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- 51. Does choosing a taxonomy code mean I met the licensure/certification requirements for that provider?
- (Taxonomy More Information)
- No. The Health Care Provider Taxonomy codes are self-selected by the provider. Selection of a taxonomy code does not replace any credentialing or validation process that the organization requesting the ...
- Created on 01 March 2009
- 52. 1500 Instruction Manual Changes
- (1500)
- 1500 Instruction Manual Changes The following is a complete list of changes that have been made to the 9.0 7/13 version of the 1500 Instruction Manual since its release in July 2013 and will be included ...
- Created on 04 July 2007
- 53. Can I have information pre-printed on our claim forms so I don't have to re-enter it each time
- (1500 Claim Form: Frequently Asked Questions)
- Any information that you have pre-printed on your forms should be information that will remain the same regardless of the payer you are submitting to. One example may be the Billing Provider Information. ...
- Created on 04 May 2007
- 54. My organization wants to insert instructions into the NUCC Instruction Manual. Can we do this?
- (1500 Claim Form: Frequently Asked Questions)
- My organization wants to insert its own specific instructions into the NUCC Reference Instruction Manual. Can we do this? No. Any payer-specific or other organization-specific modifications to instructions ...
- Created on 12 November 2006
- 55. My payer has given me different instructions than the manual. What should I do?
- (1500 Claim Form: Frequently Asked Questions)
- The NUCC's goal in developing the 1500 Claim Form Reference Instruction Manual is to help standardize nationally the manner in which the form is completed. We do recognize, however, that some payers will ...
- Created on 12 November 2006
- 56. Can I report more than six services now that the form has additional lines in 24?
- (1500 Claim Form: Frequently Asked Questions)
- No. The form continues to accommodate the reporting of only six services. The shaded areas of lines 1-6 are to accommodate supplemental information being reported for the service.
- Created on 11 November 2006
- 57. 1500 Instructions (2)
- (1500)
- 1500 Claim Form Reference Instruction Manual The NUCC has developed a 1500 Reference Instruction Manual detailing how to complete the claim form. The purpose of this manual is to help standardize nationally ...
- Created on 21 October 2006
- 58. Condition Codes
- (General)
- Condition Codes The following lists of Condition Codes are valid for use on the 1500 Health Care Claim Form and in the 837 Professional transaction. Expanded Access and Emergency Use Authorization ...
- Created on 13 October 2005
- 59. Definitions
- (General)
- Definitions The following definitions apply to terms used in the Professional Claim. PROVIDER TERMS Referring Provider The Referring Provider is the individual who directed the patient for ...
- Created on 13 October 2005
- 60. Taxonomy Display Names
- (Active - Home Page)
- ... side of the page is an expandable list that includes an introduction and help page. The codes are presented within the hierarchical three Levels and the list can be expanded or collapsed. Clicking on ...
- Created on 17 September 2020
- 61. How do I use the on-line list?
- (Taxonomy More Information)
- ... panes are separated by a splitter bar. Navigation The ToC is a tree control with parent and subordinate nodes that reflect the taxonomy levels: Individual or Non-individual Provider Grouping ...
- Created on 01 September 2020
- 62. New 1500 Claim Form FAQs
- (1500 Claim Form)
- 1500 Claim Form: Frequently Asked Questions Check the NUCC’s FAQs for information about commonly asked questions about the 1500 Claim Form. The FAQs will be updated periodically.
- Created on 19 June 2014
- 63. Resources for Implementing the 02/12 1500 Claim Form
- (Active - Home Page)
- Resources for Implementing the 02/12 1500 Claim Form Payers may begin accepting the 02/12 1500 Claim Form as of January 6, 2014. The following resources will assist your organization in implementing ...
- Created on 09 December 2013
- 64. 08/05 1500 Claim Form
- (1500 Claim Form)
- 08/05 1500 Claim Form The following information is for the Version 08/05 1500 Claim Form. Verify with your payer if they are continuing to accept this old version of the claim form or if you need to ...
