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Physician-Related Services/Health Care Professional Services Billing Guide

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Physician-Related Services/Health Care Professional Services Billing Guide Washington Apple Health (Medicaid) Physician-Related Services/Health Care Professional Services May 6, 2021 Disclaimer Every effort has been made to ensure this guide’s accuracy. If an actual or apparent conflict between this document and a Health Care Authority (HCA) rule arises, HCA rules apply. Billing guides are updated on a regular basis. Due to the nature of content change on the internet, we do not fix broken links in past guides. If you find a broken link, please check the most recent version of the guide. If this is the most recent guide, please notify us at [email protected]. About this guide1 This publication takes effective May 6, 2021 and supersedes earlier billing guides to this program. Unless otherwise specified, the program(s) in this guide is governed by the rules found in Chapter 182-531 WAC. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562- 3022. People who have hearing or speech disabilities, please call 711 for relay services. Washington Apple Health means the public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority. Refer also to HCA’s ProviderOne billing and resource guide for valuable information to help you conduct business with the Health Care Authority. 1 This publication is a billing instruction. CPT® codes and descriptions only are copyright 2020 American Medical Association. 2 | PHYSICIAN-RELATED SERVICES/HEALTH CARE PROFESSIONAL SERVICES BILLING GUIDE What has changed? Subject Change Reason for Change Transhealth Program • Revised entire section Revised to align with amendments to WAC • Removed the four 182-531-1675 components necessary for surgical procedures • Added subsections by procedure type, which include the requirements necessary for each procedure • Streamlined the required documentation • Listed qualification requirements for behavioral health providers • Added information about prior authorization for clients age 17 and younger • Removed list of noncovered services • Added section for expedited prior authorization (EPA) procedures, including two new EPA codes: • EPA #870001615 for bilateral mastectomy or reduction mammoplasty • EPA #870001616 for genital or donor skin graft site hair removal • Added note box indicating when recoupment may occur CPT® codes and descriptions only are copyright 2020 American Medical Association. 3 | PHYSICIAN-RELATED SERVICES/HEALTH CARE PROFESSIONAL SERVICES BILLING GUIDE Subject Change Reason for Change Breast removal and Added language regarding Clarified that PA is breast prior authorization (PA) needed if more than one reconstruction reconstruction requirement procedure is required Removed HCPCS code Removed because this S2068 code is no longer covered How can I get HCA Apple Health provider documents? To access providers alerts, go to HCA’s provider alerts webpage. To access provider documents, go to HCA’s provider billing guides and fee schedules webpage. Where can I download HCA forms? To download an HCA form, see HCA’s Forms & Publications webpage. Type only the form number into the Search box (Example: 13-835). Copyright disclosure Current Procedural Terminology (CPT) copyright 2020 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. CPT® codes and descriptions only are copyright 2020 American Medical Association. 4 | PHYSICIAN-RELATED SERVICES/HEALTH CARE PROFESSIONAL SERVICES BILLING GUIDE Table of Contents Definitions ......................................................................................................................................... 24 Introduction ...................................................................................................................................... 27 Acquisition cost .......................................................................................................................... 27 Add-on codes .............................................................................................................................. 27 By report ........................................................................................................................................ 27 Codes for unlisted procedures ............................................................................................ 28 Conversion factors .................................................................................................................... 28 Diagnosis codes .......................................................................................................................... 28 Discontinued codes .................................................................................................................. 28 National correct coding initiative ....................................................................................... 29 Procedure codes ......................................................................................................................... 29 Provider Eligibility .......................................................................................................................... 30 Who may provide and bill for physician-related services? ..................................... 30 Can naturopathic physicians provide and bill for physician-related services? ............................................................................................................................................................ 31 Licensure ................................................................................................................................... 31 Limitations ................................................................................................................................ 31 Can substitute physicians (locum tenens) provide and bill for physician- related services? ......................................................................................................................... 32 Resident Physicians ................................................................................................................... 32 Which health care professionals does HCA not enroll? ........................................... 33 Does HCA pay for out-of-state hospital admissions? ............................................... 34 Client Eligibility................................................................................................................................ 35 How do I verify a client’s eligibility? ................................................................................. 35 Are clients enrolled in an HCA-contracted managed care organization (MCO) eligible? .......................................................................................................................................... 36 Managed care enrollment ..................................................................................................... 37 Checking eligibility ............................................................................................................... 37 Clients options to change plans ..................................................................................... 38 Clients who are not enrolled in an HCA-contracted managed care plan for physical health services ...................................................................................................... 38 Integrated managed care (IMC) ..................................................................................... 39 Integrated Apple Health Foster Care (AHFC) ........................................................... 39 Fee-for-service Apple Health Foster Care .................................................................. 40 CPT® codes and descriptions only are copyright 2020 American Medical Association. 5 | PHYSICIAN-RELATED SERVICES/HEALTH CARE PROFESSIONAL SERVICES BILLING GUIDE What if a client has third-party liability (TPL)? ............................................................. 40 Coverage - General ........................................................................................................................ 41 What is covered? ........................................................................................................................ 41 Does HCA cover nonemergency services provided out-of-state? ...................... 42 What services are noncovered? ........................................................................................... 43 General information ............................................................................................................. 43 Noncovered physician-related and health care professional services .......... 43 Medical Policy Updates ............................................................................................................... 46 Policy updates effective 4/1/2021 ......................................................................................
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