INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Hospital Outpatient Services.
Effective Date: October 2000.
Document Description: This manual describes DSHS guidelines for billing for Outpatient Hospital Services. Included in this manual are the following sections: Definitions, About the Program, Authorization, Ancillary Services, Revenue Codes, Fee Schedule, General Billing, and How to Complete the UB-92 Claim Form.
To receive a copy of the interpretive or policy statement, contact Ann Myers, Regulatory Improvement Coordinator, Department of Social and Health Services, Medical Assistance Administration, Division of Program Support, P.O. Box 45530, Olympia, WA 98504, phone (360) 586-2337 or download from Internet at http://maa.dshs.wa.gov/Download/downloadbilling.html, TDD 1-800-848-5429, fax (360) 753-7315, e-mail mailto:MYERSEA@dshs.wa.gov.
September 27, 2000
Leslie Saeger, Manager
Regulatory Improvement Project