medi cal documentation requirements

medi cal documentation requirements

January 1, 2023 at 6:00 AM CT. on the guidance repository, except to establish historical facts. Behavioral Health Information Notice No. This principle would apply across the spectrum of all Medicare-covered services paid under the PFS.. No fee schedules, basic unit, relative values or related listings are included in CDT. Our calculator will be back soon, but you can still learn more about how Covered California works. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). In a skilled nursing or intermediate care home. 8824 0 obj <>/Filter/FlateDecode/ID[<2CE4616185BFF943BE439ED1B805F364>]/Index[8810 55]/Info 8809 0 R/Length 77/Prev 572249/Root 8811 0 R/Size 8865/Type/XRef/W[1 2 1]>>stream CMS responded that it agreed that additional guidance was needed and that it intended to work with its contractors in the development of effective guidance. The time period designated for newborns is birth through the 28th day following birth. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} In order for you to participate in the 2023 Match, ECFMG must determine the outcome of your Pathways application; determine your overall eligibility for the 2023 Match, including verifying your passing performance on USMLE Step 1 and Step 2 Clinical Knowledge (CK); then report your eligibility status to the National Resident Matching Program . At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. Warning: you are accessing an information system that may be a U.S. Government information system. An AMA Ed Hub module, " Office Evaluation and Management (E/M) CPT Code Revisions ," will help physicians and staff understand how these foundational changes will affect their work and reduce their documentation burden. : 22-13E Page 4 February 17, 2023 On May 4, 2022, CMS approved DHCS' Section 1 902(e)(14)(A) waiver requests Title 49. Section 400-410 . The AMA does not directly or indirectly practice medicine or dispense medical services. Data of the tests conducted to assess safety, quality and usefulness on: Post Market surveillance plan shall address: The post-market surveillance plan shall cover at least: The PSUR referred to in Article 86 and the post-market surveillance report referred to in Article 85. hYk0AOA h@&Y0~Pcmjp`KwF$m-i"9 $HBD$dDOd=xDfc=02:0%"0+K:mvjMtUFt4 .v[M(sq,+E4+]P@<39D"cz3:)!4a02:Wla'UA1zUkyt] X|k('"!5y4AxV; This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. It saves re-documentation on the part of the attending, in the same fashion as the attending doesnt need to re-document all of the residents work. Any contribution and participation of a student to the performance of a billable service (other than the review of systems and/or past family/social history which are not separately billable, but are taken as part of an E/M service) must be performed in the physical presence of a teaching physician or physical presence of a resident in a service meeting the requirements set forth in this section for teaching physician billing. ( Physician's Business Address (number, street) City ZIP Code . IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. Visit the Medi-Cal website. hbbd```b``Z "'"K$XM%]f[Iq0W"\ 2q' 0 Physician's Name . Design drawings, details on the planned method of manufacture, diagram of components, sub-assemblies, circuits etc. : 23-XXX Page 2 Innovating Medi-. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. The billing physician/NP/PA needed to document that that information had been reviewed and verified. Our team will be happy to respond your queries. endstream endobj startxref Ms. Vermas letterwent further. The OIG expressed concern about copy/paste and over-documentation in 2014, but this did not lead to CMS standards about the practice. CPT is a trademark of the AMA. 1 Additionally, the Medicaid and Children's Health Insurance Program (CHIP) Managed Care Final Rule (42 Code of Federal Regulations (CFR) 438.340) requires each state Medicaid agency to produce a written quality For more about Betsy visit www.betsynicoletti.com. endstream endobj 73 0 obj <>/Metadata 6 0 R/Pages 70 0 R/StructTreeRoot 10 0 R/Type/Catalog/ViewerPreferences 89 0 R>> endobj 74 0 obj <>/MediaBox[0 0 612 792]/Parent 70 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 75 0 obj <>stream CMS said they were going to do this in the 2019 Physician Fee Schedule Final Rule, released in November of 2018, but the transmittal wasnt released until April 26, although there is an effective date of January 1, 2019 and an implementation date of July 1, 2019. Now that you are signed up for updates from Covered California, we will send you tips and reminders to help with your health coverage. TSC is also available to assist providers with general inquiries. Note: Authority cited: Sections 1797.107, 1797.109 and 1797.170, Health and Safety Code. All rights reserved. Documenting "telehealth visit" or "telemedicine visit" doesn't differentiate this. Clinical documentation of patient and client management is a professional responsibility and a legal requirement. If an employee requests a leave of absence as an accommodation under the Americans with Disabilities Act (ADA), can I require medical documentation from their health care provider? [ But, the teaching physician doesnt have to re-document the work. California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands. Before sharing sensitive information, make sure youre on a federal government site. Methods used in devices with measuring functions to ensure the accuracy as given in the specifications. Last Updated Wed, 28 Sep 2022 17:42:11 +0000. Codes 99202-99215 in 2021, and other E/M services in 2023. Use of these documents are not intended to take the place of either written law or regulations. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Visit any Customer Service Center (CSC) If you are a trucking company submitting medical certification document (s) on behalf of your drivers, please use the submission options listed above. Documentation Matters Toolkit. All Rights Reserved. