Index to General and Special Bulletins
for 2005
All Providers:
- 2004 Claim Adjustments for Physicians, Laboratory and Independent Mental
Health Procedure Codes, 05/05
- Additions to Covered Diagnostic and Therapeutic Radiopharmaceuticals, 11/05
- Ambulatory Visits and Diagnosis Code V82.9,
01/05
- Basic Medicaid Billing Guide
- Basic Medicaid Billing Seminar Schedule, 01/05
- CAP/Choice – A Pilot Program of Consumer
Directed Care, 01/05
- CPT Code Update 2005, 01/05
- CPT Codes 90465 and 90466 - New Immunization,
07/05
- Change in Medicaid Co-payments, 10/05
- Checkwrite Schedule
- Claim Adjustments for Physician, Laboratory,
and Independent Mental Health Procedure Codes, 07/05
- Clinical Coverage Policies
- Code Changes for Radiopharmaceuticals, 01/05
- Compliance
Date for HIPAA Electronic Transactions
- Compliance Date for Health Insurance Portability
Accountability Act (HIPAA) Electronic Transactions, 09/05
- Compression Garments
- Corrected 1099 Requests – Action Required
by March 1, 2005, 01/05
- Coverage of Orthotic and Prosthetic Devices, 08/05
- Decavac - Tetanus and Diphtheria Toxoids, 12/05
- Directions and Registration to the OB/GYN Medicaid Billing Seminar, 10/05
- Directions to the Basic Medicaid Seminars,
01/05
- Directions to the Expansion of Provider Types
for Outpatient Behavioral Health Services, 01/05
- Directions to the Medicaid Family Planning Waiver Seminar, 10/05
- Directions to the OB/GYN Medicaid Billing Seminar, 09/05
- Early Periodic Screening Diagnosis and
Treatment
- Facts for Providers Regarding the Medicare Prescription Drug Plan, 05/05
- Family Planning Waiver "Be Smart", Special Bulletin, 08/05
- Family Planning Waiver August 2005 Special Bulletin Update, 12/05
- Fee Schedule, 03/05
- HCPCS Code A4570, 07/05
- Hipp Program,12/05
- Influenza Vaccine and Reimbursement Guidelines, 12/05
- Influenza Vaccine Coverage Billing Guidelines, 05/05
- Informed Decisions Beneficiary Centered Enrollment Service, 12/05
- Intracranial Neurostimulator Procedures, 10/05
- Low Osmolar Contrast Media - Billing Guidelines, 11/05
- Medicaid Coverage Information for the Excluded Drug Classes under Medicare
Part D, 12/05
- Medicaid Family Planning Waiver Seminar Registration, 10/05
- Medicaid Provider Survey - Provider Input
Requested
- Medicare Part D Web Page, 11/05
- Meningococcal Conjugate Vaccine Billing
Guidelines
- Modifier Additions for 2005, 01/05
- NC Leads Update
- New Dates for the Medicaid Family Planning Waiver Training, 10/05
- New Health Plan Announcement, 01/05
- North Carolina Health Choice Children Age
0-5 Moving to Medicaid
- OB/GYN Medicaid Billing Seminar Schedule, 10/05
- Obstetric Anesthesia Code Limitation Change, 09/05
- Pediarix, 0605
- Piedmont Cardinal Health Plan, 03/05
- Place of Service Codes, 12/05
- Provider Services and Enrollment Change of Address, 06/05
- Provision of Orthotic and Prosthetic Devices, 05/05
- Radiation Treatment Delivery and Management Codes Billing Guidelines, 04/05
- Referrals to Adult Care Homes, 07/05
- Registration for the Family Waiver Seminar, 08/05
- Reimbursement Rate and HCPCS Code Changes for the Physician's Drug Program,
02/05
- Reinstating Providers Suspended for Outstanding Repayments, 12/05
- Requests for Corrected 1099 - Action Required by March 1, 2006, 10/05
- Revised Fees 2005, 01/05
- Seminar Schedule for the Expansion of Provider
Types for Outpatient Behavioral Health Services, 01/05
- Seniors Health Insurance Information Program (SHIIP) "Train the Trainer"
Sessions for Medicare Part D Prescription Drug Benefit, 11/05
- Sincalide (Kinevac), 04/05
- Tax Identification Information
- Transcranial Doppler Studies, 09/05
- Updated EOB Code Crosswalk to HIPAA Standard
Codes
Addictions Specialist:
Adult Care Home Providers:
Ambulance Providers:
Ambulatory Surgical Centers:
Anesthesiologists:
Automated Quality and Utilization Improvement Program (AQUIP) Users:
Outpatient UB-92 Billers:
CAP/DA, CAP/C CAP/AIDS, AND CAP/CHOICE Case Managers:
CAP/DA Lead Agencies:
CAP - MR/DD Providers:
Case Manager Agencies:
