Medical Record Documentation Standards - BOK5129

Durable Medical Equipment (DME) Prosthetics

1. CUT9216-1E (6/18) Durable Medical Equipment (DME) Prosthetics and Orthotics Authorization Request Form. IMPORTANT 1. Claims submitted for these benefits are subject to any applicable lifetime maximums, deductions, coinsurances or provisions,

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Professional Provider Manual - provider.carefirst.com

Provider Quick Reference Guide CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc.,

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SPECIALTY GUIDELINE MANAGEMENT - provider.carefirst.com

SPECIALTY GUIDELINE MANAGEMENT . BOTOX (onabotulinumtoxinA) POLICY . I. INDICATIONS . The indications below including FDA-approved indications and compendial uses are considered a covered benefit provided that all the approval criteria are met and the member has no exclusions to the prescribed therapy. A. FDA-Approved Indications 1.

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Request for Information (RFI) Application

Request for Information (RFI) Application INSTRUCTIONS Designed for ancillary and hospital providers to apply for participation in the CareFirst BlueCross BlueShield and/or CareFirst

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Dental Claims Processing Policies - provider.carefirst.com

The pediatric dental orthodontic benefit requires pre-authorization for medical necessity before ... improper billing or coding is demonstrated ... Dental Provider Manual - Claims Processing Policies ...

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Change in Provider Information Professional

Change in Provider Information— Professional Providers Only . INSTRUCTIONS . ... of Change : Type of Change Add New Cancel Change : What’s Changing Office Directory Mailing Tax ... Is this a new office location? Yes No If Yes, attach a list of providers at this location :

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Professional Provider Manual - Care Management

This section provides information on Care Management Programs available for your CareFirst BlueCross BlueShield and CareFirst ... health care continuum, including those with complex health needs (advanced developmental, ... clinical care guidelines for the condition or cluster.

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BlueLink - April 2018 - provider.carefirst.com

BlueLink Provider Newsletter April 2018 ... directory and with any other . ... The Dental Network and First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the

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CareFirst on Call

CareFirst on Call—Institutional Reference Card Provider Benefit Codes for Institutionally Billed Services These benefits are categorized by the following types.

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Outpatient Pre-Treatment Authorization - Program (OPAP ...

1 Outpatient Pre-Treatment Authorization Program (OPAP) Request INSTRUCTIONS Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com.

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Clinical Swallowing Exam - American Speech–Language ...

Clinical Swallowing Evaluation Template 1 Templates are consensus-based and provided as a resource for members of the American Speech-Language-Hearing Association (ASHA).

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Updated Guidelines for the Medical Assessment and Care …

Mini-Review Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused Joyce A. Adams MD1,*, Nancy D. Kellogg MD2, Karen J. Farst MD3, Nancy S. Harper MD4, Vincent J. Palusci MD, MS5, Lori D. Frasier MD6, Carolyn J. Levitt MD7, Robert A. Shapiro MD8, Rebecca L. Moles MD9, Suzanne P. Starling MD10 1 Department of Pediatrics, University of …

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Technologies for Improving Post-Acute Care Transitions

Technologies for Improving Post-Acute Care Transitions Position Paper September 2010 Discussion Draft

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ADMINISTRATIVE RULES FOR CHILD PLACING AGENCIES …

FOM 722-02 2 of 7 FOSTER CARE - ADMINISTRATIVE RULES FOB 2014-002 2-1-2014 CHILDREN'S FOSTER CARE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES Mail All children in the care of a child placing agency are permitted to

EXECUTIVE ORDER 6 REPORT - nj.gov

P a g e 3 EXECUTIVE SUMMARY1 Governor Murphy issued Executive Order No. 6 (2018) (EO 6) directing the New Jersey Department of Health2 (Department) to undertake a review of all aspects of New Jersey’s Medical Marijuana Program (MMP), with a focus on ways to expand access to marijuana for medical purposes.

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CLINICAL REPORT The Evaluation of Children in the Primary ...

CLINICAL REPORT The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected abstract This clinical report updatesa 2005report from ...

  Report