Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook

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MEDICAL AND NURSING SPECIALISTS, PHYSICIANS, AND PHYSICIAN ASSISTANTS HANDBOOK TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 2 JUNE 2021 TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 2 JUNE 2021 MEDICAL AND NURSING SPECIALISTS, PHYSICIANS, AND PHYSICIAN ASSISTANTS Table of Contents 1 General Information . 12 1.1 Payment Window Reimbursement Guidelines for Services Preceding an Inpatient Admission. .12 2 Chiropractic Manipulative Treatment (CMT) . .13 2.1 Enrollment . .13 2.2 Services, Benefits, Limitations, and Prior Authorization. .13 2.2.1 Prior Authorization . 14 2.3 Documentation Requirements . .14 2.4 Claims Filing and Reimbursement . .14 2.4.1 Claims Information . 14 2.4.2 Reimbursement . 14 3 Certified Nurse Midwife (CNM) . .15 3.1 Provider Enrollment. .15 3.1.1 Enrollment in Texas Health Steps (THSteps) . 16 3.2 Services, Benefits, Limitations, and Prior Authorization. .16 3.2.1 Deliveries . 16 3.2.2 Newborn Services . 16 3.2.3 Prenatal and Postpartum Services. 16 3.2.4 Laboratory and Radiology Services . 16 3.2.5 Prior Authorization . 16 3.2.6 Documentation Requirements . 17 3.2.7 Claims Filing and Reimbursement. 17 4 Certified Registered Nurse Anesthetist (CRNA) . .18 4.1 Enrollment . .18 4.2 Services, Benefits, Limitations, and Prior Authorization. .18 4.2.1 Prior Authorization . 19 4.3 Documentation Requirements . .19 4.4 Claims Filing and Reimbursement . .19 4.4.1 Claims Information . 19 4.4.1.1 Interpreting the R&S Report. 19 4.4.2 Reimbursement . 19 5 Geneticists . .20 5.1 Enrollment . .20 5.1.1 Geneticists . 20 5.2 Services, Benefits, Limitations, and Prior Authorization. .21 5.2.1 Family History . 21 5.2.2 Genetic Tests . 21 5.2.3 Laboratory Practices . 22 2 CPT ONLY - COPYRIGHT 2020 AMERICAN MEDICAL ASSOCIATION. ALL RIGHTS RESERVED. MEDICAL AND NURSING SPECIALISTS, PHYSICIANS, AND PHYSICIAN ASSISTANTS HANDBOOK JUNE 2021 5.2.4 Genetic Counselors . 22 5.2.5 Genetic Evaluation and Counseling by a Geneticist . 22 5.2.6 Prior Authorization . 23 5.3 Documentation Requirements . .23 5.4 Claims Filing and Reimbursement . .23 5.4.1 Claims Information . 23 5.4.2 Reimbursement . 23 6 Licensed Midwife (LM). .24 6.1 Provider Enrollment. .24 6.2 Services, Benefits, Limitations, and Prior Authorization. .24 6.2.1 Deliveries . 24 6.2.2 Newborn Services . 24 6.2.3 Prenatal Services . 24 6.2.4 Prior Authorization . 25 6.2.5 Documentation Requirements . 25 6.2.6 Claims Filing and Reimbursement. 25 7 Maternity Service Clinics (MSC) . .25 7.1 Provider Enrollment. .25 7.1.1 Physician Responsibility . 26 7.1.2 Case Management Services to High-Risk Individuals . 26 7.2 Services, Benefits, Limitations, and Prior Authorization. .26 7.2.1 Initial Prenatal Care Visit Components. 27 7.2.1.1 History . ..

