ubo4 value codes 2019

ubo4 value codes 2019

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Home Health Rural Add-on Payments Based on County … – CMS.gov

Dec 31, 2018 … January 1, 2019, the claim contains the code for the county (or … Accept value
code 85 and an associated FIPS State and County Code on home health …
copyrighted materials including the UB-04 codes and descriptions …

Medicare Claims Processing Manual Crosswalk – CMS.gov

This form, also known as the UB-04, is a uniform institutional provider bill … This
section contains Medicare requirements for use of codes maintained by the ….
FL39 Value Code Amount …… R4194CP 01/11/2019 Update to Publication (Pub.)
 …

UB04 Hospital Billing Instructions & Revenue Code Matrix

Value Codes and Amounts. 38. FL 45 … UB04 Hospital Instructions ….. June 7,
2019 Updates: Added clarifying guidance regarding Frequency 5 – Late Charges
 …

Type of Bill Codes

Jan 1, 2007 … Provider Handbook. 837 Institutional/UB-04 Claim Form. UB-04 Desk Reference
for Long Term Care Facilities. These values are valid for paper …

UB-04 Claim Form – Medi-Cal

Dec 4, 2018 … Identify the section in the provider manual related to UB-04 claim form … ICD-10-
CM diagnosis codes and ICD-10 PCS codes on a claim to …. To ensure accurate
processing, only one ACN value will be ….. January 2019. 27.

Preventing Paper Claims Rejections Fact Sheet – VA.gov

Updated Date: February 13, 2019. Preventing … rejection code and reason for
the claim rejection. The most … (UB-04) paper claims rejections and the best
ways avoid them. ….. This claim contains one or more invalid Value Codes. Box
39, 40 …

Kentucky Inpatient and Outpatient Data Coordinator's Manual For …

Jan 1, 2019 … Cover Page – Revised date changed to January 1, 2019. • Page 6 – The ….. (
UB04). Zip Code of patient's resident. Unknown = 00000, Foreign = 99999. No
more than 1% …… 39-41. (UB04). Value Code designating that a birth.

Provider Relations – State of Michigan

Jul 11, 2017 … 2009-2019 Biller B Aware–Updated 2/04/19 …… This includes and is not limited
to: value codes, occurrence span codes, condition …… 0x3939685: Usage is
restricted for certain UB-04 "Payer-Only" codes (reserved for payer.

njddcs data dictionary – NJ.gov

External Code Source: National Uniform Billing Committee's UB04 Specifications
. Manual. Required …. is 4 (Newborn), then Value Code 54 must be present, and
the value code amount must be …… UNION. 2019 UNION TOWNSHIP. UNION.

Aetna HealthFund® CDHP / Aetna Value Plan – OPM

requirements. Enrollment code for: CT, DE, MA, ME, NH, NJ, NY, RI, VT …… 2019
Rate Information for the Aetna HealthFund CDHP / Aetna Value Plan ………………….
…………………………………………….172. 3 …… Your facility will file on the UB-04 form.

Child Core Set – Medicaid

Feb 8, 2019 … No fee schedules, basic units, relative values or related listings are included in
CPT. … The UB Codes in the Child Core Set specifications are included with the
… please contact ub04@healthforum.com. The Code … 2019 American Dental
Association on behalf of the Dental Quality Alliance (DQA). All rights …

South Dakota Medicaid – South Dakota Department of Social Services

Manual. March 2019 …… official UB-04 (CMS-1450) claim form printed in red
OCR ink and the claim must be typewritten. Information ….. Value codes and
value amount must be listed if the provider receives a discount on the medical
supplies …

ASTC/ODC Data System User Manual (November 2018) – TN.gov

The Department of Health has been collecting information from UB-04 billing
claims on all outpatient … Several new patient discharge codes have taken effect
as of October 1, 2013. See pages … submit NPI with starting first quarter 2019.
However, they …. Default values for a field, if present, are given in the Data.
Dictionary …

HMO EOB Cheat Sheet – ForwardHealth Portal

Feb 15, 2019 … … Cheat Sheet. Date Last Updated: January 11, 2019 … Option 1: Search for the
EOB Code using search features. Option 2: …. Indicator for present on admission
(POA) is not a valid value. 1566 ….. Home Health service area → Select Claims
→ Submission → UB-04 (CMS 1450) Claim Form Instructions.

Paper Claim Billing Resource – Washington State Health Care …

Oct 1, 2016 … April 2019. Every effort has …. Completing the UB-04 claim form . … HCA
complies with 25 U.S. Code § 1621e(h) and will not deny a claim for benefits ……
billing software requires the decimal in the Value Code field, enter the.

Claim Adjustment Reason Codes and Remittance … – Mass.gov

May 14, 2019 … Claim Adjustment Reason Codes and Remittance Advice Remark Codes (CARC
and RARC)–Effective 05/01/2019. EOB. CODE. EOB CODE …… VALUE CODE
AMOUNT IS MISSING 16 …… TYPE O-UB04 INV 03. 18.

NC Medicaid: 8C, Outpatient Behavioral Health Services … – NC.gov

Mar 15, 2019 … services available on or after November 1, 2019, please contact …… policies,
service definitions, or billing codes are covered for an NCHC …… and value. …..
Coding System (HCPCS), ICD-10 procedure codes, and UB-04.

PART II POLICIES AND PROCEDURES For FEDERALLY …

Jan 1, 2019 … 1/1/2019. 920. Added same day billing verbiage for behavioral health …
APPENDIX H – PROCEDURE CODES REIMBURSABLE AT FQHC AND RHC
PPS RATE …… freestanding rural health clinics, and the UB-04 claim form for ……
they receive through traditional Medicaid and state Value Added Benefits.

ub 04 value codes 2019

ub 04 value codes 2019

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Medicare Claims Processing Manual Crosswalk – CMS.gov

This form, also known as the UB-04, is a uniform institutional provider bill suitable
for use in billing … This section contains Medicare requirements for use of codes
maintained by the NUBC …… R4194CP 01/11/2019 Update to Publication (Pub.)
 …

Home Health Rural Add-on Payments Based on County … – CMS.gov

Dec 31, 2018 … Processing Standards (FIPS) state and county codes lists. … January 1, 2019, the
claim contains the code for the county (or equivalent … Making copies or utilizing
the content of the UB-04 Manual, including the codes and/or.

