Chiropractic

Contents

PART 2 – MEDI-CAL BILLING AND POLICY

FOR ALLIED HEALTH SERVICES

The Contents is a list of sections contained in the Part 2 – Medi-Cal Billing and Policy manual for Chiropractic. 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

C

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

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

Chiropractic Services...... chiro

Chiropractic Services: Billing Codes and Reimbursement Rates...... chiro cd

Chiropractic Services Billing Example: CMS-1500...... chiro exc

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

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 Chiropractic Billing and Policy 1 Allied Health – Chiropractic 379

May 2007

Chiropractic

Contents

PART 2 – MEDI-CAL BILLING AND POLICY

FOR ALLIED HEALTH SERVICES

Section TitleLocator Key

H

HCPCS Introduction...... hcpcs

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

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:

Medi-Cal Pricing Examples for Allied Health...... medi cr cms pra

Medicare/Medi-Cal Crossover Claims: UB-04...... medi cr ub

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples...... medi cr ub ex

O

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

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

P

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

2 – Contents for Chiropractic Billing and Policy 1 Allied Health – Chiropractic 379

May 2007

Section TitleLocator Key

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

2 – Contents for Chiropractic Billing and Policy 1 Allied Health – Chiropractic 515

August 2018