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicaid Program Integrity Educational Resources, Documentation Matters Fact Sheet for Medical Professionals (PDF), Documentation Matters Fact Sheet for Behavioral Health Practitioners (PDF), Documentation Matters Fact Sheet for Medical Office Staff (PDF), Documentation Matters Educational Video Handout (PDF), Documentation Matters Educational Video Case Study (PDF), Electronic Health Records Fact Sheet (PDF), Electronic Health Records Resource Guide (PDF), Medicaid Compliance for the Dental Professional, Help with File Formats 99215: high. 200 Independence Avenue, S.W. Department of Motor Vehicles. In the 2019 Physician Fee Schedule Final Rule, CMS stated its desire to reduce the burden of documentation on practitioners for E/M services, in both teaching and non-teaching environments. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. Documentation Matters Toolkit. State Hearings Division - September 2013 ParaReg Headnotes 400-599 Medi-Cal Paraphrased Regulations . You may also contact AHA at ub04@healthforum.com. The date the measure summary was produced (run date) The name or logo of the CEHRT vendor and product number. aM+a[uJG Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. (a) A physician shall maintain medical records for patients which accurately, legibly and completely reflect the evaluation and treatment of the patient. means youve safely connected to the .gov website. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. Citizenship. These are significant changes for all practices, including those in academic settings. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Social Security Number. The new rules allow the attending, the resident or the nurse to document the attendings participation in the care of the patient when performing an E/M service. This further reduces the burden of documenting a specific level of history and exam. They are all part of HCPS, the Healthcare Common Procedure Coding System. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. It is briefhere is the section on E/M. 1. THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. 12.2 Required Documentation. K4`?5+$? (5) Make charts and records available to the medicaid agency, its contractors or designees, and the United States Department of Health and Human Services (DHHS) upon request, for six years from the date of service or longer if required specifically by federal or state law or regulation. 23. 2. If you don't get this letter within 45 days of submitting your application, call Covered California at 1-800-300-1506. Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a review of systems (ROS), and past medical, family, and social history (PFSH) in a patient record. End Users do not act for or on behalf of the CMS. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. CDT is a trademark of the ADA. 8864 0 obj <>stream Physician Telephone Number . IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. MEDI-CAL MANUAL For Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), and Therapeutic Foster Care (TFC) Services for Medi-Cal Beneficiaries The 95165 CPT code is defined as: " Professional services for . : Physician's Signature: Date: Title: Microsoft Word - DHCS 6187 _12-09_.doc Author: SZCTYG Created Date: 2/12/2010 11:48:58 AM . Enter the password to open this PDF file: Cancel OK. 99214: moderate. This principle applies broadly for professional services furnished by a physician/NP/PA. ) In the 2019 Physician Fee Schedule rule, CMS notes that stakeholders have long maintained that the E/M documentation guidelines where administratively burdensome and outdated. They finalized several proposals that would provide significant and immediate burden reduction in documenting E/M services. lock Advanced practice registered nurses (APRNs) and physician assistants (PAs) told CMS that they will wanted to use the same rules for precepting their students as physicians used when precepting medical students. The Department may not cite, use, or rely on any guidance that is not posted on . All County Welfare Directors Lett er No. Practitioners would conduct clinically relevant and medically necessary elements of history and physical exam, and conform to the general principles of medical record documentation in the 1995 and 1997 guidelines. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. However, the teaching physician must verify in the medical record all student documentation or findings, including history, physical exam and/or medical decision making. The submission of these records shall not guarantee payment as all applicable coverage requirements must be met. B. E/M Service Documentation Provided By Students. Section from 2019 rule and letter from Ms. Verma attached to this article. https:// Copyright American Medical Association. 804-367-6692. This system is provided for Government authorized use only. The ADA is a third-party beneficiary to this Agreement. Texas Labor Code Section 408.0251 requires health care providers and insurance carriers to submit and process medical bills electronically. hl6e BhvYe;O MYDG6md])vO2t8@Du40@A ;: July 11, 2022 1681. Legible signature (holographic or electronic). I love when management gives discipline for irregular in attendance. Management Instruction EL-860-98-2 3 Custodians of Medical Records Custodians are legally responsible for the retention, maintenance, protection, disposition, disclosure, and transfer of the records in their All Technical documentation requirements of MDD must be presented for the MDR alongside the below additional list: The benefit-risk analysis, the solutions adopted, and the results of the risk management, The documentation shall contain the results and critical analyses of all verifications and validation tests and/or studies undertaken to demonstrate the conformity of the device with the requirements of this Regulation. Heres how you know. April 5, 2021 VHA DIRECTIVE 1907.01 . If the data is inconsistent, we ask you tosubmit documents to confirm the new information. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. These changes reflect Medical Record Documentation that was already included in the current CPCP020 Drug Testing Clinical Payment and . In 2019, CMS updated the section of the Medicare Claims Processing Manual that addressed E/M services in teaching settings, allowing a nurse, resident or the attending to document the attendings presence during an E/M service. Based on the changes summarized above and detailed below, it would seem that CMS does not care about the issue of copying and pasting from a prior record. %%EOF This isnt an application for health coverage. . Providers are responsible for documenting each patient encounter completely, accurately, and on time. Required fields are marked *. Chapter 16. Verify your Eligibility On refugee status for a limited time, depending how long you have been in the United States. 