- Created on 12 June 2013
- 65. New: 7/1/2014
- (Provider Taxonomy)
- ... through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Source: National Uniform Claim ...
- Created on 01 July 2012
- 66. New: 1/1/2015
- (Provider Taxonomy)
- New codes added 1/1/2015, effective 4/1/2015 125Q00000X Under the Dental Providers the Oral Medicinist was added: A dentist with advanced training specializing in the recognition and ...
- Created on 01 July 2012
- 67. New: 7/1/2015
- (Provider Taxonomy)
- ... to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive ...
- Created on 01 July 2012
- 68. New: 1/1/2016
- (Provider Taxonomy)
- ... and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal ...
- Created on 01 July 2012
- 69. New: 7/1/2016
- (Provider Taxonomy)
- ... as requested within the health system. Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical Additional Resource: ...
- Created on 01 July 2012
- 70. New: 1/1/2017
- (Provider Taxonomy)
- ... in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Source: ...
- Created on 01 July 2012
- 71. New: 7/1/2017
- (Provider Taxonomy)
- ... subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems ...
- Created on 01 July 2012
- 72. New: 7/1/2018
- (Provider Taxonomy)
- ... physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension. Source: American College ...
- Created on 01 July 2012
- 73. Modified: 1/1/2019
- (Provider Taxonomy)
- Modified codes 1/1/2019 103G00000X Under the Behavioral Health & Social Service Providers the Clinical Neuropsychologist definition changed to: Clinical Neuropsychologist A clinical ...
- Created on 01 July 2012
- 74. Modified: 7/1/2019
- (Provider Taxonomy)
- Modified codes 7/1/2019 136A00000X Under the Dietary & Nutritional Service Providers the Dietetic Technician, Registered definition changed to: Dietetic Technician, Registered A Dietetic Technician, ...
- Created on 01 July 2012
- 75. Modified: 1/1/2020
- (Provider Taxonomy)
- Modified codes 1/1/2020 225100000X Under the Respiratory, Developmental, Rehabilitative, and Restorative Service Providers the Physical Therapist definition changed to: Physical Therapist ...
- Created on 01 July 2012
- 76. Modified: 1/1/2021
- (Provider Taxonomy)
- Modified codes 1/1/2021 103TM1800X Under the Behavioral Health & Social Service Providers; Psychologist the Mental Retardation & Developmental Disabilities title changed to: Intellectual & ...
- Created on 01 July 2012
- 77. Modified: 7/1/2022
- (Provider Taxonomy)
- Modified codes 7/1/2022 2080P0008X Under the Allopathic & Osteopathic Physicians; Pediatrics the Neurodevelopmental Disabilities definition changed to: Neurodevelopmental Disabilities ...
- Created on 01 July 2012
- 78. Modified: 1/1/2023
- (Provider Taxonomy)
- Modified codes 1/1/2023 207KA0200X Under the Allopathic & Osteopathic Physicians; Allergy & Immunology the Allergy definition changed to: Allergy A physician who specializes in the ...
- Created on 01 July 2012
- 79. Physician's Current Procedural Terminology (CP
- (Search - Web Links / CPT)
- American Medical Association's CPT? web pages. ...
- Created on
- 80. Centers for Medicare and Medicaid Services
- (Search - Web Links / HIPAA)
- The CMS page providing additional links to the resources found on the CMS site concerning the Administrative Simplification provisions of HIPAA.
- Created on
- 81. Washington Publishing Company
- (Search - Web Links / HIPAA)
- WPC is the exclusive publisher for all ASC X12N Implementation Guides adopted under HIPAA.
- Created on
- 82. The Regenstrief Institute
- (Search - Web Links / LOINC)
- The Regenstrief Institute (www.regenstrief.org) maintains the LOINC database and its supporting documentation.
- Created on
- 83. Duke Health Technology Solutions
- (Search - Web Links / LOINC)
- Created on