Coding guidelines definition

Coding guidelines means those standards or procedures used or applied by a payor to determine the most accurate and appropriate code or codes for payment by the payor for a service or services.
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Coding guidelines means those standards or procedures used or
Sample 1
Coding guidelines means those standards or procedures used or applied by a payor to determine the
Sample 1

Examples of Coding guidelines in a sentence

  • The following shall be utilized as applicable, for each case: • Admission criteria; • Invasive procedure criteria; • CMS coverage guidelines; • Published CMS criteria • DRG validation guidelines; • Coding guidelines; and • Other screens, criteria, and guidelines (e.g., practice guidelines that are well accepted by the medical community) Contractors shall consult with physician or other specialists if necessary to make an informed medical review determination.

  • PCP agrees to utilize current CPT Coding guidelines including HCPCS.

  • The student type will remain CCPP, and their student code will remain CTE in accordance with Student Coding guidelines.

  • Flats sit above retail units fronting Fore Street along the site’s eastern boundary.

  • The student type will remain CCPP and their student code will remain CTE in accordance with Student Coding guidelines.

  • Coding guidelines for object-oriented languages often emphasize that public methods are an interface to the world and should minimize the assumptions on their usage.2 Furthermore, this view is convenient for experimentation, as it lets us use modules out of large software packages, without worrying about the scalability of analyzing (either automatically or by hand) the entire executable program.

  • Coding guidelines and annual revisions to ICD-10-PCS are made nationally by the “Cooperating Parties” (the American Hospital Association, the Centers for Medicare and Medicaid Services, the National Center for Health Statistics, and the American Health Information Management Association).

  • Time RequirementsTime – based on AMA Coding guidelines Category Specific Medicaid Billing Limitations Programs may bill for only one Medication Management service per day.

  • Paired records from 4 Coding guidelines state that no record should have obstetric diagnoses with a fifth digit of 1 or 2 and diagnoses with a fifth digit of 3 or 4, but this combination was seen in 0.3% of vaginal delivery records.different hospitals were assumed to represent same-day transfers if either record had admission source or discharge disposition codes suggesting a transfer (but were otherwise excluded).

  • Mayor Whipple moved to approve consent agenda items 1 through 4 in accordance with the recommended actions shown thereon.Motion carried 6 to 0.


More Definitions of Coding guidelines

Coding guidelines means those standards or procedures used or 25 applied by a payor to determine the most accurate and appropriate code or codes for
Sample 1

Related to Coding guidelines

  • Bidding Guidelines means the “Tariff Based Competitive-Bidding Guidelines for Transmission Service” and “Guidelines for Encouraging Competition in Development of Transmission Projects” issued by Government of India, Ministry of Power dated 13th April 2006 under Section – 63 of Electricity Act and as amended from time to time;

  • Operating Guidelines means the guidelines for the creation and redemption of Units of a class as set out in the schedule to each Participation Agreement as amended from time to time by the Manager with the approval of the Trustee, and where applicable, with the approval of HKSCC and the Conversion Agent, and following consultation, to the extent reasonably practicable, with the relevant Participating Dealers subject always, in respect of the relevant Operating Guidelines for a Participating Dealer, any amendment being notified in writing by the Manager in advance to the relevant Participating Dealer. Unless otherwise specified, references to the Operating Guidelines shall be to the Operating Guidelines for the relevant Sub-Fund applicable at the time of the relevant Application.

  • Scoring guide means a set of rules or criteria used to evaluate a performance, product, or project. The purpose of a scoring guide is to provide a transparent and reliable evaluation process. Educator practice instruments include a scoring guide that an evaluator uses to structure his or her assessments and ratings of professional practice.

  • Branding Guidance means the Authority's guidance in relation to the use of branding;

  • 2%/25% Guidelines has the meaning set forth in Section 13.

