§ 12-15-13-0.1 Application of certain amendments to chapter
§ 12-15-13-0.4 “Office”
§ 12-15-13-0.5 “Clean claim”
§ 12-15-13-0.6 “Clean claim” for purposes of IC 12-15-14
§ 12-15-13-0.7 Addition, deletion, or modification of locators
§ 12-15-13-1 Payment, denial, or suspension of claims submitted by nursing facilities; time; notice of suspension or denial
§ 12-15-13-1.5 Payment of interest on claims submitted by nursing facilities
§ 12-15-13-1.6 Payment, denial, or suspension of claims; notice of suspension or denial
§ 12-15-13-1.7 Timing of payment or denial of claims; payment of interest
§ 12-15-13-1.8 Covered population; risk based managed care program; claims submission testing; workgroup; time period; temporary emergency financial assistance program; assistance payments; reconciliation; violation
§ 12-15-13-2 Payments to providers; requirements; federal law or regulations specifying reimbursement criteria
§ 12-15-13-3.5 Recovery of overpayment to noninstitutional provider; appeal
§ 12-15-13-4 Recovery of overpayment to institutional provider; appeal
§ 12-15-13-6 Notices or bulletins; timing; noncompliance
§ 12-15-13-7 Permitted forms
§ 12-15-13-7.2 Use of diagnostic or procedure codes
§ 12-15-13-8 Expired
§ 12-15-13-9 Reimbursement for providers at federally qualified health centers and rural health clinics

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Terms Used In Indiana Code > Title 12 > Article 15 > Chapter 13 - Provider Payment; General

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • clean claim: means a claim submitted by a provider for payment under the Medicaid program that can be processed without obtaining additional information from:

    Indiana Code 12-15-13-0.5

  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • Month: means a calendar month, unless otherwise expressed. See Indiana Code 1-1-4-5
  • office: includes the following:

    Indiana Code 12-15-13-0.4

  • Population: has the meaning set forth in Indiana Code 1-1-4-5
  • United States: includes the District of Columbia and the commonwealths, possessions, states in free association with the United States, and the territories. See Indiana Code 1-1-4-5