UB04 Hospital Billing Instructions & Revenue Code Matrix

The UB-04 is a uniform institutional bill suitable for use in billing multiple third
party … June 7, 2019 Updates: Added clarifying guidance regarding Frequency 5
– Late …… Required when there is a condition code that applies to this claim.

Hospital Services Manual – Utah Medicaid – Utah.gov

Utah Medicaid Provider Manual. Hospital … Updated January 2019. Page 1 of 17
…… (UB-04 Manual) for the Utah Medicaid UB-04 Billing Instructions. Electronic …

UB-04 Claim Form – Medi-Cal

Dec 4, 2018 … completion of the UB-04 claim form for Medi-Cal services. … Identify the section in
the provider manual related to UB-04 claim form completion.

Hospice Agencies Appendices (pdf) – Illinois.gov

The UB-04 Data Specifications Manual contains a blank facsimile of …. 1, 2019.
45. Service Date. A service line date is required on all hospice services. Prior to.

MS Inpatient Hospital FAQ – Mississippi Medicaid – MS.GOV

Version Date: July 1, 2019 (updated June 25, 2019). Since October 1 …..
Envision reads the diagnosis codes (not the value codes) to … outpatient setting)
and through date (ending with the hospital inpatient discharge date) in the UB-04
box 6.

South Dakota Medicaid – South Dakota Department of Social Services

South Dakota Medicaid. Institutional Billing. Manual. March 2019 …… official UB-
04 (CMS-1450) claim form printed in red OCR ink and the claim must be …

Billing Guidelines for Health Care Provided to Veterans – VA.gov

Utilize Medicare's Claims Processing Manual. CMS 100-04 at: … CMS-1450 (UB-
04). 11 … Ensure that the codes reflect the level of care provided. ▫ Valid use of …

NC Medicaid: 2A-1, Acute Inpatient Hospital Services – NC.gov

Mar 15, 2019 … services available on or after November 1, 2019, please contact your …… Coding
System (HCPCS), and UB-04 Data Specifications Manual.

Measures for Medicaid Managed Long Term … – Medicaid.gov

Supports Plans. Technical Specifications and Resource Manual. May 2019.
Center for Medicaid and … Anyone desiring to use the UB Codes in a commercial
product to generate measure results, or for … ub04@healthforum.com. For
National …

[Billing Code: 4120-01-P] DEPARTMENT OF HEALTH AND HUMAN …

Jul 18, 2019 … Proposed Provisions of the Home Health Value-Based Purchasing (HHVBP)
Model … in the CY 2019 HH PPS final rule (83 FR 56406), which would also ……
format-electronic version of the UB-04) allows HHAs to report up to …

Medical Fee Schedule Effective January 1, 2019 – Maine.gov

EFFECTIVE: JANUARY 1, 2019 …. The CPT® manual is published by ….. Bills for
inpatient services must be submitted on a CMS Uniform Billing (UB-04) form.

Medical Fee Schedule – Alaska Department of Labor – State of Alaska

Jan 1, 2019 … Fee schedules, relative value units, conversion factors and/or related ….. Services
should be reported using CPT codes and HCPCS. Level II codes. … 2019 Alaska
Workers' Compensation Medical Fee Schedule—Introduction. 2. CPT © 2018 …
in an inpatient setting and billed on a UB-04 (CMS 1450) or.

Medical Policy Manual – IN.gov

Medical Policy. Manual. Version 2.17. July 2019 …. current claim, must be
entered on the UB-04 in fields 39-41 with value code 53. Reasons for Denial.
Although …

Paper Claim Billing Resource – Washington State Health Care …

Oct 1, 2016 … April 2019. Every effort has been …. Completing the UB-04 claim form . … HCA
complies with 25 U.S. Code § 1621e(h) and will not deny a claim for benefits ……
Value Code 66: For Spenddown on Institutional Hospital claims.

HMO EOB Cheat Sheet – ForwardHealth Portal

February 15, 2019. HMO EOB Cheat Sheet … Date Last Updated: January 11,
2019 ….. The UB-04 manual includes restrictions on Type of Bill (TOB) codes.

Table of Contents – Idaho Medicaid Health PAS OnLine

July 1, 2019 ….. The Division of Medicaid determines whether the condition is an
emergency and if …… PCS procedure code in Box 74 on the UB-04 claim form.

when are value codes used 2019

when are value codes used 2019

PDF download:

Home Health Rural Add-on Payments Based on County … – CMS.gov

Dec 31, 2018 … January 1, 2019, the claim contains the code for the county (or … Accept value
code 85 and an associated FIPS State and County Code on home health …
descriptions, for internal purposes, resale and/or to be used in any …

July 2019 Integrated Outpatient Code Editor (I/OCE) – CMS.gov

Jul 5, 2019 … Note: We revised this article on July 3, 2019, to reflect the revised CR11298 that
… 7/1/2019. Implement logic to accept Payer Value Code and Value Code ….
descriptions, for internal purposes, resale and/or to be used in any …

Codes & Values 2019 – ahcccs

Jul 31, 2019 … Codes & Values 2019. 2. There have been numerous changes made to the
Codes and Values for 2019. Information that is no longer used has …

UB04 Hospital Billing Instructions & Revenue Code Matrix

Value Codes and Amounts ….. June 7, 2019 Updates: Added clarifying guidance
regarding Frequency 5 – Late Charges ….. Effective May 1, 2019 – Not Used.

FEE-FOR-SERVICE PROVIDER BILLING MANUAL … – ahcccs

Revision Dates: 8/23/2019; 4/12/2019; 11/1/2018; 4/5/2018; 2/9/2018 … range of
procedure codes that may be used by each provider type is listed in the provider
…. Billing the Basic Unit Value of four would indicate placement of four catheters.

MS Inpatient Hospital FAQ – Mississippi Medicaid – MS.GOV

Jun 25, 2019 … The base price as of July 1, 2019, is $6,574. The base …. MS-DRGs—the
algorithm now used by Medicare—were designed for a Medicare population
using only … Envision reads the diagnosis codes (not the value codes) to.

mississippi division of medicaid provider billing handbook

Appendix includes a collection of forms to be used by the providers for interaction
….. To identify the assigned value for each code, see the Mississippi Medicaid …

Medi-Cal Provider Training 2019: Billing Basics (bb_2019) – State of …

Dec 4, 2018 … benefits, can be used to bill full-scope medical services rendered to her newborn
….. of BE and value code of FC to report SOC information.

