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  1. Hazard severity categories shall be assigned by Roman numerals according to the following criteria.

  2. A brief behavioral assessment is not reimbursable on the same day that a psychiatric evaluation, bio-psychosocial assessment, or in-depth assessment has been completed by a qualified …

  3. PROPOSED COURSE OF TREATMENT AS IT RELATES TO THIS MVA. MM. DD. YY. CPT/HCPCS. TOTAL UNITS. (Explain Unusual Circumstances) C. ICD Ind. D. H. K. L. I. J. A. …

  4. Treating Location Name (DBA) Languages Spoken . (please list all languages supported for translation) Location NPI # . (if applicable) Location Medicare/Medicaid Status .

  5. Heat-treating furnaces and other processing equipment contain areas that have a risk of trapping or holding parts. Such trapping of parts can lead to damage, improperly processed parts or lot …

  6. Jul 1, 2025 · Consultant physicians: Treating doctor standard medical report, expected to be provided within 10 business days of receipt of the initial request or examination (where …

  7. Return-to-Work Statement and have employee sign and take with them to treating physician. This form must be completed each time an employee is treated by their primary physician. It is the …

  8. Engage all individuals at-risk of suicide using a suicide care management plan. Transition individuals through care with warm hand-offs and supportive contacts. Improve policies and …

  9. 2.2) Behavioral health staff and appropriate medical personnel are educated about the best practices in assessing, treating and evaluating patients who experience significant trauma.

  10. PROGRAM TITLE.