Get the free Medicaid SI-003 Co-Surgeon and Team Surgeons 03.26.24.docx

MEDICAID REIMBURSEMENT POLICYCoSurgeon and Team Surgeons Active ___ Section: Surgery/Interventional Procedure Policy Number: 003 Effective Date: 04/01/24 ___ Description This policy addresses reimbursement

How to fill out medicaid si-003 co-surgeon and

How to fill out medicaid si-003 co-surgeon and

1. Obtain the Medicaid si-003 co-surgeon form from the Medicaid office or website.
2. Fill in the patient's information at the top of the form, including their name, Medicaid ID number, and date of birth.
3. Specify the primary surgeon's information in the designated section, including their name, NPI number, and signature.
4. Include the co-surgeon's information in the appropriate section, including their name, NPI number, and signature.
5. Provide details about the surgical procedure being performed and the role of each surgeon involved.
6. Review the completed form for accuracy and completeness before submitting it to the Medicaid office.

Who needs medicaid si-003 co-surgeon and?

1. Patients who require a surgical procedure where multiple surgeons are involved may need to fill out the Medicaid si-003 co-surgeon form.
2. Surgeons who are working together as co-surgeons on a single procedure will also need to complete and submit this form.

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What is medicaid si-003 co-surgeon and?

Medicaid SI-003 co-surgeon refers to a specific form used in the Medicaid system to document services provided by co-surgeons during surgical procedures.

Who is required to file medicaid si-003 co-surgeon and?

Healthcare providers who perform surgical procedures that involve co-surgeons must file the Medicaid SI-003 form to ensure proper billing and reimbursement.

How to fill out medicaid si-003 co-surgeon and?

To fill out the Medicaid SI-003 co-surgeon form, providers must include patient details, procedure codes, surgeon information, and specify the roles of each co-surgeon involved.

What is the purpose of medicaid si-003 co-surgeon and?

The purpose of the Medicaid SI-003 co-surgeon form is to ensure accurate documentation and billing for surgical services provided by more than one surgeon in a single procedure.

What information must be reported on medicaid si-003 co-surgeon and?

The information that must be reported includes patient identification, date of service, procedure codes, and the names and NPI numbers of each co-surgeon involved.