Provider Relations – State of Michigan

Jul 11, 2017 … 2009-2019 Biller B Aware–Updated 2/04/19 www. …… This includes and is not
limited to: value codes, occurrence span codes, condition codes etc. … CHAMPS
enrollment is used solely to screen providers participating in.

Antimicrobial Use and Resistance – CDC

Jan 1, 2019 … January 2019. 14-1 …. care locations should be used throughout NHSN for both
AUR and HAI reporting. Facilities should not ….. codes as well as the drug values
used for the development of the CDA files can be found here:.

The EFC Formula, 2019-2020 – IFAP – U.S. Department of Education

All data used to calculate a student's EFC comes from the information the student
…. the tax code of the Commonwealth of Puerto Rico, Guam, American Samoa,
the …. Rounding should be performed so that the intermediate value that is the …

FDA Food Code 2017

The Food Code is a model for safeguarding public health and ensuring food is
….. Federal performance standards may be used to determine the safety of a
product …… "Critical limit" means the maximum or minimum value to which a
physical,.

2018-2019 Value-Added Progress Dimension – Ohio Department of …

Ohio Revised Code Section 3302.03 (C)(1)(e) and 3302.03(C)(1)(f) say: …
student academic progress measure to be used instead of the value-added
progress …

ForwardHealth Provider Portal Institutional Claims User Guide

June 4, 2019. User Guide ….. Enter the amount of the value code used to identify
the data elements necessary to process the claim in the Amount field. 5. To add …

general information – ND.gov

Jan 1, 2019 … January 2019 ….. North Dakota Administrative Code 75-02-05 provides
additional … Record documentation is used by ND Medicaid to determine ….. The
base value for anesthesia services includes usual pre-operative.

Construction Codes

Michigan Building Code, Michigan Residential Code, Michigan Energy Code ….
apply to electrical equipment used for radio and television transmissions, but …. (
5) Adjustments to lumber and joint connector design values for conditions of use.

441.21 Actual, assessed, and taxable value. 1. a. All property …

Dec 8, 2018 … Iowa Code 2019, Section 441.21 (56, 5) …. “Actual value”, “taxable value”, or “
assessed value” as used in other sections of the Code in relation …

visa merchant category classification (mcc) codes directory

(MCC) CODES DIRECTORY. MCC ….. Car and Truck Dealers (New and Used)
Sales, Service, Repairs, … Sewing, Needle, Fabric, and Price Goods Stores.

value codes ub04 2019

value codes ub04 2019

PDF download:

Home Health Rural Add-on Payments Based on County … – CMS.gov

Dec 31, 2018 … January 1, 2019, the claim contains the code for the county (or … Accept value
code 85 and an associated FIPS State and County Code on home health …
copyrighted materials including the UB-04 codes and descriptions …

Medicare Claims Processing Manual Crosswalk – CMS.gov

This form, also known as the UB-04, is a uniform institutional provider bill suitable
for use in billing …. FL35 Occurrence Span Code/From/Through a AN/N/N 2/6/ …

UB04 Hospital Billing Instructions & Revenue Code Matrix

June 7, 2019 Updates: Added clarifying guidance regarding Frequency 5 – Late
Charges …… Required when there is a condition code that applies to this claim.

Kentucky Inpatient and Outpatient Data Coordinator's Manual For …

Jan 1, 2019 … Cover Page – Revised date changed to January 1, 2019. • Page 6 – The ….. (
UB04). Zip Code of patient's resident. Unknown = 00000, Foreign = 99999. No
more than 1% …… 39-41. (UB04). Value Code designating that a birth.

UB-04 Claim Form – Medi-Cal

Dec 4, 2018 … UB-04 Delay Reason Code Claim Example ….. Inpatient Claims: Discharge Date:
Enter occurrence code “42” and ….. January 2019. 27. 77.

ForwardHealth Provider Portal Institutional Claims User Guide

June 4, 2019 …. refer to the UB-04 Claim Form completion instructions in the
applicable service area of ….. The Condition Code search panel will be displayed
.

Hospice Agencies Appendices (pdf) – Illinois.gov

K-3 Billing Scenarios for the UB-04 Claim Format. K-4 Internet Quick …. August 1,
2019. 31-34. … 39-41. Value Codes – Value Code 80 is required for all hospice.

Preventing Paper Claims Rejections Fact Sheet – VA.gov

Updated Date: February 13, 2019. Preventing … rejection code and reason for
the claim rejection. The most … (UB-04) paper claims rejections and the best
ways avoid them. ….. This claim contains one or more invalid Value Codes. Box
39, 40 …

mississippi division of medicaid provider billing handbook

UB-04 Claim Form Instructions includes provider instructions for the specific
claim ….. To identify the assigned value for each code, see the Mississippi
Medicaid …

Humana CoverageFirst/Humana Value Plan – OPM

Enrollment codes for this Plan can be found in the Rate Information section ……
Summary of Benefits for the Value Plan – 2019 ……………………………………………………..
…………………………………………………123 …… Your facility will file on the UB-04 form.

South Dakota Medicaid – South Dakota Department of Social Services

Manual. March 2019 …… official UB-04 (CMS-1450) claim form printed in red
OCR ink and the claim must be typewritten. Information on the ….. Condition
codes are required when billing for multiple occurrences during the same day. •
Value …

NC Medicaid: 8C, Outpatient Behavioral Health Services … – NC.gov

Mar 15, 2019 … services available on or after November 1, 2019, please contact your ……
ameliorate a defect, physical or mental illness, or a condition [health … policies,
service definitions, or billing codes are covered for an …… (CPT), Health Care
Procedure Coding System (HCPCS), ICD-10 procedure codes, and UB-04.

Type of Bill Codes

Provider Handbook UB-04. 1. January 1, 2007. Type of Bill Codes. (Form Locator
4). Condition Codes. (Form Locators 18 – 28). First 2 Digits. 26 Nursing Facility.

