Payment for Outpatient Hospitalization for Surgery Cases (August 31, 2000)

Fee Schedule for Bluegrass Stone Therapy Center, Inc., Lexington, KY (March 28, 1984)

MS-CE-02-03-02

Date: October 4, 2002
RE: Gastric Bypass Surgery

Assistance with the costs of Gastric Bypass Surgery or other associated procedures such as Gastric Stapling or Gastric Banding can be provided only when all of the following conditions have been met and there is documentation to support that:

Allowable fees for some Gastric Bypass Surgery procedures can be found in the Relative Value Schedule and can be authorized if all of the above conditions have been met and documented. When a procedure and/or allowable fee is not in the Relative Value Schedule, it should be treated as a By Report. As with all physical restoration services, Department assistance can only be provided with those surgical procedures that have been approved in the United States. Procedures that are still in clinical trials or considered experimental will not be covered even if all of the above conditions have been met.

MS-JT-99-00-38

DATE: August 31, 2000

RE: Department of Vocational Rehabilitation

Payment for Outpatient Hospitalization for Surgery Cases

Effective September 1, 2000, two days at the current inpatient per diem is to be allowed for outpatient hospitalization for a surgery case. Coverage at sixty-five percent (65%) of allowable billed charges is not to be provided for any service date on or after September 1, 2000.

Please replace the August 1, 2000 UPDATE of Service Fee Memorandum MS-99-00-31, Hospitalization: Inpatient Hospital Per Diem Rate Schedule and Outpatient Hospital with the attached September 1, 2000 Update.

Earlier this month, all hospitals were informed of this Department of Vocational Rehabilitation fees change to be effective for service dates on and after September 1, 2000. DVR has adopted the Department for the Blind coverage for outpatient hospitalization for surgery cases.

UPDATE SERVICE FEE MEMORANDUM

MS-JT-99-00-31

ORIGINAL DATE: July 1, 2000 UPDATE: September 1, 2000

RE: HOSPITALIZATION: INPATIENT HOSPITAL PER DIEM RATE

SCHEDULE AND OUTPATIENT HOSPITAL SERVICES

Please find attached an updated Inpatient Hospital Per Diem Rate Schedule effective August 1, 2000. Authorizations already issued for services rendered on or after August 1 should be adjusted to reflect the per diem rates on this new schedule. Non-allowable charges include admissions kit, television rental, personal items, telephone, etc.

If Pre-Admissions Tests are performed on date(s) prior to the consumer’s scheduled outpatient surgery date, hospital charges for such tests should be authorized at the established Relative Value Schedule (RVS).