Medicare Provider Reimbursement Manual- Part 2 (Pub. 15-11) Chapter 1. Cost Reporting - General (15-2-102) 102 and 104. Part A - Long Term Care Resident Assessment Instrument User's Manual Version 2.0 907 KAR 9:010 - Reimbursement for Level I and II Psychiatric Residential Treatment OPTIMA HEALTH PROVIDER MANUAL . OPTIMA MEDICARE HMO Medicare Part D Prescription Drugs 12 . Utilization and Quality Assurance Program Information 12 . For billing and reimbursement information refer to the ASH guidelines. ARTICLE II. BILLING INFORMATION 2 Section 2.01 Definitions 2 Physician charges associated with clinic visits are considered part of the From the Medicare Provider Reimbursement Manual, Chapter 3, Section 312. Indigent or Medically Indigent Patients: § 199.14 Provider reimbursement methods. (a) or supplier of ambulance services located within a 35-mile drive of the CAH or the entity as specified under 42 CFR part 413.70(b)(5)(ii). (7) Reimbursement for inpatient services (iii) of this section is less than the Medicare rate, the Texas Medicaid Reimbursement 2 The following provider types are reimbursed based on rates published in fee schedules, with the rates calcu-lated in accordance with the referenced reimbursement methodology as published in the Texas Administrative Code, Part 1 Administration, Part 15 Texas Health and Human Services Commission, and Chapter 355 Medicaid Provider Manual - MDHHS The Provider Reimbursement Manual - Part 1. Downloads. Chapter 1 -- Depreciation [ZIP, 141KB] Chapter 2 -- Interest Expense [ZIP, 77KB] Provider Payment Determination And Appeals [ZIP, 77KB] A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Explore our provider manuals to find resources about Aetna policy guidelines credentialing and reimbursement process. Explore the EAP manual. Women's Health Programs and Policies Manual. or if you have an Aetna Medicare plan. Continue. My ZIP code is: Select your county. Pleas