” stand for? A. “DIR” stands for “direct and indirect remuneration” and was initially a term coined by the Centers for Medicare and Medicaid Services (CMS) related to the Medicare Part D benefit to

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