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    Reimbursement of HIV-AIDS Counseling and Testing S

    www.health.ny.gov

    3109) will be subsumed into the APG payment system, and as such will be paid
    based … The current Medicaid billing policy, which enables a non-physician to
    bill and be paid for … services (5223), and the AIDS Clinic – Therapeutic Visit (
    2961) will remain … http://www.health.ny.gov/diseases/aids/testing/
    hiv_testing_law.htm.

    Outpatient Department Rate Codes to be Subsumed by APGs

    www.health.ny.gov

    2961 AIDS CLINIC, THERAPEUTIC VISIT. X. X ….. billing only rate codes 4011
    and 4012 (in addition to the APG rate codes and the APG carved out rate codes –
    .

    Ambulatory Patient Groups – New York State Department of Health

    www.health.ny.gov

    http://www.nyhealth.gov/health_care/medicaid/rates/apg. ▫ Improve coding on
    claims to ensure appropriate reimbursement through APGs. ▫ Talk with your
    billing …

    Ambulatory Patient Groups (APGs) – New York State Department of …

    www.health.ny.gov

    Sep 3, 2009 … Review APG policy on ancillary laboratory and radiology services. … Existing
    Medicaid outpatient rate methodologies are broken, most clinic rates and ……
    Visit (Positive Result). ▫. 2961 – AIDS Therapeutic Visit (DAC Only).

    the NYS Department of Health Program on Medicaid Prenatal Care

    www.health.ny.gov

    Prenatal care in context of Medicaid. Reforms …. No longer will be recognized by
    NY Medicaid as specialty prenatal … must bill for prenatal care services using
    APG rate codes, ….. Testing (3109), AIDs Therapeutic Visit (2961), and Day
    Health.

    APG Provider Manual – New York State Department of Health

    www.health.ny.gov

    Aug 1, 2012 … through the APG payment methodology is based on the current version of the ….
    4.10 Medicare/Medicaid Dually Eligible Beneficiaries…

    All Procedures Carved out of APGs (individual codes carved out …

    www.health.ny.gov

    Jan 1, 2011 … Select rate codes carved out of the APG reimbursement methodology: 1604,
    1695, 1802, 1850, 2961, 2983, 3107, 3109, 3111, 3139. See list of …

    PRENATAL CARE PROVIDERS Q&AS – New York State …

    www.health.ny.gov

    Oct 9, 2009 … Article 28 provider of prenatal care services using APG rate codes. … http://www.
    health.state.ny.us/health_care/medicaid/rates/apg/index.htm# …… A. Rate codes
    2961 (AIDS Clinic Therapeutic Visit), 2983 /1695(HIV …

    06/09/11 2010 INSTRUCTIONS INSTITUTIONAL … – Health Data NY

    health.data.ny.gov

    Jun 9, 2011 … Exhibit 15 – Medicaid Post Stepdown Adjustments – Established first four lines
    for … The New York State Institutional Cost Reporting System …

    Uninsured Care Providers Primary Care Manual – New York State …

    www.health.ny.gov

    partial insurance, Medicaid Spend-down / Surplus or Medicare Part D. 2) ADAP
    Plus (Primary … ADAP Plus serves HIV-infected New York State residents who
    are uninsured or underinsured who meet …. Providers who bill using the APG
    methodology will no longer be able … Therapeutic Visit (rate code 2961). •
    Provision of …




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