Pennsylvania Medical Assistance Billing Codes

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MA Fee Schedule - Department of Human Services

https://www.dhs.pa.gov/providers/Providers/Pages/Health%20Care%20for%20Providers/MA-Fee-Schedule.aspx

Licensing & Providers. Department of Human Services > For Providers > Providers > MA Fee Schedule. MA Fee Schedules. Search the Outpatient and Dental Fee Schedule Database. Downloadable MA Program Outpatient Fee schedule - The PROMISe™ …

Medical Assistance for Providers - Department of Human …

https://www.dhs.pa.gov/providers/Providers/Pages/Medical-Assistance-for-Providers.aspx

National Provider Identifier (NPI) Information Outpatient Hospital - Medicare HMO Billing Instructions - UB-04 Pharmacy Services Professional - Medicare HMO Billing …

Billing and Claims FAQ - Department of Human Services

https://www.dhs.pa.gov/providers/FAQs/Pages/Billing-and-Claims-FAQ.aspx

Payment for medical supplies and equipment is made only to pharmacies and medical suppliers participating in the Medical Assistance program. Physicians must bill drug …

Billing Information - Department of Human Services

https://www.dhs.pa.gov/providers/Providers/Pages/Billing-Information.aspx

ASC-SPU Medicare HMO Billing Instructions; Inpatient Medicare HMO Billing Instructions; Outpatient Medicare HMO Billing Instructions; Professional Medicare HMO Billing …

Medical Assistance Regulations - Department of Human …

https://www.dhs.pa.gov/docs/For-Providers/Pages/Medical-Assistance-Regulations.aspx

Medical Assistance Manual (All Regulations) MA Program Payment Policies (Chapter 1150) Ambulance Transportation (Chapter 1245) Ambulatory Surgical Center Services and …

Pennsylvania Specific Medical Assistance HIPAA …

https://www.dhs.pa.gov/docs/For-Providers/Documents/PROMISe%20Companion%20Guides/c_216079.pdf

Pennsylvania Medical Assistance-specific information required to successfully submit the 837 Professional transaction. This Companion Guide is to be used in conjunction with the …

Quick Tips - Department of Human Services

https://www.dhs.pa.gov/providers/Quick-Tips/Pages/default.aspx

138 - Medical Assistance (MA) Providers and Managed Care Organizations (MCOs) Must Ensure Continuity of Care During HealthChoices (HC) Expansion. 137 - Billing of Multiple …

Medical Assistance - Department of Human Services

https://www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx

Online: Using the COMPASS website, you can apply for MA and many other services that can help you make ends meet. Telephone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. In-Person: …

PENNSYLVANIA MEDICAID/MEDICAL ASSISTANCE (MA) …

http://services.dpw.state.pa.us/oimpolicymanuals/ma/305_F_MA_Matrix.pdf

COST-SHARING QMBs (QUALIFIED MEDICARE BENEFICIARIES) (Buy-In of Medicare Part A and Part B, Medicare deductibles and coinsurance) ELDERLY/DISABLED PG 00 …

List of CPT/HCPCS Codes | CMS - Centers for Medicare …

https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/List_of_Codes

List of CPT/HCPCS Codes We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System …

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