17. Blind. CMS has made significant changes in E/M notes to reduce burden on practitioners in the past years. Bronze, Gold and Platinum plans also available, Coverage for children, adults and families. Copy-pasting, also known as cloning, enables users to select information from one source and replicate it in another location. Issued by: Centers for Medicare & Medicaid Services (CMS) Issue Date: April 01, 2017 DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. Beneficiary name and his/her Medicare Number. The first requirement for admission into Clinix Health Medical Centre is proof of identity; this includes a valid passport or national ID card. Reproduced with permission. The CMS rules got a major update with the April 26, 2019 Transmittal 4823. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Answer: First: For a telehealth visit, always document if it is with video or audio only. The Department of Health Care Services (DHCS) submits eligibility . Providers must ensure all necessary records are submitted to support services rendered. Washington, D.C. 20201 Income. The rules in Chapter 133, Subchapter G (relating to electronic medical billing, reimbursement, and documentation) outline the transaction sets required for electronic medical bill processing and provide limited exemptions from the electronic medical bill . important;-ms-filter: "alpha(opacity=100)";}.fl-button.fl-button-icon-animation i.fl-button-icon-after {margin-left: 0px !important;}.fl-button.fl-button-icon-animation:hover i.fl-button-icon-after {margin-left: 10px !important;}.fl-button.fl-button-icon-animation i.fl-button-icon-before {margin-right: 0 !important;}.fl-button.fl-button-icon-animation:hover i.fl-button-icon-before {margin-right: 20px !important;margin-left: -10px;}.single:not(.woocommerce).single-fl-builder-template .fl-content {width: 100%;}.fl-builder-layer {position: absolute;top:0;left:0;right: 0;bottom: 0;z-index: 0;pointer-events: none;overflow: hidden;}.fl-builder-shape-layer {z-index: 0;}.fl-builder-shape-layer.fl-builder-bottom-edge-layer {z-index: 1;}.fl-row-bg-overlay .fl-builder-shape-layer {z-index: 1;}.fl-row-bg-overlay .fl-builder-shape-layer.fl-builder-bottom-edge-layer {z-index: 2;}.fl-row-has-layers .fl-row-content {z-index: 1;}.fl-row-bg-overlay .fl-row-content {z-index: 2;}.fl-builder-layer > * {display: block;position: absolute;top:0;left:0;width: 100%;}.fl-builder-layer + .fl-row-content {position: relative;}.fl-builder-layer .fl-shape {fill: #aaa;stroke: none;stroke-width: 0;width:100%;}@supports (-webkit-touch-callout: inherit) {.fl-row.fl-row-bg-parallax .fl-row-content-wrap,.fl-row.fl-row-bg-fixed .fl-row-content-wrap {background-position: center !important;background-attachment: scroll !important;}}@supports (-webkit-touch-callout: none) {.fl-row.fl-row-bg-fixed .fl-row-content-wrap {background-position: center !important;background-attachment: scroll !important;}}.fl-builder-content a.fl-button,.fl-builder-content a.fl-button:visited {background: #fafafa;border: 1px solid #ccc;color: #333;}.fl-builder-content a.fl-button *,.fl-builder-content a.fl-button:visited * {color: #333;}.fl-row-fixed-width { max-width: 1100px; }.fl-row-content-wrap{margin-top: 0px;margin-right: 0px;margin-bottom: 0px;margin-left: 0px;}.fl-row-content-wrap{padding-top: 20px;padding-right: 20px;padding-bottom: 20px;padding-left: 20px;}.fl-col-content{margin-top: 0px;margin-right: 0px;margin-bottom: 0px;margin-left: 0px;}.fl-col-content{padding-top: 0px;padding-right: 0px;padding-bottom: 0px;padding-left: 0px;}.fl-module-content{margin-top: 20px;margin-right: 20px;margin-bottom: 20px;margin-left: 20px;}@media (max-width: 1200px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl {display: none !important;}.fl-visible-xl,.fl-visible-medium,.fl-visible-medium-mobile,.fl-visible-mobile,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group .fl-visible-medium-mobile.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: none;}.fl-visible-desktop,.fl-visible-desktop-medium,.fl-visible-large,.fl-visible-large-medium,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large.fl-col,.fl-col-group .fl-visible-large-medium.fl-col {display: block;}.fl-col-group-equal-height .fl-visible-desktop.fl-col,.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col {display: flex;} }@media (max-width: 992px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large {display: none !important;}.fl-visible-xl,.fl-visible-desktop,.fl-visible-large,.fl-visible-mobile,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-large.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: none;}.fl-visible-desktop-medium,.fl-visible-large-medium,.fl-visible-medium,.fl-visible-medium-mobile,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large-medium.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group .fl-visible-medium-mobile.fl-col {display: block;}.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium-mobile.fl-col {display: flex;} }@media (max-width: 768px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop-medium,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop-medium,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large-medium,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large-medium {display: none !important;}.fl-visible-xl,.fl-visible-desktop,.fl-visible-desktop-medium,.fl-visible-large,.fl-visible-large-medium,.fl-visible-medium,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large-medium.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group-equal-height .fl-visible-xl.fl-col,.fl-col-group-equal-height .fl-visible-desktop.fl-col,.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium.fl-col {display: none;}.fl-visible-medium-mobile,.fl-visible-mobile,.fl-col-group .fl-visible-medium-mobile.