Certified Registered Nurse Anesthetists:
Child Services Coordination Providers:
Children's Development Services Agencies (CDSA):
Chiropractors:
Certified Clinical Supervisors
Community Alternatives Program (CAP) Case Managers:
Community Development Service Agency:
County Departments of Social Services:
DD Targeted Case Management Providers:
Dental Providers:
Dialysis Facilities:
Direct Enrolled DD/MR Targeted Case Management Providers:
Direct Enrolled Mental Health Providers and Contracted Entities:
Durable Medical Equipment Providers:
- 2005 HCPCS Code Deletions and Crosswalks, 02/05
- 2005 Enteral HCPCS Codes, 02/05
- Change in Rate Methodology for HCPCS Code E0781, 10/05
- Code Conversion for Blood Glucose Monitor with Special Features, 09/05
- Code Conversions for Power Wheelchair Electronics, Wheelchair Components,
and Enteral Nutrition Products, 06/05
- Correction Fluid and Correction Tape on CMN/PA Forms, 04/05
- Correction to July 2005 Code Conversions for Power Wheelchair Electronics,
Wheelchair Components, and Enteral Nutrition Products
- Enteral Nutrition HCPCS Codes Rate Change, 04/05
- HCPCS Code Description Changes for 2005
for Durable Medical Equipment Enteral Nutrition Products, 02/05
- HCPCS Code Conversions for Orthotic Devices,
01/05
- HCPCS Codes L2435, L5674, and L5675, 03/05
- Limitations on Medicaid Services Provided to Hospice Recipients - Clarification
of Policy, 08/05
- Medicare Crossovers and Spanning Dates, 06/05
- New Certificate of Medical Necessity and
Prior Approval (CMN/PA) Forms, 07/05
- Orthotic and Prosthetic Code Changes,06/05
- Place of Service for Durable Medical Equipment and Orthotic and Prosthetic
Devices, 12/05
- Reimbursement Rate for HCPCS Code A4259, Lancets, 11/05
Employees of Physicians Offices, Hospital Outpatient Departments,
Local Health Departments, Who Provide Mental Health Services and LME's:
End Stage Renal Disease Providers:
Enhanced Mental Health Services:
Family Planning Services Providers:
Federally Qualified Health Centers:
General Hospitals:
Head Start/Local Education Agencies:
Health Check Providers:
Health Choice Providers:
Health Departments:
Home Health Agencies:
Home Infusion Therapy:
Hospice Providers:
Hospital Discharge Planners:
Hospital Outpatient Departments:
Hospitals:
- 01967 and 01996 Modifier Billing Changes,
07/05
- Clarification of Preadmission Review for
Psychiatric and Substance Abuse Treatment, 03/05
- Extracorporeal Membrane Oxygenation, 07/05
- Inpatient Crossovers and DRG Payments, 03/05
- Inpatient Services with Medicare Part B
Coverage Only, 03/05
- Level I Preadmission Screening Annual
Resident Review (PASAAR) Screens, 11/05
- Outpatient Pathology, 06/05
- Preadmission Screening Annual Resident Review Seminars, 08/05
- Reimbursement Rate for Swing Beds and Lower
Levels of Care Services, 04/05
- Reimbursement Rate for Vent Beds, 04/05
- Submission of Prior Approval Requests for
Transplants, 07/05
Independent Laboratories:
- CLIA Certification Related Claim Denials
Independent Practitioners:
Intermediate Care Facilities for the Mentally Retarded:
Local Education Agencies:
Local Health Departments:
Local Management Entities (LME):
Medical Doctors:
Mental Health Providers:
Mental Health Practitioners Who are Employed in Physicians Offices/Clinics,
Hospital Outpatient Department, LME, and Local Health Departments/School
Based Health Centers:
Nurse Facilities:
- Adjustments Associated with Unsupported
MDS Information 2005-2006,10/05
- Discontinuation of the 34-Day Grace Period
for Prescription Drug PA for Long Term Care Facilities, 12/05
- Level I Preadmission Screening Annual
Resident Review (PASAAR) Screens, 11/05
- Minimum Data Set Supportive Documentation Guidelines, 08/05
- Nursing Facility Capital Reimbursement, 06/05
- Nursing Facility Changes in Ownership, 09/05
- Preadmission Screening Annual Resident Review Seminars, 08/05
- Reimbursement Rate for Swing Beds and Lower
Levels of Care Services, 04/05
- Reimbursement Rate for Vent Beds, 04/05
- Restorative Nursing Defined for Case Mix, 08/05
Nurse Midwives:
