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2012 Texas Medicaid Provider Procedures Manual

Clinics and Other Outpatient Facility Services Handbook : Index

Ambulatory surgical center (ASC)
claim form example OP-45
Benefits and limitations
birthing centers OP-8
Birthing center OP-7
claims filing
Claims filing
birthing centers OP-9
documentation requirements OP-9
newborn eligibility process OP-8
newborn hearing screening OP-8
prior authorization OP-9
provider enrollment OP-7
reimbursement OP-10
services OP-9
benefits and limitations OP-8
Claims filing
claim form examples
Ambulatory surgical center (ASC) OP-45
Family Planning Services for Hospitals, FQHCs OP-47
FQHC Encounter (T1015) OP-48
FQHC Follow-Up OP-49
renal dialysis facility CAPD Training OP-50
renal dialysis facility CAPD/CCPD OP-51
renal dialysis facility CMS-1500 OP-52
rural health clinic (RHC) (immunization) OP-54
rural health clinic (RHC) hospital-based OP-55
rural health clinic freestanding OP-53
tuberculosis OP-56
federally qualified health center (FQHC) OP-16
renal dialysis facility OP-29
rural health clinic (RHC) OP-35
tuberculosis clinic OP-40
Client eligibility
renal dialysis facility OP-30
Community and Migrant Health Center Affiliation Affidavit OP-42
Comprehensive health center (CHC) OP-10
Documentation requirements
birthing centers OP-9
Federally qualified health center (FQHC)
after-hours care OP-16
benefits and limitations OP-12, OP-14
claim form example OP-47, OP-48, OP-49
claims filing OP-16
cost reporting OP-11
crossover claims OP-18
documentation requirements OP-16
enrollment OP-10
managed care referral OP-16
prior authorization OP-16
reimbursement OP-18
Newborn Child or Children Report (Form 7484) OP-43
Hematopoietic injections OP-29
renal dialysis facility OP-27
continuous ambulatory peritoneal dialysis (CAPD) OP-28
nonroutine laboratory OP-28
routine laboratory OP-27
Maternity service clinic (MSC) OP-18
Newborn eligibility process OP-8
Newborn hearing screening OP-8
Prior authorization
birthing centers OP-9
federally qualified health center (FQHC) OP-16
renal dialysis facility OP-29
Provider enrollment
birthing center OP-7
federally qualified health center (FQHC) OP-10
renal dialysis facility OP-18
rural health clinic (RHC) OP-31
tuberculosis clinic OP-36
Provider responsibilities
tuberculosis clinic OP-39
birthing centers OP-10
federally qualified health center (FQHC) OP-18
renal dialysis facility OP-30
rural health clinic (RHC) OP-35
tuberculosis clinic OP-40
Renal dialysis facility
benefits and limitations OP-19
blood transfusions OP-29
claim form example OP-50, OP-51, OP-52
claims filing OP-29
client eligibility OP-30
composite rate OP-22
continuous ambulatory peritoneal dialysis (CAPD) OP-26
continuous cycling peritoneal dialysis (CCPD) OP-26
dealing direct-support services OP-24
documentation requirements OP-29
enrollment OP-18
hematopoietic injections OP-29
hemodialysis OP-26
intermittent peritoneal dialysis (IPD) OP-26
laboratory services OP-27
continuous ambulatory peritoneal dialysis (CAPD) OP-28
nonroutine OP-28
routine OP-27
physician supervision OP-19
prior authorization OP-29
radiology services OP-27
reimbursement OP-30
revenue codes OP-25
self-dialysis training OP-26
Rural health clinic (RHC)
after-hours care OP-35
claim form example OP-53, OP-54, OP-55
claims filing OP-35
cost reporting OP-31, OP-36
documentation requirements OP-35
enrollment OP-31
freestanding OP-33
hospital-based OP-33, OP-34
record retention OP-35
reimbursement OP-35
see Tuberculosis
Tuberculosis clinic
ancillary services OP-38
benefits and limitations OP-37
claim form example OP-56
claims filing OP-40
documentation requirements OP-39
enrollment OP-36
provider responsibilities OP-39
reimbursement OP-40

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.