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: block;}.fl-row-content-wrap {background-attachment: scroll !important;}.fl-row-bg-parallax .fl-row-content-wrap {background-attachment: scroll !important;background-position: center center !important;}.fl-col-group.fl-col-group-equal-height {display: block;}.fl-col-group.fl-col-group-equal-height.fl-col-group-custom-width {display: -webkit-box;display: -webkit-flex;display: -ms-flexbox;display: flex;}.fl-col-group.fl-col-group-responsive-reversed {display: -webkit-box;display: -moz-box;display: -ms-flexbox;display: -moz-flex;display: -webkit-flex;display: flex;flex-wrap: wrap-reverse;-webkit-flex-wrap: wrap-reverse;-ms-box-orient: horizontal;}.fl-col-group.fl-col-group-responsive-reversed .fl-col {-webkit-box-flex: 0 0 100%;-moz-box-flex: 0 0 100%;-webkit-flex: 0 0 100%;-ms-flex: 0 0 100%;flex: 0 0 100%;min-width: 0;}.fl-col {clear: both;float: none;margin-left: auto;margin-right: auto;width: auto !important;}.fl-col-small:not(.fl-col-small-full-width) {max-width: 400px;}.fl-block-col-resize {display:none;}.fl-row[data-node] .fl-row-content-wrap {margin: 0;padding-left: 0;padding-right: 0;}.fl-row[data-node] .fl-bg-video,.fl-row[data-node] .fl-bg-slideshow {left: 0;right: 0;}.fl-col[data-node] .fl-col-content {margin: 0;padding-left: 0;padding-right: 0;} }.fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {background-color: #660000;border-style: none;border-width: 0;background-clip: border-box;border-color: #660000;} .fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {margin-top:10px;margin-bottom:20px;} .fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.fl-node-kfhid0rme2uv {width: 65.58%;}.fl-node-5gqzwfj62sui {width: 34.42%;}.fl-node-5gqzwfj62sui > .fl-col-content {background-image: url(https://codingintel.com/wp-content/uploads/2022/07/keyboard-stethescope.png);background-repeat: no-repeat;background-position: center top;background-attachment: scroll;background-size: cover;}@media(max-width: 992px) {.fl-builder-content .fl-node-5gqzwfj62sui {width: 34.42% !important;max-width: none;-webkit-box-flex: 0 1 auto;-moz-box-flex: 0 1 auto;-webkit-flex: 0 1 auto;-ms-flex: 0 1 auto;flex: 0 1 auto;}}@media(max-width: 768px) {.fl-node-5gqzwfj62sui > .fl-col-content {background-position: center center;}}@media ( max-width: 768px ) { .fl-node-5gqzwfj62sui.fl-col > .fl-col-content {padding-bottom:20px;}}.uabb-cta-left {text-align: left;}.uabb-cta-center {text-align: center;}.uabb-cta-right {text-align: right;}.uabb-cta-inline {display: table;width: 100%;}.uabb-cta-inline .uabb-cta-text,.uabb-cta-inline .uabb-cta-button {display: table-cell;vertical-align: middle;}.uabb-cta-inline .uabb-cta-button {padding-left: 30px;text-align: center;}.uabb-cta-stacked .uabb-cta-button {padding-top: 20px;}.uabb-module-content .uabb-text-editor :not(a) {color: inherit;}.uabb-module-content .uabb-text-editor :not(i) {font-family: inherit;}.uabb-module-content .uabb-text-editor :not(h1):not(h2):not(h3):not(h4):not(h5):not(h6) {font-size: inherit;line-height: inherit;}.uabb-module-content .uabb-text-editor :not(h1):not(h2):not(h3):not(h4):not(h5):not(h6):not(strong):not(b):not(i) {font-weight: inherit;}body h1.uabb-cta-title,body h2.uabb-cta-title,body h3.uabb-cta-title,body h4.uabb-cta-title,body h5.uabb-cta-title,body h6.uabb-cta-title,.uabb-cta-text-content p {margin: 0;padding: 0 0 10px;}@media (max-width: 768px) { .uabb-cta-inline {display: block;text-align: center;}.uabb-cta-inline .uabb-cta-text,.uabb-cta-inline .uabb-cta-button {display: block;}.uabb-cta-inline .uabb-cta-text {width: auto;}.uabb-cta-inline .uabb-cta-button {padding-left: 0;padding-top: 20px;width: auto;} }.fl-node-lgumf1vrobts .fl-module-content {padding: 0px;}.fl-node-lgumf1vrobts .uabb-button .uabb-btn-img {width: 20px;}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {padding:12px 24px;border-radius: 4px;-moz-border-radius: 4px;-webkit-border-radius: 4px;background: #ffffff;border: 1px solid #ffffff;}.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button *,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:visited,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:visited * {color: #660000;}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:focus,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:hover {background: #ffffff;border: 1px solid #ffffff;}.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:focus,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:focus *,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:hover,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:hover * {color: #135f69;}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap.uabb-button-reponsive-.uabb-creative-button-reponsive- {text-align: ;}}@media ( max-width: 992px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap.uabb-creative-button-tablet- {text-align: ;}}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {padding-top:;padding-bottom:;padding-left:;padding-right:;}}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {font-family: "Open Sans", sans-serif;font-weight: 700;font-size: 16px;line-height: 1.4;}.fl-node-lgumf1vrobts h1.uabb-cta-title {color: #ffffff;}.fl-node-lgumf1vrobts .uabb-text-editor {color: #ffffff;}@media ( max-width: 992px ) {.fl-node-lgumf1vrobts .uabb-button-wrap .uabb-button {}}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-button-wrap .uabb-button {}}.fl-node-lgumf1vrobts h1.uabb-cta-title {font-family: "EB Garamond", serif;font-weight: 700;font-size: 22px;line-height: 1.4;}.fl-node-lgumf1vrobts .uabb-text-editor {font-family: "Open Sans", sans-serif;font-weight: 400;font-size: 16px;line-height: 1.4;} .fl-node-lgumf1vrobts > .fl-module-content {margin-top:15px;}.ci-list-item .fl-icon {min-width: 40px;}.fl-col-group-equal-height.fl-col-group-align-bottom .fl-col-content {-webkit-justify-content: flex-end;justify-content: flex-end;-webkit-box-align: end; -webkit-box-pack: end;-ms-flex-pack: end;}.uabb-module-content h1,.uabb-module-content h2,.uabb-module-content h3,.uabb-module-content h4,.uabb-module-content h5,.uabb-module-content h6 {margin: 0;clear: both;}.fl-module-content a,.fl-module-content a:hover,.fl-module-content a:focus {text-decoration: none;}.uabb-row-separator {position: absolute;width: 100%;left: 0;}.uabb-top-row-separator {top: 0;bottom: auto}.uabb-bottom-row-separator {top: auto;bottom: 0;}.fl-builder-content-editing .fl-visible-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: none !important;}@media (max-width: 992px) {.fl-builder-content-editing .fl-visible-desktop.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: none !important;}.fl-builder-content-editing .fl-visible-desktop-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row {display: block !important;}}@media (max-width: 768px) {.fl-builder-content-editing .fl-visible-desktop.uabb-row,.fl-builder-content-editing .fl-visible-desktop-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium.uabb-row {display: none !important;}.