ASTC/ODC Data System User Manual (November 2018) – TN.gov

The Department of Health has been collecting information from UB-04 billing
claims on all outpatient … Several new patient discharge codes have taken effect
as of October 1, 2013. See pages … submit NPI with starting first quarter 2019.
However, they …. Default values for a field, if present, are given in the Data.
Dictionary …

PART II POLICIES AND PROCEDURES For FEDERALLY …

Jan 1, 2019 … 1/1/2019. 920. Added same day billing verbiage for behavioral health …
APPENDIX H – PROCEDURE CODES REIMBURSABLE AT FQHC AND RHC
PPS RATE ….. As a condition of reimbursement, the Department requires that
certain ….. freestanding rural health clinics, and the UB-04 claim form for …

HMO EOB Cheat Sheet – ForwardHealth Portal

Feb 15, 2019 … … Cheat Sheet. Date Last Updated: January 11, 2019 … Option 1: Search for the
EOB Code using search features. Option 2: …. Indicator for present on admission
(POA) is not a valid value. 1566 ….. Home Health service area → Select Claims
→ Submission → UB-04 (CMS 1450) Claim Form Instructions.

Encounter Data Reporting Guide – Washington State Health Care …

Jul 1, 2019 … What has changed from the version of January 2019? …… Edits for non-medical
code sets and values via a code list or table as displayed in ….. healthcare
services and facility charges that can be billed on a standard “UB-04.

Claim Adjustment Reason Codes and Remittance … – Mass.gov

May 14, 2019 … PRIMARY CONDITION CODE INVALID 16 … Advice Remark Codes (CARC and
RARC)–Effective 05/01/2019. EOB …… TYPE O-UB04 INV 03.

value code needed for j1756 2019

value code needed for j1756 2019

PDF download:

CMS Manual System – CMS.gov

Apr 26, 2019 … to the ESRD PPS consolidated billing requirements. The attached …
IMPLEMENTATION DATE: July 1, 2019. Disclaimer for … information will be
passed to value code 79 to be included in the outlier calculation. The updated …..
FE PYRO CIT POW 0.1 MG IRON. J1756. IRON SUCROSE INJECTION. J2916.

CMS Manual System – CMS.gov

Nov 14, 2018 … The ESRD PPS includes Consolidated Billing (CB) requirements for limited Part
B … The mean dispensing fee of the National Drug Codes (NDCs) qualifying for
… Beginning January 1, 2019, CMS will pay ESRD facilities $235.27 per
treatment. ….. exponent equal to the value of the patient's BSA minus the …

PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective 7/1 …

Code. Status. PA. Description. Min Age Max Age Begin Date. End Date. Max
Units …. PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective 7/1/2019
.

MHCP Fee Schedule – Minnesota.gov

Mar 1, 2002 … FACT CODE – indicates the current coverage/price factor for the procedure ….
personal attendance or continues to be required. … AS OF 08/15/2019 …… 01/01/
09. 9. J1752. 01/01/09. 9. J1755. 04/01/03. 9. J1756. 01/01/18. 1.

Physician-Related Services – Washington State Health Care Authority

This publication takes effect January 1, 2019, and supersedes earlier guides to
this program. The Health Care Authority (agency) is … and CPT code 77059 was
replaced with 77047 and 77049. …. Fee schedules, relative value units,
conversion factors and/or …… Prior authorization is required for additional days/
vials. J1756.

TEXAS HEALTH AND HUMAN SERVICES … – Rate Analysis

Apr 1, 2019 … Medicaid rates detailed in this document on February 11, 2019, at 1:30 p.m. in
the Public … national standard code sets as required by federal laws; Healthcare
… Resource-based fee (RBF) methodology uses relative value units (RVUs) ……
J1756 injection, iron sucrose, 1 mg. 0-999. N/F. 72. $0.23. $0.23.

Montana Medicaid – Fee Schedule Physician … – MT Medicaid

Jan 1, 2017 … RBRVS: Based on Medicare Relative Value Units (RVU's) x Montana Medicaid
conversion factor x policy adjuster. … MMM: In maternity cases, the global period
is per the CPT-4 code description … Y: Prior authorization is required …… J1756.
IRON SUCROSE INJECTION. 1/1/2017. FEE SCHED. $0.25.

ENACTED ACTION: Final DATE: 04/20/2018 8 … – Ohio Revised Code

Apr 20, 2018 … medically necessary for the treatment of the work related injury. The following … a
cost comparison to determine a reasonable price. The MCO …

Report (Vertical) – SC DHHS

JULY 1, 2019. South Carolina ….. A physician makes an out-of-state referral
because needed services are not available within the. SCMSA. …. South
Carolina Code of Laws to perform and supervise the services or procedures. The
clinician.

folklor/edebiyat – DergiPark

Authors are required to make the suggested or necessary corrections during the
evaluation process. ….. 2019 yılı sayılarımız için makale kabulüne geçişimizle de
…… Bir Çocukluğu Yeniden şiirinde; “Zeytinlerin serin, kaba gölgelerinde/ bir göv-
deye sırt …… codes of behavior of the peoples they subjugated” (2006, p. 419).

value codes used for united health care 2019

value codes used for united health care 2019

PDF download:

UnitedHealthcare Insurance Company, Inc. – OPM

UnitedHealthcare Insurance Company, Inc. www.uhcfeds.com. Customer Service
– 877-835-9861. 2019. Choice Plus Advanced – An Open Access Value Option …

UnitedHealthcare Insurance Company, Inc. – OPM

2019. Choice Plus Advanced – An Open Access Value Option. IMPORTANT ……
Summary of Benefits for the Value Option of UnitedHealthcare Insurance
Company – 2019 . …. member is no longer eligible to use your health insurance
coverage. 5 …… in this Plan, be sure to put the correct enrollment code from the
cover on.

Codes & Values 2019 – ahcccs

Revised 07-31-19. REFERENCE SUBSYSTEM. CODES AND VALUES. 2019 …..
Where these are used: In the PMMIS Recipient subsystem: The Capitation Rate
Codes are …… United Healthcare LTC (110050). ET. Eligibility Transaction …

Medicare Fraud & Abuse: Prevent, Detect, Report – CMS.gov

all Federal Health Care Programs (including Medicaid, CHIP, and Medicare …
Fee schedules, relative value units, conversion factors and/or related … by the
AMA, are not part of CPT, and the AMA is not recommending their use. ….. The
civil FCA, 31 United States Code (U.S.C.) Sections 3729–3733, protects the
Federal.

