Audiology and Hearing Aids

Contents

PART 2 – MEDI-CAL BILLING AND POLICY

FOR ALLIED HEALTH SERVICES

The Contents is a list of sections contained in the Part 2manual, Allied Health for Audiology and Hearing Aids. Section titles appear in alphabetical order. The “locator key” is an abbreviated form of the section title at the top of each page for skimming and identifying sections. For detailed topic entries within Part 1 and Part 2, refer to the Manual Index in the Indexes and Glossary manual.

Section Title Locator Key

A

Appeal Form Completion...... appeal form

Audiological Services...... audio

Audiological Services: Billing Codes and Reimbursement Rates...... audio cd

Audiological Services Billing Example: CMS-1500...... audio exc

C

California Children’s Services (CCS) Program...... cal child

California Children’s Services (CCS) Program Approved Hospitals...... cal child appr

California Children’s Services (CCS) Program Billing...... cal child bil

CCS Program Billing Guidelines

California Children’s Services (CCS) Program Billing Example:

CMS-1500...... cal child bil cms

California Children’s Services (CCS) Program Communication

Disorder Centers...... cal child com

California Children’s Services (CCS) Program County Office Directory....cal child county

California Children’s Services (CCS) Program Eligibility...... cal child elig

California Children’s Services (CCS) Program Medical Therapy Program...cal child med

(continued)

2 – Contents for Audiology and Hearing Aids 1 Allied Health – Audiology and Hearing Aids 379

Billing and PolicyMay 2007

Section TitleLocator Key

C

California Children’s Services (CCS) Program Provider Paneling...... cal child panel

Individual Provider Paneling Application for Physicians and Podiatrists

Individual Provider Paneling Application for Allied Health Care Professionals

California Children’s Services (CCS) Program Referrals...... cal child ref

California Children’s Services (CCS) Program

Service Authorization Request (SAR)...... cal child sar

New Referral CCS/GHPP Client Service Authorization Request (SAR)

Established CCS/GHPP Client Service Authorization Request (SAR)

CCS/GHPP Discharge Planning Service Authorization Request (SAR)

California Children’s Services (CCS) Program Service Code Groupings.....cal child ser

California Children’s Services (CCS) Program Special Care Centers...... cal child spec

California Code of Regulations (CCR), Title 22, Section 51003,

Prior Authorization...... access on Internet at

California Code of Regulations (CCR), Title 22, Section 51485,

Submission of False Information...... access on Internet at

Child Health and Disability Prevention (CHDP) Program...... child

CIF Completion...... cif co

CIF Special Billing Instructions...... cif sp

CIF Submission and Timeliness Instructions...... cif sub

CMS-1500 Completion...... cms comp

CMS-1500 Special Billing Instructions...... cms spec

CMS-1500 Submission and Timeliness Instructions...... cms sub

CMS-1500 Tips for Billing...... cms tips

Correct Coding Initiative: National...... correct

Correct Coding Initiative: National – Claim Preparation...... correct cod

F

Forms: Legibility and Completion Standards...... forms leg

Forms Reorder Request: Guidelines...... forms reo

Forms Reorder Request: Medical Services and Allied Health...... forms reo ma

2 – Contents for Audiology and Hearing Aids 1 Allied Health – Audiology and Hearing Aids 430

Billing and PolicyJuly 2011

Section TitleLocator Key

G

Genetically Handicapped Persons Program (GHPP)...... genetic

H

HCPCS Introduction...... hcpcs

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes...... hcpcs iii

Hearing Aids...... hear aid

Hearing Aids: Billing...... hear aid bill

Hearing Aids: Billing Codes and Reimbursement Rates...... hear aid cd

Hearing Aids: Billing Example...... hear aid ex

M

Medicare/Medi-Cal Crossover Claims: CMS-1500...... medi cr cms

Medicare/Medi-Cal Crossover Claims:

CMS-1500 Billing Examples for Allied Health...... medi cr cms exa

Medicare/Medi-Cal Crossover Claims:

CMS-1500 Pricing Examples for Allied Health...... medi cr cms pra

Medicare Non-Covered Services: Charts Introduction...... medi non cha

Medicare Non-Covered Services: HCPCS Codes...... medi non hcp

Modifiers: Approved List...... modif app

N

Newborn Hearing Screening Program...... newborn

O

Optional Benefits Exclusion...... opt ben exc

Other Health Coverage (OHC)...... oth hlth

Other Health Coverage (OHC): CPT-4 and HCPCS Codes...... oth hlth cpt

2 – Contents for Audiology and Hearing Aids 1 Allied Health – Audiology and Hearing Aids 422

Billing and PolicyNovember 2010

Section TitleLocator Key

P

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry)...... prov bil

R

Remittance Advice Details (RAD)...... remit adv

Remittance Advice Details (RAD) Examples:

Allied Health and Medical Services...... remit ex am

Remittance Advice Details (RAD): Payments and Claim Status...... remit pay

S

Share of Cost (SOC): CMS-1500...... share cms

Sign Language Interpretation...... sign

Speech Generating Devices (SGD)...... spe dev

Speech Therapy...... speech

Speech Therapy: Billing Codes and Reimbursement Rates...... speech cd

Speech Therapy Billing Example: CMS-1500...... speech exc

T

TAR Completion...... tar comp

TAR Criteria for NF Authorization (Valdivia v. Coye)...... tar crit nf

TAR Deferral/Denial Policy (Frank v. Kizer)...... tar defer

TAR Field Office Addresses...... tar field

TAR Submission: Transmittal Form...... tar submis

TAR: Submitting Appeals...... tar submit

Taxable and Non-Taxable Items...... tax

2 – Contents for Audiology and Hearing Aids 1 Allied Health – Audiology and Hearing Aids 515

Billing and PolicyAugust 2018