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California Medi-Cal Fees |
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1. HCPCS Level I - The CPT codes as maintained by the AMA - 5 digit numerical codes
2. HCPCS Level II - The HCPCS codes as maintained by CMS - 5 digit alpha-numeric codes
-these codes start with an alpha character from A through V, then have 4 numbers
3. HCPCS Level III - Local medicaid codes - also 5 digit alpha-numeric codes
-these codes start with W through Z.
Although the HCPCS level III codes are slated for extinction ( as part of the HIPAA regulations ), Flash Code does include these codes for the state of California.
To gain access to these codes and their fees you must do either of one the following:
Acess from the Payment Detail screen
1. From the Payment Detail screen, select the Medi-Cal button.
2. It will ask if you want to view Medi-Cal rates. If so, these codes will be searchable, and the fee table will be viewable.
1. Enter the CPT/HCPCS Search options dialog by clicking the NEW SEARCH button.
2. Check the CA Medi-Cal option to include these codes in the searches you perform.
You can search by code number or description. Upon entering the payment detail screen, the Medi-Cal button will be active and you can view fees for the California Medi-Cal codes and reimbursement system.
The California Medical Screen looks like this:
2. California Medi-Cal rates are listed here, by provider. If there is a difference in amount based on Adult or Child fee amounts it will be displayed here.
3. Basic, Child rates, ER Basic and ER Plus rates are listed here
4. The fee amount can vary from the outpatient clinic setting of a physician provider office to other special clinics. These clinic and/or provider distinctions are listed here, along with their accompanying fee amounts.