Medicare Billing: Form CMS-1450 and the 837 Institutional – CMS.gov

Fee schedules, relafive value units, conversion factors and/or related
components … Use Healthcare Common Procedure Coding System (HCPCS)
Level I and II …

2019 UnitedHealthcare HMO SPD – State Health Benefit Plan

2019 SHBP UnitedHealthcare HMO Summary Plan Description ….. When a rate
is not published by CMS for the service, UnitedHealthcare uses a gap
methodology established by …… must be billed with appropriate preventive
service codes.

section i general information – Utah Medicaid – Utah.gov

Jul 1, 2019 … Division of Medicaid and Health Financing. Updated July 2019. Page 1 of 80 ……
12-3 Diagnosis Must Agree with Procedure Code; Use of 'Z' Codes . ….. Medicaid
members also receive a benefit letter in the mail. …… General (OIG) and the
Medicaid Fraud Control Unit, or the Secretary of the United States.

Medicare Supplement Premium Comparison Guide – Illinois.gov

Rates are quoted based on a regional zip code. … that can be used to shorten or
eliminate a pre-existing condition waiting period … between the previous health
insurance coverage and your Medicare …. Pays the $185 (2019) Medicare Part B
deductible each calendar year. …. UHC utilizes a two-tiered community rating,.

2019 Retiree Health Care Options Planner – CT State Comptroller

options and choose the best value plan for you and your family. Everyone wins ….
For Non-Medicare Retirees and Dependents, Anthem and UnitedHealthcare …
With this program, you're able use your computer, tablet or smartphone anytime
…… City. State. Zip Code. Social Security Number. Date of Birth (MM/DD/YYYY).

UnitedHealthcare Community Plan of Nebraska – UHCprovider.com

2019. Care Provider Manual. Physician, Health Care Professional, Facility and
Ancillary Care. Nebraska …. use health care, the program helps address their
needs holistically. …. billing taxonomy code and the office nine digit zip code
registered with DHHS. …. service eligibility and benefit information, submit
appeals and …

2019 Non-Medicare Insurance Guide – Arizona State Retirement …

Retiree. Group Health. Insurance. 2019 Enrollment Guide. For Non-Medicare
Retirees. Effective ….. If eligible, the Premium Benefit is applied first to dental,
then to medical premiums. The …. For 2019, UnitedHealthcare continues to be
the sole provider through the Arizona State ….. Click “Register Now” and use
group code.

UnitedHealthcare of California – Southern California IBEW-NECA …

Jul 1, 2018 … and conditions of your coverage with UnitedHealthcare and all applicants have a
…… experience an Emergency Medical Condition, either use the ….. either
licensed Providers under the Business and Professions Code acting …

View the 2019 City of Phoenix Retiree Benefits Guide (PDF)

Oct 22, 2018 … This 2019 Retiree Benefits Guide provides highlights of the City of Phoenix
retiree … Benefit. Who is Eligible. See Page… UnitedHealthcare.

Application for Health Care Coverage for Elderly – ND.gov

This application may be used to apply for Health Care Coverage, the Medicare
Savings Programs, Aid to the Blind, or … Proof of the value of current assets such
as: … This information may be subject to verification by the United States … Use.
Codes. Below. SFN 958 (7-2019). Page 4 of 10. Tell Us About Your Household.

Uniform Services Coding Standards January 2019 – Colorado.gov

Jan 1, 2019 … Capitated Behavioral Health Benefit under the Accountable Care ….. The clinical
coding systems currently used in the United States are the:.

Report (Vertical) – Delaware Health and Social Services

Jan 31, 2019 … possible without the valued contribution of our state's health care leaders and …..
Example: If the CY 2019 (i.e., measurement year) THCE per capita ….. pre-
established claims code-level definition could be used ….. Aetna, AmeriHealth
Caritas, Cigna, Highmark and UnitedHealthcare for their Medicaid and.

2019 Health Benefit Summary – CalPERS – State of California

… that works for you. The 2019 health plan premiums are available at the
CalPERS ….. You can also use the Health Plan search by ZIP Code, which …
gency, the doctors you can use — and the medical groups … UnitedHealthcare
Signature. V.

Coding and Billing Guidance Document – NC Division of Public Health

Mar 15, 2019 … March 2019 ….. resources specific to public health coding and billing of services
rendered. ….. o STI ERRN- must bill T1002 for Medicaid clients and use 99211 to
bill ….. for benefit of the patient, with scoring and documentation per standardized
…. United States, approved by the Advisory Committee on …

value code 520 2019

value code 520 2019

PDF download:

CMS Manual System – CMS.gov

Primary payer code: Values: 1 MEDICAID 2. BLUE CROSS 3 …… 2019 2019 20
FSSCIDRP-DIAG-. POA-IND(6). X. 1. 1 …… 428, and 520 – 528. B For Type of …

2019 CPT-4 and HCPCS codes subject to CLIA edits – CMS.gov

2019 CPT-4 and HCPCS Codes Subject to CLIA Edits … ee schedules, relative
value units, conversion factors and/or related ….. 210, 220, 400, 510, 520. 80150.

GAO-19-520, MEDICARE: Limited Information Exists on the Effects …

Jul 15, 2019 … GAO-19-520 Medicare Medication Synchronization. Letter. 1 …. disruptions in
their medication regimen.5 As of 2019, 27 states had enacted laws ….. from a
technology vendor added that from a value perspective, beneficiaries may …
Subsequent references are to provisions as codified to state codes. 40Ga.

fee-for-service provider billing manual – ahcccs

Oct 22, 2018 … (520) 295-2405. Navajo Area IHS …… Value codes identify special circumstances
that may affect the processing of the claim. …… 3/25/2019 Observation Services
section removed as it is no longer applicable. 10. 10/1/2018 …

Schedule of Medical Fees 2019 – Kansas Department of Labor

Surgical CPT code 36415 has been moved to the Pathology and Laboratory …..
No fee schedules, basic unit values, relative value guides, conversion factors or
…… 520. 1.2966 BACK & NECK PROC EXC SPINAL FUSION W/O. CC/MCC.

Federal Register/Vol. 84, No. 25/Wednesday, February 6, 2019 …

Feb 6, 2019 … the price of an item or service to a buyer. … reference file code OIG–0936–P.
Because …. 2019 Policy and Technical Changes to the Medicare.

PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective 7/1 …

Code. Status. PA. Description. Min Age Max Age Begin Date. End Date. Max
Units …… INJECTION, 1 MG. 18. 999 04/01/2019 12/31/9999. 520. 12.02. J3360.

