Medi-Cal

Following are Medi-cal Links with useful references, Billing Tips and Outreach/Educational tips that will assist with any questions needed answered for your coding needs.

http://www.medi-cal.ca.gov/references.asp


http://files.medi-cal.ca.gov/pubsdoco/billing_tips.asp


http://www.medi-cal.ca.gov/education.asp

Fee Schedules

Info taken from the Website, useful for your coding needs

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.  This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.  CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies.  See Related Links below for information about each specific fee schedule.

Medicare

https://www.cms.gov/Medicare/Medicare.html

Info from the Website:

The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS). Watch a short video to get to know about us and our work, mission, and vision. Or watch a longer version to also get to know the programs we administer including: Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.
The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS). We administer Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and parts of the Affordable Care Act (ACA).

America’s Health Insurance Plans

https://www.ahip.org/index.aspx

America’s Health Insurance Plans (AHIP) is the national trade association representing the health insurance industry. Good information if you need it.

NAMCP

http://www.namcp.org/cmeonline.htm

Above link has the following information for our coding knowledge

Business/Practice Management	Preventive Health & Lifestyle Medicine	Chronic Illness
Behavioral Health	Oncology	Genomics Biotech & Emerging Medical Technologies

Blue Shield

https://www.blueshieldca.com/provider/claims/submit/home.sp
 This website has the following useful information

Eligibility and Benefits

Claims

Authorizations

News and Education

Guidelines and Resources

Useful "Insurance collection" resources

Fair Credit Reporting Act Information and additional links from the Federal Trade Commission, Fair Credit Reporting Act complete text.

Fair Debt Collection Practices Act Information and additional links from the Federal Trade Commission.

Medicare Health Plans Includes information on Medicare Managed Care Appeals & Grievances; from the Centers for Medicare and Medicaid Services.

Nolo Commercial provider of legal information for consumers and small businesses.

Prompt Pay Statutes by State A downloadable document with information on specific states. One of several tools available online from Karen Zupko & Associates, Inc.

Small Claims Court.com "How to file in small claims court with free court forms and in-depth information about garnishment and judgment collection actions!" From Rich's Enterprises, L.L.C.

Veterans Administration forms From the Veterans Health Administration.

Uniform Commercial Code Locator Site from the Legal Information Institute, Cornell University Law School.