№ files_lp_3_process_9_72893
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This transmittal letter updates healthcare service codes for the Children’s Medical Security Plan (CMSP), incorporating the 2023 HCPCS / CPT updates and outlining the eligible providers and services.
Year:
2023
Region / City:
Massachusetts
Theme:
Healthcare Services
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services
Author:
Mike Levine
Target Audience:
MassHealth Providers
Effective Period:
From January 1, 2023
Approval Date:
April 2023
Amendment Date:
None
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Year:
2026
Region / City:
USA
Theme:
Medical Equipment Codes
Document Type:
List
Organization / Institution:
CMS
Author:
CMS
Target Audience:
Healthcare Providers, Medical Equipment Suppliers
Period of Validity:
Ongoing
Approval Date:
N/A
Revision Date:
N/A
Year:
2022
Region / City:
Not specified
Subject:
Medical coding and documentation
Document type:
Coding portfolio project
Institution / Organization:
Not specified
Author:
Rodney Balbo (patient case)
Target audience:
Healthcare coding students or professionals
Period covered:
Weeks 2–6
ICD-10-CM Codes:
S01.01XA, W18.2XXA, G44.309, I10, R53.83, R40.0, S06.5X0A, Z48.811
CPT Codes:
12002, 99215, 70552, 61312, 61316, 00211, 62146, 62148, 00215
HCPCS Level II Codes:
N/A, A9585
APC Codes:
19991
Procedures described:
Laceration repair, office visit for headache, MRI brain with contrast, craniectomy, cranial bone graft, cranioplasty with autograft
Medical conditions:
Traumatic head injury, brain hematoma, post-traumatic headache, controlled hypertension, drowsiness
Year:
2017
Region / city:
Not specified
Theme:
Shoulder surgery, thermal capsulorrhaphy
Document type:
Clinical guideline review
Organization:
HSD
Author:
Not specified
Target audience:
Healthcare providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
August 2017
Year:
2018
Region / City:
USA
Topic:
Minimally Invasive Percutaneous Interventions for Low Back Pain
Document Type:
Coverage Guidance
Organization / Institution:
HERC
Author:
Evidence-based Guidelines Subcommittee (EbGS)
Target Audience:
Healthcare providers, insurance companies
Effective Period:
January 2018
Approval Date:
1/18/2018
Amendment Date:
N/A
Document sections:
Appendix A; Appendix B
Subject:
Diagnostic and procedure coding for skull base fracture and related conditions
Classification systems:
ICD-9-CM; ICD-10-CM; ICD-10-PCS; CPT-4; HCPCS; NDC; DRG
Conditions included:
Skull base fracture; Facial weakness/paralysis/spasm; Loss of consciousness; Hearing loss; Tympanic membrane rupture; Vertigo/disequilibrium; Cerebrospinal fluid leak
Procedures included:
Facial nerve decompression; Facial nerve repair/reanimation; Static eye procedures; Chemodenervation
Medications included:
OnabotulinumtoxinA; IncobotulinumtoxinA; AbobotulinumtoxinA; RimabotulinumtoxinB; Steroids; Antivirals
Drug routes specified:
Oral; IV; IM; Intra-tympanic
Purpose:
Identification of admissions, inclusion and exclusion criteria, secondary outcomes, and treatments
Type of document:
Medical coding reference appendix
Year:
2020
Region / City:
United States
Subject:
Reproductive Health Care, Family Planning Services
Document Type:
List
Organization / Institution:
American Medical Association (AMA)
Author:
American Medical Association (AMA)
Target Audience:
Healthcare providers, family planning agencies
Period of Validity:
Not specified
Approval Date:
September 2020
Date of Changes:
Not specified
Year:
2021
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Radiology Services
Document Type:
Transmittal Letter
Agency:
Executive Office of Health and Human Services
Author:
Amanda Cassel Kraft, Acting Assistant Secretary for MassHealth
Target Audience:
Independent Diagnostic Testing Facilities Participating in MassHealth
Effective Date:
January 1, 2021
Date of Issue:
October 2021
Obsolete Material:
Pages 6-1 through 6-6
New Material:
Pages 6-1 through 6-6
Regulation Titles:
Radiology - 114.3 CMR 18.00, Medicine - 101 CMR 317.00
Contact Information:
MassHealth Customer Service Center, [email protected]
Description:
Official update to the Independent Diagnostic Testing Facility Manual, detailing 2021 HCPCS service code revisions and effective dates for Medicaid providers.