NUMERICAL ALL TPT-2 DEDUCTION CODES w/ STATE …

Model City Tax Code Authority REVISED 04-30-2019. STATE … Market Value. (p.
50). 15. N/A … 520 – LIVESTOCK POULTRY Feed etc. to These. Animals' …

Product and Service Codes Manual – FPDS

D. Notes on Changes in the Product Codes. VI. …… Special Studies/Analysis-
Geotechnical. B520. Special Studies/Analysis- …. Portion of The Contract Value.

Real Estate Transfer Tax Form – Maine.gov

Municipality. 3g. State 3h. ZIP Code. 4. GRANTOR/SELLER. 5a. Map. Block …
Fair market value (Enter a value only if you entered “0” or a nominal value on line
6a) . …. 520. Hotel/motel/inn 312. Nursing home. 313. Shopping mall 314. Other.

DHS FY 2019 Budget in Brief – Homeland Security

The President's Fiscal Year (FY) 2019 Budget Request of $4 7 .5 billion for the ….
our homeland, and our values with honor and integrity. …… Act regulated facilities
; and over 8,600 International Ship and Port Facility Security Code exams. ……
45,087. 280. 3,902. 698. 183. 347. 3,042. 38. -. 38. 1,085. 640. 429. 520. 330.
133.

appendix 2 carrier codes – SC DHHS

Mar 1, 2019 … 520 E 34TH AVE., STE. 107 ANCHORAGE. AK 995034116 8004784450 CODE
ASSIGNED BY SCHA. 344. ALIA CLAIMS DEPARTMENT.

2019, Personal Property Valuation Guidelines, 150 … – Oregon.gov

… Bowling Center Restaurant. Personal Property. Valuation Guidelines. 2019.
150-303-441 (Rev. 11-18) ….. of property tax appeals, and taxpayers with
guidelines to value personal property of …… Depreciation code. ML. MS …… 520–
640. 10. Upright display to 72" high (base price without lights, mirror, locks). 786–
920. 10.

an act concerning adoption of the connecticut uniform trust code.

(15) Terminate a charitable trust pursuant to section 45a-520 of the general
statutes, as amended ….. different trustee if it determines that the value of the trust
property is insufficient to justify the cost …… January 1,. 2020). Approved July 12,
2019.

Appendix – Definitions of Account Codes – State of Michigan

Transaction Code – A code used to identify whether an accounting entry is
balance sheet, revenue, or expenditure … Fund Codes. March 2019. 4 ….
Inventory Merchandise for Resale – The value of goods held by a school district
…… 510-520. Other Local Revenue – Transfers and payments received from
other public school.

Managed Care Organization Pricing Administration Guide

Version 4.7. Date Last Updated: July 19, 2019. DXC Technology. 313 Blettner
Blvd. Madison, WI 53784 … 3 Max Fee Extract Code Values and Descriptions .

W-166 Withholding Tax Guide – February 2019

Internal Revenue Code is an "employer" for Wisconsin withholding tax purposes.
As an "employer ….. withholding, at the same value and for the same payroll
period. …… 520. 21.60. 21.10. 20.60. 20.20. 19.70. 19.30. 18.80. 18.40. 17.90.
17.50.

2018 state & local tax forms & instructions – Comptroller of Maryland

So as we begin the 2019 Tax Filing Season with these additional tax changes in
effect, I pledge to continue my ….. The Tax-General Article of the Annotated Code
of Maryland …… 1) the value of any medal given by the International Olympic.

value codes 80 and 81 2019

value codes 80 and 81 2019

PDF download:

UB-04 – CMS.gov

after using 90 days of inpatient hospital services during a spell of illness. X.
5072.1.4. FISS shall include value code 80, 81, 82, or 83 data to on the internal
claim …

Medicare Claims Processing Manual Crosswalk – CMS.gov

… 66-81. 80 – Reserved … This section contains Medicare requirements for use of
codes maintained by the NUBC that are ….. FL81 Code-Code – QUALIFIER/
CODE/VALUE a. AN/AN/. AN ….. R4194CP 01/11/2019 Update to Publication (
Pub.) …

UB04 Hospital Billing Instructions & Revenue Code Matrix

Jun 7, 2019 … Occurrence Span Codes and Dates. 36. FL 42 … FL 80. Remarks. 55. FL 81a-d.
Code-Code Field. 55. FL 81 …. June 7, 2019 Updates: Added clarifying guidance
regarding Frequency 5 – Late Charges Discountinued, FL 6.

MS Inpatient Hospital FAQ – Mississippi Medicaid – MS.GOV

Version Date: July 1, 2019 (updated June 25, 2019). Since October 1, 2012, the
….. value code 81 and covered hospital inpatient days using value code 80.

UB-04 Claim Form – Medi-Cal

Dec 4, 2018 … ICD-10-CM diagnosis codes and ICD-10 PCS codes on a claim to ensure
payment at ….. “A1” (services related to Family Planning), “80” (Other Health …
Billing Tip: Enter code “81” when billing for emergency services, or … Inpatient
Claims: Discharge Date: Enter occurrence code “42” and ….. January 2019.

Codes & Values 2019 – ahcccs

Jul 31, 2019 … This Codes & Values document, which is updated sometime after the additions or
changes … RF518. 79. Rate Category. RF411. 81 – 83. Recipient Action Code
…… Codes & Values 2019. 80. SBRA. S.O.B.R.A. Supplemental.

Hospice Agencies Appendices (pdf) – Illinois.gov

August 1, 2019. 31-34. … Value Codes – Value Code 80 is required for all
hospice claims (the … Value Code 81 – The number of days of care not covered
by.

Provider Relations – State of Michigan

Jul 11, 2017 … 2009-2019 Biller B Aware–Updated 2/04/19 …… 2012- Attention Nursing Facility
Providers: When reporting Value codes 80, 81 or 82, report.

Type of Bill Codes

Jan 1, 2007 … These values are valid for paper claim submission on the UB-04 Claim Form …
Condition Codes … 80 Covered Days. 81 Non-covered Days.

SPARCS Data Dictionary – New York State Department of Health

Mar 18, 2019 … 1702. PAS 2 EYE THERAPEUTIC. Version 2.3. 18 March, 2019. 81 …. It is
reported as a value code “80” in the value amount. Former variable …

Physician-Related Services – Washington State Health Care Authority

This publication takes effect January 1, 2019, and supersedes earlier guides to
this …. Fee schedules, relative value units, conversion factors and/or …… own
claim using modifier 80, 81, or 82 to the delivery-only code (e.g. 59514-80). The.