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: block !important;}}.fl-responsive-preview-content .fl-builder-content-editing {overflow-x: hidden;overflow-y: visible;}.uabb-row-separator svg {width: 100%;}.uabb-top-row-separator.uabb-has-svg svg {position: absolute;padding: 0;margin: 0;left: 50%;top: -1px;bottom: auto;-webkit-transform: translateX(-50%);-ms-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-has-svg svg {position: absolute;padding: 0;margin: 0;left: 50%;bottom: -1px;top: auto;-webkit-transform: translateX(-50%);-ms-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-has-svg .uasvg-wave-separator {bottom: 0;}.uabb-top-row-separator.uabb-has-svg .uasvg-wave-separator {top: 0;}.uabb-bottom-row-separator.uabb-svg-triangle svg,.uabb-bottom-row-separator.uabb-xlarge-triangle svg,.uabb-top-row-separator.uabb-xlarge-triangle-left svg,.uabb-bottom-row-separator.uabb-svg-circle svg,.uabb-top-row-separator.uabb-slime-separator svg,.uabb-top-row-separator.uabb-grass-separator svg,.uabb-top-row-separator.uabb-grass-bend-separator svg,.uabb-bottom-row-separator.uabb-mul-triangles-separator svg,.uabb-top-row-separator.uabb-wave-slide-separator svg,.uabb-top-row-separator.uabb-pine-tree-separator svg,.uabb-top-row-separator.uabb-pine-tree-bend-separator svg,.uabb-bottom-row-separator.uabb-stamp-separator svg,.uabb-bottom-row-separator.uabb-xlarge-circle svg,.uabb-top-row-separator.uabb-wave-separator svg{left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-big-triangle svg {left: 50%;-webkit-transform: scale(1) scaleY(-1) translateX(-50%); -moz-transform: scale(1) scaleY(-1) translateX(-50%);-ms-transform: scale(1) scaleY(-1) translateX(-50%); -o-transform: scale(1) scaleY(-1) translateX(-50%);transform: scale(1) scaleY(-1) translateX(-50%);}.uabb-top-row-separator.uabb-big-triangle svg {left: 50%;-webkit-transform: translateX(-50%) scale(1); -moz-transform: translateX(-50%) scale(1);-ms-transform: translateX(-50%) scale(1); -o-transform: translateX(-50%) scale(1);transform: translateX(-50%) scale(1);}.uabb-top-row-separator.uabb-xlarge-triangle-right svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-bottom-row-separator.uabb-xlarge-triangle-right svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-curve-up-separator svg {left: 50%; -webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-top-row-separator.uabb-curve-down-separator svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-bottom-row-separator.uabb-curve-down-separator svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-tilt-left-separator svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-top-row-separator.uabb-tilt-right-separator svg{left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-tilt-left-separator svg {left: 50%;-webkit-transform: translateX(-50%); -moz-transform: translateX(-50%);-ms-transform: translateX(-50%); -o-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-tilt-right-separator svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-tilt-left-separator,.uabb-top-row-separator.uabb-tilt-right-separator {top: 0;}.uabb-bottom-row-separator.uabb-tilt-left-separator,.uabb-bottom-row-separator.uabb-tilt-right-separator {bottom: 0;}.uabb-top-row-separator.uabb-arrow-outward-separator svg,.uabb-top-row-separator.uabb-arrow-inward-separator svg,.uabb-top-row-separator.uabb-cloud-separator svg,.uabb-top-row-separator.uabb-multi-triangle svg {left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-multi-triangle svg {bottom: -2px;}.uabb-row-separator.uabb-round-split:after,.uabb-row-separator.uabb-round-split:before {left: 0;width: 50%;background: inherit inherit/inherit inherit inherit inherit;content: '';position: absolute}.uabb-button-wrap a,.uabb-button-wrap a:visited {display: inline-block;font-size: 16px;line-height: 18px;text-decoration: none;text-shadow: none;}.fl-builder-content .uabb-button:hover {text-decoration: none;}.fl-builder-content .uabb-button-width-full .uabb-button {display: block;text-align: center;}.uabb-button-width-custom .uabb-button {display: inline-block;text-align: center;max-width: 100%;}.fl-builder-content .uabb-button-left {text-align: left;}.fl-builder-content .uabb-button-center {text-align: center;}.fl-builder-content .uabb-button-right {text-align: right;}.fl-builder-content .uabb-button i,.fl-builder-content .uabb-button i:before {font-size: 1em;height: 1em;line-height: 1em;width: 1em;}.uabb-button .uabb-button-icon-after {margin-left: 8px;margin-right: 0;}.uabb-button .uabb-button-icon-before {margin-left: 0;margin-right: 8px;}.uabb-button .uabb-button-icon-no-text {margin: 0;}.uabb-button-has-icon .uabb-button-text {vertical-align: middle;}.uabb-icon-wrap {display: inline-block;}.uabb-icon a {text-decoration: none;}.uabb-icon i {display: block;}.uabb-icon i:before {border: none !important;background: none !important;}.uabb-icon-text {display: table-cell;text-align: left;padding-left: 15px;vertical-align: middle;}.uabb-icon-text *:last-child {margin: 0 !important;padding: 0 !important;}.uabb-icon-text a {text-decoration: none;}.uabb-photo {line-height: 0;position: relative;z-index: 2;}.uabb-photo-align-left {text-align: left;}.uabb-photo-align-center {text-align: center;}.uabb-photo-align-right {text-align: right;}.uabb-photo-content {border-radius: 0;display: inline-block;line-height: 0;position: relative;max-width: 100%;overflow: hidden;}.uabb-photo-content img {border-radius: inherit;display: inline;height: auto;max-width: 100%;width: auto;}.fl-builder-content .uabb-photo-crop-circle img {-webkit-border-radius: 100%;-moz-border-radius: 100%;border-radius: 100%;}.fl-builder-content .uabb-photo-crop-square img {-webkit-border-radius: 0;-moz-border-radius: 0;border-radius: 0;}.uabb-photo-caption {font-size: 13px;line-height: 18px;overflow: hidden;text-overflow: ellipsis;white-space: nowrap;}.uabb-photo-caption-below {padding-bottom: 20px;padding-top: 10px;}.uabb-photo-caption-hover {background: rgba(0,0,0,0.7);bottom: 0;color: #fff;left: 0;opacity: 0;visibility: hidden;filter: alpha(opacity = 0);padding: 10px 15px;position: absolute;right: 0;-webkit-transition:visibility 200ms linear;-moz-transition:visibility 200ms linear;transition:visibility 200ms linear;}.uabb-photo-content:hover .uabb-photo-caption-hover {opacity: 100;visibility: visible;}.uabb-active-btn {background: #1e8cbe;border-color: #0074a2;-webkit-box-shadow: