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Hospital Outpatient Services Manual

Hospital Outpatient Services Manual

This manual is a DRAFT and IS NOT IN EFFECT.
Please visit the appropriate provider type page for the manual that is in force at this time.

Hospital Outpatient Services Manual

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Prior manuals may be located through the provider website archives.

 


Hospital Outpatient Services Manual

Updated 04/25/2017

This manual was updated 4/25/2017

Update Log

Update Log

 

12.31.2015
Hospital Outpatient Services, January 2016: HELP Plan-Related Updates and Others

11.17.2015
Hospital Outpatient Services, November 2015: Billing Procedures, Revenue Codes 25X and 27X

06.22.2015
Hospital Outpatient Services, May 2015: Entire Manual

07.05.2013
Hospital Outpatient Services, July 2013: Definitions and Index

06.27.2012
Hospital Outpatient Services, June 2012: Covered Services, Billing Procedures, How Payment Is Calculated

01.12.2012
Hospital Outpatient Services, December 2011: Hospital Outpatient Services

04.29.2011
Hospital Outpatient Services, April 2011: How Payment Is Calculated

12.16.2005
Hospital Outpatient Services, October 2005: New Instructions on Completing Medicaid Hysterectomy Acknowledgement Form

09.22.2004
Hospital Outpatient Services, August 2004: Team Care Added, Clarification on Sterilizations, Hysterectomies, Abortions, and MPQHF Phone Number Change

Table of Contents

 

Key Contacts and Key Websites

 

Introduction

 

Covered Services

 

Prior Authorization

 

Billing Procedures

 

How Payment Is Calculated

 

Definitions and Acronyms

 

Index