Nurse Practitioners:
- Abarelix,
100 mg (Plenaxis, J9999) – Billing Guidelines,
- Alemtuzumab, 10 mg (Campath, J9010) - Billing Guidelines, 04/05
- Bevacizumab (Avastin), 02/05
- Mental Health Reimbursement Rate Update, 03/05
- Natalizumab, 300 mg (Tysabri, J3490) Billing Guidelines, 03/05
- Obstetrical Ultrasounds for Multiple Fetuses,
05/05
- Paclitaxel Protein-bound Particles for Injectable Suspension, 1mg (Abraxane,
J9999) - Billing Guidelines, 09/05
- Pemetrexed (Alimta, J9999) - Billing Guidelines,
01/05
- Pemetrexed, 500 mg (Alimta), 02/05
OB/GYN Providers:
Optical Providers:
Optometrists:
Orthotic and Prosthetic Providers:
Osteopaths:
Outpatient Hospital Clinics:
Personal Care Services (PCS) Providers:
Pharmacy Providers:
- Access to Over-the-Counter Medications Covered by N.C. Medicaid, 11/05
- Correction for Removal
of Smoking Cessation Medications, 02/05
- Discontinuation of the 34-Day Grace Period
for Prescription Drug PA for Long Term Care Facilities, 12/05
- Drug Coverage under Hospice, 07/05
- Inaccurate Billing of Pharmacy Claims, 11/05
- Medicaid Recipients and Transition to Medicare
Part D Prescription Drug Plans, 07/05
- Medicare Part D: Implications for North
Carolina's Pharmacists and Senior Citizens
- Medicare Part D Provider Marketing Guidelines Now Available, 10/05
- New Prior Authorization Procedures for OxyContin and Oxycodone Extended-Release
Products, 11/05
- Over-The Counter Nicotine Replacement Therapy Medications Covered by Medicaid,
10/05
- Pharmacy Stub Audits, 07/05
- Policy and Procedures for Prescribing Synagis
for RSV Season 2005-2006, 10/05
- Prescription Advantage List Update, 07/05
- Providing Compounded Prescriptions for Medicaid Recipients, 10/05
- Removal of Impotency Drugs from Medicaid Coverage, 07/05
- Reporting Changes of Address and Contact Information, 11/05
- Six Prescription Limit and Recipient Lock-In To One Pharmacy Each Month,
07/05
Physicians:
- 01967 and 01996 Modifier Billing Changes, 07/05
- Abarelix, 100 mg (Plenaxis, J9999) – Billing
Guidelines, 01/05
- Add-on Code 61795, 07/05
- Alemtuzumab, 10 mg (Campath, J9010) - Billing
Guidelines, 04/05
- Bevacizumab (Avastin), 02/05
- CLIA Certification Related Claim Denials
- Clarification of First Treatment for Outpatient
Specialized Therapies, 09/05
- Code Change for Gastric Bypass Surgery,
02/05
- Dermagraft Coverage (J7324), 04/05
- Epogen for End-Stage Renal Disease - Changes
to Billing Guidelines - Correction, 09/05
- Epogen for End-Stage Renal Disease - Changes
to Billing Guidelines, 08/05
- Extracorporeal Membrane Oxygenation, 07/05
- Gastric Bypass Prior Approval Documentation,
10/05
- Hyperbaric Oxygenation Therapy: Approval for Urgent Treatment, 07/05
- Into the Mouths of Babes: Oral Screening and Flouride Varnish Program,
05/05
- Natalizumab, 300 mg (Tysabri, J3490) Billing Guidelines, 03/05
- Obstetrical Ultrasounds for Multiple Fetuses,
05/05
- Paclitaxel Protein-bound Particles for Injectable
Suspension, 1mg (Abraxane, J9999) - Billing Guidelines, 09/05
- Pemetrexed (Alimta, J9999)–Billing Guidelines,
01/05
- Pemetrexed , 500 mg (Alimta), 02/05
- Pegaptanib, 0.3 mg (Macugen, J3490) - Billing Guidelines, 04/05
- Physicians Drug Program Pricing List Update,
10/05
- Provider Enrollment, 10/05
- Provider Enrollment, Billing, and Coverage
Information, 01/05
- Revision to Rates for Occupational Therapy, Physical Therapy, Respiratory
Therapy, and Audiology Services, 05/05
- Submission of Prior Approval Requests for
Transplants, 07/05
- Updates to Outpatient Specialized Therapies
Prior Approval Process, 07/05
- Ziconotide Intrathecal, 25mcg/ml and 100mcg/ml (Prialt, J3490) - Billing
Guidelines, 04/05
Nurse Midwives:
Physician Services:
Podiatrists:
Portable X-Ray Providers:
Prescribers:
Private Duty Nursing:
Providers of Targeted Case Management Services for Mentallly Retarded/Developmentally
Disabled Individuals:
Psychiatric Hospitals:
Psychologist and Addictions Specialist:
Rural Health Centers:
School Based Health Centers:
Social Workers
UB-92 Billers:
top
Updated December 15, 2005