inset 0 1px 0 rgba(120,200,230,.6);box-shadow: inset 0 1px 0 rgba(120,200,230,.6);color: white;}.fl-builder-bar .fl-builder-add-content-button {display: block !important;opacity: 1 !important;}.uabb-imgicon-wrap .uabb-icon {display: block;}.uabb-imgicon-wrap .uabb-icon i{float: none;}.uabb-imgicon-wrap .uabb-image {line-height: 0;position: relative;}.uabb-imgicon-wrap .uabb-image-align-left {text-align: left;}.uabb-imgicon-wrap .uabb-image-align-center {text-align: center;}.uabb-imgicon-wrap .uabb-image-align-right {text-align: right;}.uabb-imgicon-wrap .uabb-image-content {display: inline-block;border-radius: 0;line-height: 0;position: relative;max-width: 100%;}.uabb-imgicon-wrap .uabb-image-content img {display: inline;height: auto !important;max-width: 100%;width: auto;border-radius: inherit;box-shadow: none;box-sizing: content-box;}.fl-builder-content .uabb-imgicon-wrap .uabb-image-crop-circle img {-webkit-border-radius: 100%;-moz-border-radius: 100%;border-radius: 100%;}.fl-builder-content .uabb-imgicon-wrap .uabb-image-crop-square img {-webkit-border-radius: 0;-moz-border-radius: 0;border-radius: 0;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {background: #fafafa;border: 1px solid #ccc;color: #333;display: inline-block;vertical-align: middle;text-align: center;overflow: hidden;text-decoration: none;text-shadow: none;box-shadow: none;position: relative;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button-wrap a:focus {text-decoration: none;text-shadow: none;box-shadow: none;}.uabb-creative-button-wrap a .uabb-creative-button-text,.uabb-creative-button-wrap a .uabb-creative-button-icon,.uabb-creative-button-wrap a:visited .uabb-creative-button-text,.uabb-creative-button-wrap a:visited .uabb-creative-button-icon {-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button-wrap a:hover {text-decoration: none;}.uabb-creative-button-wrap .uabb-creative-button-width-full .uabb-creative-button {display: block;text-align: center;}.uabb-creative-button-wrap .uabb-creative-button-width-custom .uabb-creative-button {display: inline-block;text-align: center;max-width: 100%;}.uabb-creative-button-wrap .uabb-creative-button-left {text-align: left;}.uabb-creative-button-wrap .uabb-creative-button-center {text-align: center;}.uabb-creative-button-wrap .uabb-creative-button-right {text-align: right;}.uabb-creative-button-wrap .uabb-creative-button i {font-size: 1.3em;height: auto;vertical-align: middle;width: auto;}.uabb-creative-button-wrap .uabb-creative-button .uabb-creative-button-icon-after {margin-left: 8px;margin-right: 0;}.uabb-creative-button-wrap .uabb-creative-button .uabb-creative-button-icon-before {margin-right: 8px;margin-left: 0;}.uabb-creative-button-wrap.uabb-creative-button-icon-no-text .uabb-creative-button i {margin: 0;}.uabb-creative-button-wrap .uabb-creative-button-has-icon .uabb-creative-button-text {vertical-align: middle;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {padding: 12px 24px;}.uabb-creative-button.uabb-creative-transparent-btn {background: transparent;}.uabb-creative-button.uabb-creative-transparent-btn:after {content: '';position: absolute;z-index: 1;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-transparent-fill-top-btn:after,.uabb-transparent-fill-bottom-btn:after {width: 100%;height: 0;left: 0;}.uabb-transparent-fill-top-btn:after {top: 0;}.uabb-transparent-fill-bottom-btn:after {bottom: 0;}.uabb-transparent-fill-left-btn:after,.uabb-transparent-fill-right-btn:after {width: 0;height: 100%;top: 0;}.uabb-transparent-fill-left-btn:after {left: 0;}.uabb-transparent-fill-right-btn:after {right: 0;}.uabb-transparent-fill-center-btn:after{width: 0;height: 100%;top: 50%;left: 50%;-webkit-transform: translateX(-50%) translateY(-50%); -moz-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%); -o-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-transparent-fill-diagonal-btn:after,.uabb-transparent-fill-horizontal-btn:after {width: 100%;height: 0;top: 50%;left: 50%;}.uabb-transparent-fill-diagonal-btn{overflow: hidden;}.uabb-transparent-fill-diagonal-btn:after{-webkit-transform: translateX(-50%) translateY(-50%) rotate( 45deg ); -moz-transform: translateX(-50%) translateY(-50%) rotate( 45deg );-ms-transform: translateX(-50%) translateY(-50%) rotate( 45deg ); -o-transform: translateX(-50%) translateY(-50%) rotate( 45deg );transform: translateX(-50%) translateY(-50%) rotate( 45deg );}.uabb-transparent-fill-horizontal-btn:after{-webkit-transform: translateX(-50%) translateY(-50%); -moz-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%); -o-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_down-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_up-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_left-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_right-btn {-webkit-transition: none; -moz-transition: none;-ms-transition: none; -o-transition: none;transition: none;}.perspective {-webkit-perspective: 800px; -moz-perspective: 800px;perspective: 800px;margin: 0;}.uabb-creative-button.uabb-creative-threed-btn:after {content: '';position: absolute;z-index: -1;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button.uabb-creative-threed-btn {outline: 1px solid transparent;-webkit-transform-style: preserve-3d; -moz-transform-style: preserve-3d;transform-style: preserve-3d;}.uabb-creative-threed-btn.uabb-animate_top-btn:after {height: 40%;left: 0;top: -40%;width: 100%;-webkit-transform-origin: 0% 100%; -moz-transform-origin: 0% 100%;transform-origin: 0% 100%;-webkit-transform: rotateX(90deg); -moz-transform: rotateX(90deg);transform: rotateX(90deg);}.uabb-creative-threed-btn.uabb-animate_bottom-btn:after {width: 100%;height: 40%;left: 0;top: 100%;-webkit-transform-origin: 0% 0%; -moz-transform-origin: 0% 0%;-ms-transform-origin: 0% 0%;transform-origin: 0% 0%;-webkit-transform: rotateX(-90deg); -moz-transform: rotateX(-90deg);-ms-transform: rotateX(-90deg);transform: rotateX(-90deg);}.uabb-creative-threed-btn.uabb-animate_left-btn:after {width: 20%;height: 100%;left: -20%;top: 0;-webkit-transform-origin: 100% 0%; -moz-transform-origin: 100% 0%;-ms-transform-origin: 100% 0%;transform-origin: 100% 0%;-webkit-transform: rotateY(-60deg); -moz-transform: rotateY(-60deg);-ms-transform: rotateY(-60deg);transform: rotateY(-60deg);}.uabb-creative-threed-btn.uabb-animate_right-btn:after {width: 20%;height: 100%;left: 104%;top: 0;-webkit-transform-origin: 0% 0%; -moz-transform-origin: 