| Name |
Description |
| Carrier codes |
Listing of Third Party Carriers and Carrier Codes |
| Chronic Care Diagnoses |
Catamount Health-Chronic Care wrap-around diagnosis codes. |
| Clinical Resources |
Billers, please follow this link to clinical guidelines and other clinical resources. |
| CMS 1500 08/05 Supplement |
Provider manual with billing instructions for the CMS1500 08/05 claim form. |
|
Dental Fee Schedule
|
Schedule of Dental Fees |
| Dental Supplement |
Provider Manual with billing instructions related to the dental claim |
| Diagnosis/Surgical Codes |
Mapping of new 2008 ICD-9 diagnosis and surgical procedure codes to current codes. This is to be used if hospitals did not purchase grouper software where the mapping is done automatically effective October 1, 2007. |
| DME Restrictions |
Current DME codes with each restriction, allowable modifier and unit limitation. |
| DRG Q&A |
Questions and Answers for providers pertaining to DRG payment methodology. |
| 2007 E & M Rates |
Updated list of RBRVS rates. |
| EOB Codes X-walk |
Vermont Medicaid non-compliant EOB codes cross walked to HIPAA-compliant adjustment reason codes. |
| Fee Schedules |
Fee Schedule of CPT/HCPCS Codes. |
| Moved to Provider Listings |
Ladies First Active Providers List |
| OPPS Revenue code requiring HCPCS/CPT |
All active revenue codes marked with Yes require CPT/HCPCS coding. THE PREPARATION FOR THE IMPLEMENTATION OF OPPS PRICING HAS NOT CHANGED VERMONT MEDICAID POLICY REGARDING NON-COVERED SERVICES |
| PA Supplement |
The Prior Authorization Supplement contains billing and policy information. Please refer to the Fee Schedule for the procedure codes that require prior authorization. |
| Vermont Medicaid Pre-Procedure Request Form |
Pre-Procedure Request form. Pages 1 & 2 are mandatory and pages 3 & 4 are to be used when applicable. |
| OPPS Provider Bulletin for Outpatient Hospital Billers |
Important OPPS Provider Bulletin for Outpatient Hospital Billers |
| Provider Manual |
Base Provider Manual which contains info related to policy and eligibility |
| Relative Weights |
Vermont-based Relative Weights Effective January 1, 2008. |
| Transportation |
OVHA/EDS Provider Manual with information related to the Medicaid transportation service |
| UB 04 |
Provider manual with billing instructions for the UB04 claim form. |
| X12N guides |
Website where the HIPAA X12N Implementation Guides can be found and downloaded. |
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