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September 25, 2020
View the AOMA Dispatch on the AOMA Website here. INSIDE THIS ISSUE Register to Vote AAOA Fun Run Breast Cancer Awareness Fall Seminar Roll Up Your Sleeve CMS Pilot OMED 2020 Sandra Day O’Connor Civics AOMA Calendar Celebration Day Voter Registration Deadline is October 5th The General Election is just 38 days away. Are you registered? New to Arizona? Moved or want to change your registration? The deadline to register is October 5th. Visit https://servicearizona.com/VoterRegistration today! AOMA 40th Annual Fall Seminar: Virtual Streaming - Three Types of Credit Offered Come Together and Dig On! at the AOMA 40th Annual Fall Seminar - Virtual Streaming. Join us November 6-8, 2020 from the comfort of your home or office. Registration includes on demand access to the recorded lectures after the live event. The Arizona Osteopathic Medical Association (AOMA) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. The AOMA designates this program for a maximum of 20 hours of AOA Category 1-A CME credits 1 of 6 9/25/2020, 1:19 PM and will report CME credits commensurate with the extent of the physician’s participation in this activity. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Acccreditation Council for Continuing Medical Education (ACCME). The Arizona Osteopathic Medical Association is accredited by ACCME to provide continuing medical education for physicians. AOMA designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
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Loxley House Family Practice
HOUSE CALLS INTERPRETER SERVICES /131 450 House calls are provided for housebound patients. If If you or a family member require an interpreter possible, please ring before 11.00am to speak with your service, we can organise this for you. Please let us know doctor to organise a suitable time. For safety reasons you when you make the appointment. must be a regular patient of the practice for at least a 12 month period to qualify for house visits. If you require a WHEELCHAIR ACCESS home visit after surgery hours please call Bathurst After Access is available through our back entrance. You can Hours Medical Service 6333 2888. If it is an emergency enter via the driveway in Seymour Street. Disabled please phone 000 for an ambulance or present to the parking is also available. If you require assistance, phone Bathurst Base Hospital. 6331 7077 and the reception staff will assist you. NURSING HOME VISITS MEDICAL STUDENTS The Doctors at Loxley House Family Practice visit their As part of our commitment to medical education, Loxley Nursing Home patients regularly at a time determined by House Family Practice will occasionally have students the Doctor and/or after consultation with nursing staff at sitting in with your Doctor as observers. However please LOXLEY HOUSE FAMILY the relevant Nursing Home. feel free to request that the student leave the room at the time of your consultation. PRACTICE RESULTS PATIENT FEEDBACK We are a family medical practice committed to providing a comprehensive medical service to you and your family. Please phone after 9.00am to discuss results with your From time to time we ask our patients if they would doctor.
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Ronald M. Epstein, MD, Larry Mauksch, MEd, Jennifer Carroll, MD, MPH, and Carlos Roberto Jaén, MD, PhD Have You Really Addressed Your Patient’s Concerns? These simple strategies will help you structure the medical encounter to ensure that you and your patient are on the same page. s family physicians, we often strive to provide patient-centered care and place great value on commu- nicating effectively with patients. WeA get to know our patients, their families and their concerns over time, and very often patients appreciate the care they receive. Despite our efforts, however, between 30 percent and 80 percent of patients’ expectations are not met in routine primary care visits.1 Often, important concerns remain unaddressed because the physician is not aware of the patient’s worries. Listening to audio recordings of patient- physician visits provides some insight into physician behaviors that keep patients from disclosing their concerns. For example, physicians often redirect patients at the beginning of the visit, giving patients less than 30 seconds to express their concerns.2 Later in the visit, physicians tend not to involve patients in decision making3 and, in general, rarely express empathy.4 Patients Downloaded from the Family Practice Management Web site at www.aafp.org/fpm. Copyright© 2008 American Academy of Family Physicians. For the private, noncommercial TRACY WALKER use of one individual user of the Web site. All other rights reserved. Contact [email protected] for copyright questions and/or permission requests. forget more than half of physicians’ clinical recommenda- improved patient trust and satisfaction,6 more appropri- tions,5 and differences in agendas and expectations often ate prescribing7 and more efficient practice.8 are not reconciled.
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The Length of Training Pilot: Does Anyone Really Know What Time It Takes? Peter J
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Puberty in Crisis
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Nursing Consideration During the First Stage of Labor
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MINUTES of the FOURTH MEETING of the LEGISLATIVE HEALTH and HUMAN SERVICES COMMITTEE September 16, 2009 Santa Ana Star Civic Center, Rio Rancho
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