Back to Chapter 13 Table of Contents
Chapter 13 Includes: (Continued) 15. National Provider Identification
Alert Alert draws attention to critical information that has changed this year.
16. Assembly Bill (AB) 72 17. Provider Preventable Conditions
Contact Contact information on who to contact for assistance.
18. Third Party Liability 19. Coordination of Benefits
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20. Claims Overpayments 21. Provider Dispute Process 22. Reimbursement Policies 23. Claim Edits and Industry Standard Correct Coding 24. CPT and HCPCS Codes 25. Modifiers 26. ICD-10-CM/PCS Codes 27. Type of Bill 28. Revenue Codes 29. Diagnosis Related Group (DRG) 30. National Drug Code Number 31. Nationally Correct Coding Initiative Edits 32. Edit Updates and Changes 33. NCCI Edit Claims Denials 34. VHP’s Claim Auditing Software 35. Payment/denial codes 36. Review Schedules and Updates 37. Claims Auditing
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CH 13: Claims & Billing Submission
2021 / Provider Manual