  • Consulting Guidelines means the Guidelines on the Use of Consultants by Asian Development Bank and its Borrowers (2010, as amended from time to time);

  • Program Guidelines means any and all GLO-approved documents reflecting specific rules and regulations governing the implementation of the Program.

  • Local Service Ordering Guide or "LSOG" is a document developed by the OBF to establish industry-wide ordering and Billing processes for ordering local services.

  • Procurement Guidelines means the “Guidelines: Procurement under IBRD Loans and XXX Credits” published by the Bank in May 2004 and revised in October, 2006.

  • User Guide means such user guide or document issued or prescribed by us, through any medium, setting out instructions on the use of the EB Services;

  • User Guides means Sprinklr materials made available to Customer through the support portal to assist users of the Platform, as such materials may be updated during the Term.

  • ECB €STR Guideline means Guideline (EU) 2019/1265 of the European Central Bank of 10 July 2019 on the euro short-term rate (€STR) (ECB/2019/19), as amended from time to time;

  • Guidelines means the Instructions to Authors available on the Xxxxxxx Science website, as well as the Aims & Scope applicable to the relevant Xxxxxxx Science publication). Xxxxxxx Science’s nominated service provider, Xxxxxxx Science, offers English language support services which Assignor may elect to utilise in respect of the Work by completing the applicable box in Schedule 1: Details of the Work. The provision of such services by Xxxxxxx Science shall be subject to Xxxxxxx 2 [v.122016] Science’s prevailing terms and rates relating to such type of optional support.

  • Underwriting Guidelines The underwriting guidelines of the Seller, a copy of which is attached as an exhibit to the related Assignment and Conveyance.

  • Applicable Guidelines means the policies of the Bank governing the selection and Contract award process as set forth in this RFP.

  • Federal poverty guidelines means the poverty guidelines published annually in the Federal Register by the United States Department of Health and Human Services under its authority to revise the poverty line under section 673(2) of subtitle B of title VI of the omnibus budget reconciliation act of 1981, 42 USC 9902.

  • Valuation Guidelines means the valuation guidelines adopted by the Board, as amended from time to time.

  • Fitch Guidelines means the guidelines, as may be amended from time to time, in connection with Fitch’s ratings of the VMTP Shares.

  • Modification Guidelines has the meaning provided in Section 2.1(a) of this Single Family Shared-Loss Agreement.

  • Credit Guidelines means the policies of Credit Acceptance, relating to the extension of credit to automobile, light-duty truck, minivan and/or sport utility dealers and consumers in respect of retail installment contracts for the sale of automobiles, light-duty trucks, minivans and/or sport utility vehicles including the policies for determining creditworthiness of such dealers and consumers and otherwise relating to the extension of credit to dealers and consumers and the maintenance of installment sale contracts, as in effect on the Cut-off Date and as amended from time to time in accordance with the Basic Documents or in accordance with Applicable Law, attached hereto as Exhibit H.

  • Policies and Procedures means the written policies and procedures of the Client in any way related to the Services, including any such policies and procedures contained in the Organic Documents and the Offering Documents.

  • Design Guidelines means the Fernkloof Estate architectural design guidelines to control all aspects of design and landscaping of any development within the Fernkloof Estate dev elopment, as amended from time to t ime in terms of the constitution of the MPOA or as required by the Council , a copy of the current draft which i s av ailable for inspection at the offices of the Association;

  • Xxxxxx Xxx Guides The Xxxxxx Xxx Xxxxxxx' Guide and the Xxxxxx Xxx Servicers' Guide and all amendments or additions thereto.

  • FNMA Guides The FNMA Sellers' Guide and the FNMA Servicers' Guide, and all amendments or additions thereto.

  • Program Guide The Residential Funding Seller Guide for mortgage collateral sellers that participate in Residential Funding's standard mortgage programs, and Residential Funding's Servicing Guide and any other subservicing arrangements which Residential Funding has arranged to accommodate the servicing of the Mortgage Loans.