Year:
2021
Region / City:
N/A
Topic:
Medical Coding, CPT, ICD-10-CM, Billing and Coding Guidelines
Document Type:
Portfolio Project
Organization / Institution:
N/A
Author:
Claudia Gjondla
Target Audience:
Medical Billing and Coding Students
Period of Validity:
N/A
Approval Date:
N/A
Date of Modifications:
N/A
Contextual description:
Medical coding portfolio for a healthcare course detailing the coding of E/M, CPT, ICD-10-CM, lab tests, and imaging services based on specific patient encounters and procedures.
Course:
MCCG222 – Advanced CPT and HCPCS Level II Coding
Project Type:
Coding Portfolio Project
Subject:
Rodney Balbo
Weeks Covered:
Week 2, Week 3, Week 4, Week 5
Clinical Settings:
Emergency Room, Office Visit, Imaging Service, Outpatient Surgery
Coding Systems:
ICD-10-CM, CPT, HCPCS Level II
Procedures Documented:
Laceration repair, Office evaluation and management, MRI of the brain with contrast, Craniectomy for subdural hematoma evacuation
Diagnoses Referenced:
Scalp laceration, Headache (unspecified and post-traumatic), Somnolence, Essential hypertension, Traumatic subdural hemorrhage
External Causes Referenced:
Fall in bathtub, Unspecified fall
Medical Necessity Reference:
LCD Article ID L35175
APC Code:
19991
Year:
2022
Region / City:
Not specified
Subject:
Healthcare, Surgery
Document Type:
Medical Guideline
Organization / Institution:
HERC
Author:
Not specified
Target Audience:
Healthcare professionals, policymakers
Effective Period:
May 2022
Approval Date:
May 2022
Change Date:
None
Evidence Source:
Johns 2020, Stewart 2019
Conclusion:
Insufficient evidence of effectiveness for subacromial balloon spacer
Context:
A medical guideline reviewing evidence and recommending HCPCS C9781 for inclusion in unproven interventions due to limited effectiveness data.
Year:
2018
Region / city:
Massachusetts
Subject:
Healthcare, Medicaid, Prior Authorization
Document Type:
Official communication
Organization / Institution:
MassHealth
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Physicians participating in MassHealth
Effective Date:
June 1, 2018
Date of approval:
2018
Date of changes:
June 1, 2018
Year:
2020
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Service Codes, HCPCS, CPT, Telemedicine, COVID-19
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
Physicians Participating in MassHealth
Effective Period:
July 2020
Approval Date:
July 2020
Date of Changes:
July 2020
Year:
2012
Revision date:
01/01/2025
Related update:
May 2018
Subject:
Vascular Imaging
HCPCS code:
C9733
Procedure name:
Non-ophthalmic fluorescent vascular angiography
Type of document:
Guideline note and coverage determination record
Organ / institution:
HERC
Source materials:
December 2012 VbBS meeting materials and minutes
Regulatory reference:
FDA approval for specified surgical uses
Associated device:
LifeCell/Novadaq SPY Elite System
Clinical context:
Coronary artery bypass and other vascular surgeries
Related organization cited:
American Heart Association
Recommendation status:
Excluded List
Evidence classification:
Experimental
Year:
2019
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid
Document Type:
Transmittal Letter
Organization:
Executive Office of Health and Human Services
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Freestanding Ambulatory Surgery Centers Participating in MassHealth
Period of Validity:
From September 1, 2019
Approval Date:
September 2019
Amendment Date:
September 2019
Year:
2024
Region / City:
Massachusetts
Topic:
Healthcare / Medicaid
Document Type:
Regulatory update
Organization:
Commonwealth of Massachusetts, Executive Office of Health and Human Services, Office of Medicaid
Author:
Monica Sawhney, Chief of Provider, Family, and Safety Net Programs
Target Audience:
Freestanding Ambulatory Surgery Centers Participating in MassHealth
Effective Period:
From January 1, 2024
Approval Date:
May 2024
Date of Changes:
May 2024
Note:
Study Summary 1.1 Please provide a brief summary of the study in the table below. A complete description of the study with detailed information should be provided in the body of the protocol. For sections not applicable to the study, mark them as N/A. Study Title Study Design Primary Objective/Purpose Secondary Objective(s)/Purposes Research Intervention(s) ClinicalTrials.gov NCT # Study Population Sample Size Study Duration for individual subjects Study Specific Abbreviations/ Definitions
Background 3.1 Provide the scientific or scholarly background for, rationale for, and significance of the research based on the existing literature and how will it add to existing knowledge. :
this section should be limited to only information directly related to the research questions and objectives. Do not include your full dissertation proposal. 3.2 Describe any relevant preliminary data (e.g. pilot data).