Health Care Eligibility Benefit Inquiry and Response – Ohio …

May 15, 2019 … 05/15/2019 ODM & DXC EDI Team Added a note to Section 7 to indicate the …..
detail. For example, a note about a code value should be placed on a row
specifically for that code value, not in a general ….. 80, 81, 82,. 86, 88 …

Panama Canal Area Benefit Plan – OPM

and meets the minimum value standard for the benefits it provides. This Plan is …
Enrollment codes for this Plan: 431 – Self Only …… 2019 Rate Information for the
Panama Canal Area Benefit Plan . …… 72-73, 75-77, 80-81. Definitions ……..27 …

South Dakota Medicaid – South Dakota Department of Social Services

March 2019 …… Condition codes are required when billing for multiple
occurrences during the same day. …. Inpatient hospital consultation, typically 80
minutes …… not defined elsewhere in the code list. 81. Discharged to home or
self-care …

Claim Adjustment Reason Codes and Remittance … – Mass.gov

May 14, 2019 … PRIMARY CONDITION CODE INVALID 16 … Claim Adjustment Reason Codes
and Remittance Advice Remark Codes (CARC and RARC)–Effective 05/01/2019
…… M80. NOT COVERED WHEN PERFORMED DURING THE SAME …… MOD
81. 4. THE PROCEDURE CODE IS INCONSISTENT WITH THE.

Appendix for SEER-Medicare 10/2018 Claims Files – Healthcare …

February 22, 2019 …. 80 = RR pensioner (age or disability) … 7/1/96). N =
Override code: non-EGHP services involved (eff. 12/90 for … NOTE: Values C, M,
N, Y, Z and BLANK indicate Medicare is …… 81 – 99 = Reserved for state
assignment.

Master File Codes – Internal Revenue Service

Its valid values are "0", indicating no reversal and "1" indicating a reversal. …. Doc
Code 80/81 updates the EO Entity Section. FRC only. IMF: TC 016 also …

Medical Fee Schedule Effective January 1, 2019 – Maine.gov

Jan 1, 2019 … Modifier: A code adopted by the Centers for Medicare & Medicaid Services that …
C. No fee schedules, basic unit values, relative value guides, conversion …. -80
Assistant Surgeon: pay 25% of the maximum allowable payment under this
chapter. -81 Minimum Assistant Surgeon: pay 10% of the maximum …

value code 49 2019

value code 49 2019

PDF download:

R4105CP – CMS.gov

Aug 3, 2018 … IMPLEMENTATION DATE: January 7, 2019. Disclaimer for manual …. Hematocrit
levels are reported in value code 49 and reflect the most.

Medicare Claims Processing Manual – CMS.gov

170 – Billing Physician Dialysis Services (codes 90935 – 90999) and Related …..
only value code 79 represents the dollar amount for services applicable for …. 49
– Hematocrit Reading – Code indicates the most recent hematocrit reading taken.

Codes & Values 2019 – ahcccs

Jul 31, 2019 … REFERENCE SUBSYSTEM. CODES AND VALUES. 2019 …… Codes & Values
2019. 49. RF012 COUNTY & RF013 (General Service Area) …

appendix 1 edit codes, carcs/rarcs, and resolutions – SC DHHS

Aug 23, 2019 … Review the resolution instructions below for the edit code(s) that apply to your
claim. Submit a new claim … If the recipient's Medicaid ID is correct, the
procedure code is correct, and an ID/RD waiver …… M49 – Missing/incomplete/
invalid value code(s) …. edition of the NUBC manual for valid value codes.

Humana CoverageFirst/Humana Value Plan – OPM

Enrollment codes for this Plan can be found in the Rate Information section ……
49. 2019 Humana CoverageFirst/Humana Value Plan. Consumer Driven Health
 …

Business Expenses – Internal Revenue Service

Jul 24, 2019 … What's New for 2019 . . . . . . . . . . . . . 2 … tion are to the Internal Revenue Code
and regu- …. ficking, which places equal value on identifying.

CPT Code Chart – State of Michigan

Sep 25, 2018 … PIHP/CMHSP Reporting Cost Per Code and Code Chart …. Behavior Therapy (
H2019), Peer Specialist (H0038), Peer Mentor H0046), Respite (T1005), and ….
49. Independent clinic (primary care). Co-located services. 50.

Chapter 49 – Harmonized Tariff Schedule

For the purposes of chapter 49 the term "printed" also means reproduced by
means of a … imported for monetary purposes and securities and similar
evidences of value … Harmonized Tariff Schedule of the United States (2019)
Revision 11.

NYS Children's Health and Behavioral Health Services Billing and …

Jul 1, 2019 … VERSION 2019-1 …… 49. Family Peer Support Services . ….. Providers will enter
the rate code in the header of the claim as a value code.

NUMERICAL ALL TPT-2 DEDUCTION CODES w/ STATE …

Model City Tax Code Authority REVISED 04-30-2019 … 49, 2, 19). 11 – 17 – 29.
11 – 62 – 111. 514 – FOOD for ARIZ PRISON or JAIL (p. 49, 6, 20) … Market Value.

Claim Adjustment Handbook – Oregon.gov

ICN Region Codes and Descriptions . … March 2019. 1 … March 2019. 2 ….. 49.
Recipient Linking Claims. 50. Adjustments – Non-Check Related. 51 … claims,
review the TPL panel, Medicare Information panel, Detail Panel and Value. Code
 …

National Plan of Integrated Airport Systems, 2019-2023 … – FAA

Airport Systems (NPIAS). 2019–2023. Report of the Secretary of Transportation to
the United States Congress. Pursuant to Title 49 U.S. Code, Section 47103.

esc detailed desp – Pennsylvania Department of Human Services

291 PRIMARY OCCURRENCE CODE IS NOT A VALID VALUE …… 2019
RECIPIENTS ELIGIBLE IN THE SPECIFIED LOW INCOME MEDICARE …… Page
49 …

Nevada DMV Traffic Offense Violation Codes

For example, code 452 carries a demerit value of "4". Violation Code ACD Code
… DMV Legal Reference: 23 CFR 1327 APPENDIX A, 23 CFR 1327.5(A)(III)(A),
49 CFR §383.51(B)(1 AND 3), UVC §6-517, NRS … Thursday, January 24, 2019.