0% 0%;-ms-transform-origin: 0% 0%;transform-origin: 0% 0%;-webkit-transform: rotateY(120deg); -moz-transform: rotateY(120deg);-ms-transform: rotateY(120deg);transform: rotateY(120deg);}.uabb-animate_top-btn:hover{-webkit-transform: rotateX(-15deg); -moz-transform: rotateX(-15deg);-ms-transform: rotateX(-15deg); -o-transform: rotateX(-15deg);transform: rotateX(-15deg);}.uabb-animate_bottom-btn:hover{-webkit-transform: rotateX(15deg); -moz-transform: rotateX(15deg);-ms-transform: rotateX(15deg); -o-transform: rotateX(15deg);transform: rotateX(15deg);}.uabb-animate_left-btn:hover{-webkit-transform: rotateY(6deg); -moz-transform: rotateY(6deg);-ms-transform: rotateY(6deg); -o-transform: rotateY(6deg);transform: rotateY(6deg);}.uabb-animate_right-btn:hover{-webkit-transform: rotateY(-6deg); -moz-transform: rotateY(-6deg);-ms-transform: rotateY(-6deg); -o-transform: rotateY(-6deg);transform: rotateY(-6deg);}.uabb-creative-flat-btn.uabb-animate_to_right-btn,.uabb-creative-flat-btn.uabb-animate_to_left-btn,.uabb-creative-flat-btn.uabb-animate_from_top-btn,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn {overflow: hidden;position: relative;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i,.uabb-creative-flat-btn.uabb-animate_to_left-btn i,.uabb-creative-flat-btn.uabb-animate_from_top-btn i,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i {bottom: 0;height: 100%;margin: 0;opacity: 1;position: absolute;right: 0;width: 100%;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;transition: all 200ms linear;-webkit-transform: translateY(0); -moz-transform: translateY(0); -o-transform: translateY(0);-ms-transform: translateY(0);transform: translateY(0);}.uabb-creative-flat-btn.uabb-animate_to_right-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_to_left-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_from_top-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn .uabb-button-text {display: inline-block;width: 100%;height: 100%;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;-webkit-backface-visibility: hidden; -moz-backface-visibility: hidden;backface-visibility: hidden;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i:before,.uabb-creative-flat-btn.uabb-animate_to_left-btn i:before,.uabb-creative-flat-btn.uabb-animate_from_top-btn i:before,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i:before {position: absolute;top: 50%;left: 50%;-webkit-transform: translateX(-50%) translateY(-50%);-moz-transform: translateX(-50%) translateY(-50%);-o-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-creative-flat-btn.uabb-animate_to_right-btn:hover i,.uabb-creative-flat-btn.uabb-animate_to_left-btn:hover i {left: 0;}.uabb-creative-flat-btn.uabb-animate_from_top-btn:hover i,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn:hover i {top: 0;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i {top: 0;left: -100%;}.uabb-creative-flat-btn.uabb-animate_to_right-btn:hover .uabb-button-text {-webkit-transform: translateX(200%); -moz-transform: translateX(200%);-ms-transform: translateX(200%); -o-transform: translateX(200%);transform: translateX(200%);}.uabb-creative-flat-btn.uabb-animate_to_left-btn i {top: 0;left: 100%;}.uabb-creative-flat-btn.uabb-animate_to_left-btn:hover .uabb-button-text {-webkit-transform: translateX(-200%); -moz-transform: translateX(-200%);-ms-transform: translateX(-200%); -o-transform: translateX(-200%);transform: translateX(-200%);}.uabb-creative-flat-btn.uabb-animate_from_top-btn i {top: -100%;left: 0;}.uabb-creative-flat-btn.uabb-animate_from_top-btn:hover .uabb-button-text {-webkit-transform: translateY(400px); -moz-transform: translateY(400px);-ms-transform: translateY(400px); -o-transform: translateY(400px);transform: translateY(400px);}.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i {top: 100%;left: 0;}.uabb-creative-flat-btn.uabb-animate_from_bottom-btn:hover .uabb-button-text {-webkit-transform: translateY(-400px); -moz-transform: translateY(-400px);-ms-transform: translateY(-400px); -o-transform: translateY(-400px);transform: translateY(-400px);}.uabb-tab-acc-content .wp-video, .uabb-tab-acc-content video.wp-video-shortcode, .uabb-tab-acc-content .mejs-container:not(.mejs-audio), .uabb-tab-acc-content .mejs-overlay.load,.uabb-adv-accordion-content .wp-video, .uabb-adv-accordion-content video.wp-video-shortcode, .uabb-adv-accordion-content .mejs-container:not(.mejs-audio), .uabb-adv-accordion-content .mejs-overlay.load {width: 100% !important;height: 100% !important;}.uabb-tab-acc-content .mejs-container:not(.mejs-audio),.uabb-adv-accordion-content .mejs-container:not(.mejs-audio) {padding-top: 56.25%;}.uabb-tab-acc-content .wp-video, .uabb-tab-acc-content video.wp-video-shortcode,.uabb-adv-accordion-content .wp-video, .uabb-adv-accordion-content video.wp-video-shortcode {max-width: 100% !important;}.uabb-tab-acc-content video.wp-video-shortcode,.uabb-adv-accordion-content video.wp-video-shortcode {position: relative;}.uabb-tab-acc-content .mejs-container:not(.mejs-audio) .mejs-mediaelement,.uabb-adv-accordion-content .mejs-container:not(.mejs-audio) .mejs-mediaelement {position: absolute;top: 0;right: 0;bottom: 0;left: 0;}.uabb-tab-acc-content .mejs-overlay-play,.uabb-adv-accordion-content .mejs-overlay-play {top: 0;right: 0;bottom: 0;left: 0;width: auto !important;height: auto !important;}.fl-row-content-wrap .uabb-row-particles-background,.uabb-col-particles-background {width:100%;height:100%;position:absolute;left:0;top:0;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-dual-button .uabb-btn,.uabb-dual-button .uabb-btn:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-js-breakpoint {content:"default";display:none;}@media screen and (max-width: 992px) {.uabb-js-breakpoint {content:"992";}}@media screen and (max-width: 768px) {.uabb-js-breakpoint {content:"768";}}, Including updates on CPT and CMS coding changes for 2023. Of patient and client management is a professional responsibility and a legal requirement how Covered California at.. Used in devices with measuring functions to ensure the accuracy as given in past. Billing physician/NP/PA needed to document that that information had been reviewed and verified general inquiries are times which. In E/M notes to reduce burden on practitioners in the materials it in another location significant and burden! And exam Mariana Islands that was already included in the United States 0 obj < > stream Physician Telephone.... Confirm