Home > Industry News Free Tags

News Tags: California Medi-Cal

    • June 4, 2018

    A New Way to Subscribe – Contact Medi-Cal Subscription Service Representatives 2018 Update to PE4PW Income Eligibility Guidelines Reimbursement Rates Established for Select Mammography CPT-4 Codes Expanded TAR Clinical Criteria for DNA Sequence Analysis Procedures Updated TAR Criteria for Familial Hyperinsulinism Gene Analysis Automated... more

    Read


    • May 17, 2018

    Medi-Cal Bulletin   Source: http://files.medi-cal.ca.gov

    Read


    • May 17, 2018

    Medi-Cal Bulletin: A frequent cause of claim denials by Medi-Cal is due to incorrect recipient admission and discharge dates and/or incorrect patient status codes submitted by providers. 

    Read


    • April 27, 2017

    Providers submitting electronic Treatment Authorization Requests (eTARs) for procedure codes that do not normally require a TAR must select the special handling description “Cannot bill direct, TAR is required,” which is found in the Patient Information section of the eTAR application. Further information can be found in the TAR Overview section... more

    Read


    • January 3, 2007

    Effective for dates of service on or after January 01, 2007, the California Department of Health Services (CDHS) is updating the maximum reimbursement amounts for laboratory chemistry procedures. These rates are as follows: Description Rate 1 - 2 clinical chemistry tests $5.82... more

    Read


    • September 1, 2006

    In accordance with the 2006 updates to the Current Procedural Terminology – 4th Edition (CPT-4 code book), the provider manual has been updated to reflect changes in reporting for codes used to bill for Pap smear tests. This section contains information to assist providers in billing for pathology procedures related to cytopathology... more

    Read


    • July 2, 2007

    From April 23, 2007 to June 24, 2007, Medi-Cal will accept both the HCFA 1500 and CMS-1500 form. Providers using the HCFA 1500, however, can only enter their Medi-Cal provider number. Providers may choose to fully transition to the new CMS-1500 claim form at any time during this two-month period before the use of the CMS-1500 becomes mandatory.... more

    Read


    • August 1, 2006

    Beginning September 2006, Medi–Cal providers will be able to register their National Provider Identifier (NPI) with the California Department of Health Services (CDHS) through an automated collection system. A new NPI Web page will appear on the Medi-Cal Web site that will contain the link to the NPI registration tool. HIPAA mandates the... more

    Read


MORE