2019–20 Completing the FAFSA® Form – Federal Student Aid – U.S. …

2019–20 Completing the FAFSA …. Question 7: Your ZIP code . ….. Question 49:
Are you currently serving on active duty in the U.S. Armed Forces for …. Program (
SNAP)/Free or Reduced Price School Lunch/Temporary Assistance for Needy …

50-858 2019 Sample Water District Rollback Tax Rate Worksheet

creating the district states that Water Code Chapter 49 applies to that district.
Water Code … 2019 average appraised value of residence homestead. ______.
8.

Health Care Claim Payment/Advice (835) (PDF) – Minnesota …

Aug 12, 2019 … MDH v14 835 MUCG rule – Adopted August 12, 2019. Page 2 of ….. Segments
Reporting Multiple Values from Same Code Set ….. 4, 5, 6, 7, 8, 9, 10, 11, 12, 16,
40, 49, 50, 51, 54, 55, 56, 58, 59, 61, 96, 97,107, 108, 152, 167,.

NIBRS User Manual – Uniform Crime Reporting (UCR) Program

Jan 17, 2013 … 2019 National Incident-Based … Clarification of BE Relationship Code in Data.
Element 35. •. Addition of Animal Cruelty Definition,. Offense, Data Values, and
Training Scenario …… Data Element 49 (Race of Arrestee) .

value codes 80 2019

value codes 80 2019

PDF download:

R4106CP – CMS.gov

Aug 3, 2018 … The new value code 85 is effective on January 1, 2019 and is defined "County
Where Service … 10782.5. Editing of county code values is limited to the HH
Pricer rather than the Shared System so …… 80 Invalid revenue code.

Version 12.3 – CMS.gov

Nov 30, 2018 … TC 80/81 Reinstatement of Enrollment/Disenrollment ……………….. 3-44. TC 82
MMP Enrollment …… Layout 7-5: Part C RA Model Output Detail Record Type I (
PY2019) . ….. Table 3-11: Transaction Reply Code Values (TRC) .

Codes & Values 2019 – ahcccs

Jul 31, 2019 … Codes & Values 2019. 2. There have been numerous changes made to the
Codes and Values for 2019. Information that is no longer used has …

MS Inpatient Hospital FAQ – Mississippi Medicaid – MS.GOV

Jun 25, 2019 … The base price as of July 1, 2019, is $6,574. The base ….. Box 41 should include
only the covered inpatient days using value code 80.

UB04 Hospital Billing Instructions & Revenue Code Matrix

Attending Provider Name and Identifiers. 53. FL 80. Remarks. 55. FL 81a-d ….
June 7, 2019 Updates: Added clarifying guidance regarding Frequency 5 – Late
Charges …… Required when there is a condition code that applies to this claim.

UB-04 Claim Form – Medi-Cal

Dec 4, 2018 … ICD-10-CM diagnosis codes and ICD-10 PCS codes on a claim to ensure ….. “A1
” (services related to Family Planning), “80” (Other Health … Inpatient Claims:
Discharge Date: Enter occurrence code “42” and ….. January 2019.

Federal Register/Vol. 84, No. 86/Friday, May 3, 2019 … – GovInfo

May 3, 2019 … to file code CMS–1716–P. Because of … and Hospital Value-Based Purchasing
— …… MS–DRG 981—Cases with procedure code 0DB80ZZ .

appendix r-1 – Illinois.gov

Value Code 80 is required for all inpatient claims (the number of days covered by
the primary payer). The other value codes below are conditionally required …

section i general information – Utah Medicaid – Utah.gov

Jul 1, 2019 … Updated July 2019. Page 1 of 80 SECTION I …… In particular, providers must
adhere to the Utah Administrative Code R414-1, Utah …… At the time of the
inpatient admission, the psychiatric condition should be of such a.

HARP – New York State Office of Mental Health – NY.gov

Apr 30, 2015 … coding crosswalks of rate code to procedure code/modifier code … Beds (Note:
For CPEP EOB services, Plans are required to pay only 80% of the FFS rate, …
value code field by first typing in “24” and following that immediately with the …..
Claim 1 – Rate code 4521 in the header plus H2019U2 and 13 – 27 …

PART II POLICIES AND PROCEDURES For FEDERALLY …

Jan 1, 2019 … 1/1/2019. 920. Added same day billing verbiage for behavioral health …
APPENDIX H – PROCEDURE CODES REIMBURSABLE AT FQHC …… identified
that member is subject to the copayment, condition code 80 must be.

South Dakota Medicaid – South Dakota Department of Social Services

Condition codes are required when billing for multiple occurrences during the ……
March 2019. Institutional Billing Manual. 80. For long term care and hospice …

837I Health Care Claim – IN.gov

August 2019 ○ 005010 837I ○ 3.6 ….. For example, a note about a code value is
placed on a row specifically for that code ….. The NTE02 Field allows up to 80.

NHSN – CDC

Jan 1, 2019 … January 2019. 15-1 ….. NHSN 80% Rule: Each patient care area in a facility that
is monitored in NHSN is “mapped” to one. CDC Locations. The specific CDC
Location code is determined by the type of …. Updating the value of.

Medicare Coverage of Kidney Dialysis & Kidney … – Medicare.gov

medical condition of potential kidney donors.*. ✓ …. amounts may change in
2019. …. deductible ($183 in 2018), Medicare pays 80% of the flat fee and you.

SFY 2019 Budget Recommendation – Department of Vermont Health …

Jan 25, 2018 … Budget Recommendation – State Fiscal Year 2019. 2 ….. onto providers. This is
DVHA's key effort to promote value-based payments, continuing DVHA's move
away ….. By the end of SFY 2017 errors had fallen 80% from March …… The use
of correct codes allows for appropriate reimbursement for services …

appendix 1 edit codes, carcs/rarcs, and resolutions – SC DHHS

Aug 23, 2019 … Review the resolution instructions below for the edit code(s) that apply to your …..
the date of denial in the Occurrence Code (fields 31-34 A-B).

v3.25 SUPPLEMENTARY TABLE 1 REASONABLE … – VA.gov

CY 2019. Opt. (e)(3)(i). 80th percentile charges, codes with APCs. Medicare SAF
5% ….. Phys = Physician and Other Professional Services Relative Value Units.