Procedures Involved 5.1 Describe and explain the study design. 5.2 Please select the methods that will be employed in this study (select all that apply):
☐ Audio/Video Recording ☐ Psychophysiological Recording ☐ Behavioral Interventions ☐ Record Review - Educational ☐ Behavioral Observations and Experimentations ☐ Record Review - Employee ☐ Deception ☐ Record Review- Medical ☐ Focus Groups ☐ Record Review - Other ☐ Interviews ☐ Specimen Collection or Analysis ☐ Investigational Medical Device – (e.g. Medical Mobile Applications) ☐ Surveys and/or Questionnaires ☐Psychometric Testing ☐ Other Social-Behavioral Procedures Provide a description of all research procedures being performed and when they are performed. (Upload any surveys, questionnaires, interview scripts, focus group scripts, debriefing scripts, psychometric tests, stimulus materials, intervention manuals, and data collection forms on the Local Site Documents page in the IRB application.) 5.3 Describe the procedures or interventions that are going to be conducted as part of the research project, but that would have been conducted anyway, even if the research was not occurring (i.e. standard of care procedures, activities that would occur in a classroom). 5.4 Describe the procedures performed to lessen the probability or magnitude of risks of items selected in 5.2.5. 5 If accessing or collecting existing data, describe: The data that will be collected during the study (e.g. demographics, medical history, etc.). Attach the data capture sheet(s) on the Local Site Documents page in the IRB application. How the data will be obtained, including how you have the authority to access the data. The source or location of the data (e.g. USF Epic, TGH Epic, Hillsborough County School records, CANVAS records, publicly available databases, etc.). 5.6 If collecting and/or analyzing biological specimens, describe: How the biological specimens will be or have been collected. How the biological specimens will be stored. How long the biological specimens will be stored. How the biological specimens will be used. The laboratories that will be used. Whether the collected biological specimens will undergo genetic testing. If so, indicate if this study is part of a Genome Wide Association Study (GWAS) and whether the data will be forwarded to the NIH dbGaP. 5.7 If there are plans for long-term follow-up (once all research related procedures are complete), what data will be collected during this period.
Data and Specimen Storage for Future Research 6.1 If data or specimens will be banked for future research studies, describe where the data or specimens will be stored, how long it/they will b:
the process to request a release, approvals required for release, who can obtain data or specimens, and the data to be provided with specimens.
Document type:
Compliance statement and regulatory checklist
Regulatory framework:
Civil Aviation laws and Regulations (CAR OPS)
Aviation domain:
Commercial air operations
Purpose:
Demonstration of compliance of operation manuals
Certification stage:
Initial issue or amendment
Related manuals:
Operations Manual, Safety Management Manual, Ground Operations Manual
Applicable systems:
Safety Management System, Quality Assurance Program, Load Control System
Responsible role:
Accountable Manager
Approving authority:
Civil Aviation Inspectors
Assessment tools referenced:
Checklist 2, Checklist 3, Deficiency and Review Checklist (AOC-109)
Operational areas covered:
Organization and management control, ground handling, load control, passenger handling
Compliance status indicators:
Satisfactory, Unsatisfactory, Not Applicable
Source type:
Regulatory compliance source document
Year:
2011
Region / City:
Not specified
Subject:
Safety, Health, Environmental Management
Document Type:
Manuals, Procedures, Directives
Organization:
National Energy Technology Laboratory (NETL)
Author:
Not specified
Target Audience:
Employees, Safety and Health Personnel
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
Pasig City, Philippines
Subject:
Proposed amendments to WESM Rules and Market Manuals
Document Type:
Proposal
Organization:
Independent Electricity Market Operator of the Philippines, Inc.
Author:
Richard J. Nethercott, President and CEO
Target Audience:
WESM participants, energy stakeholders, regulatory bodies
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2022
Region / city:
Geneva
Theme:
Marine Meteorological Services, Technical Regulations
Document type:
Recommendation Draft
Organization / institution:
World Meteorological Organization
Author:
Chair of the Standing Committee on Marine Meteorological and Oceanographic Services (SC-MMO)
Target audience:
WMO Members, Marine Meteorological Services stakeholders
Period of validity:
2023
Approval date:
18.X.2022
Date of amendments:
2022
Contextual description:
Proposed amendments to marine meteorological services manuals to reflect modernized GMDSS and WMO governance reforms.