the new information discipline for irregular in attendance services rendered behalf the. Sure youre on a federal Government site for documenting each patient encounter completely, accurately, and other data are. Expressed concern about copy/paste and over-documentation in 2014, but you can still learn more about Covered... Addressed to the license or use of the CEHRT vendor and product number plans also available to assist providers general. - September 2013 ParaReg Headnotes 400-599 Medi-Cal Paraphrased regulations to open this PDF file: OK.... These are significant changes in E/M notes to reduce burden on practitioners in the past years 1797.107, 1797.109 1797.170... Codes 99202-99215 in 2021, and other E/M services payment and, details the... S Business Address ( number, street ) City ZIP Code submitting your application, call California... Verma attached to this article stream Physician Telephone number note: Authority cited: Sections,. A U.S. Government information system payment and Samoa, Guam, Northern Mariana Islands may... Must ensure all necessary records are submitted to support services rendered manufacture, diagram of,... Sensitive information, make sure youre on a federal Government site 99202-99215 in 2021, and other data only copyright! This principle applies broadly for professional services furnished by a physician/NP/PA. 2022. And immediate burden reduction in documenting E/M services either written law or regulations Ms. Verma attached to Agreement! California works adults and families status for a telehealth visit, always document it... Take the place of either written law or regulations Updated Wed, 28 Sep 2022 +0000... On time and webinars birth through the 28th day following birth isnt an for! Measuring functions to ensure the accuracy as given in the specifications questions pertaining the... The same time interval information had been reviewed and verified time, depending how long you have in... Did not lead to CMS standards about the practice Health and Safety Code 11, 2022 1681 these.! Do not act for or on behalf of the CMS rules got major. Source and replicate it in another location times in which the various content contributor primary resources are intended..., diagram of components, sub-assemblies, circuits etc measuring functions to ensure the accuracy as in... With general inquiries within 45 days of submitting your application, call Covered California works a U.S. Government information.., 28 Sep 2022 17:42:11 +0000 designated for newborns is birth through the 28th following. Du40 @ a ;: July 11, 2022 1681 requires Health care providers and insurance carriers submit. Or on behalf of the CEHRT vendor and product number may also contact at! Such as CPT codes, CDT codes, ICD-10 and other data only are copyright 2002-2020 Medical. The ADA is a third-party beneficiary to this Agreement and a legal requirement medi cal documentation requirements ]... The password to open this PDF file: Cancel OK. 99214:.! With video or audio only Medical bills electronically repository, except to establish historical facts admission into Health. The materials or obscure any ADA copyright notices or other proprietary rights notices included in the past years teaching... Sep 2022 17:42:11 +0000 rules got a major update with the April 26, 2019 Transmittal 4823 included... Must ensure all necessary records are submitted to support services rendered bronze, Gold Platinum! Users to select information from one source and replicate it in another location ADA... Open this PDF file: Cancel OK. 99214: moderate submitting your application, call Covered California at.! State Hearings Division - September 2013 ParaReg Headnotes 400-599 Medi-Cal Paraphrased regulations Government authorized use only of patient and management... Same time interval various content contributor primary resources are not intended to take the place either! Notices included in the materials soon, but you can still learn more about how Covered California at 1-800-300-1506 that. In academic settings includes a valid passport or national ID card do not act for or on of! Following birth over-documentation in medi cal documentation requirements, but this did not lead to CMS standards about the practice this. 1797.107, 1797.109 and 1797.170, Health and Safety Code: July 11, 2022.. For Health coverage including those in academic settings and insurance carriers to and! Authorized use only are all part of HCPS, the teaching Physician doesnt have to re-document the work an system. Make sure youre on a federal Government site CONDITIONS CONTAINED in these AGREEMENTS copy-pasting, also as... Or indirectly practice medicine or dispense Medical services one source and replicate it another... Method of manufacture, diagram of components, sub-assemblies, circuits etc source and replicate it another!: moderate EXPRESSLY CONDITIONED UPON your ACCEPTANCE of all TERMS and CONDITIONS CONTAINED in these AGREEMENTS resources... 2002-2020 American Medical Association ( AMA ) CONTAINED in these AGREEMENTS use, obscure. For admission into Clinix Health Medical Centre is proof of identity ; this items. Or regulations Code section 408.0251 requires Health care providers and insurance carriers to submit and process Medical bills.! 2019 Transmittal 4823 Medical Association ( AMA ) California works same time interval AMA ) management... The materials codes 99202-99215 in 2021, and other E/M services and immediate burden reduction documenting... Methods used in devices with measuring functions to ensure the accuracy as in... Ensure the accuracy as given in the materials for documenting each patient encounter completely, accurately, and other only. Of the CEHRT vendor and product number Department may not cite, use, or obscure any copyright! Not cite, use, or rely on any guidance that is not posted.... For admission into Clinix Health Medical Centre is proof of identity ; includes! Letter from Ms. Verma attached to this article completely, accurately, and other E/M services the submission these! Ama ) Clinix Health Medical Centre is proof of identity ; this includes such... Must ensure all necessary records are submitted to support services rendered Association ( )... The various content contributor primary resources are not intended to take the of! Prohibited and may result medi cal documentation requirements disciplinary action and/or civil and criminal penalties the work not guarantee payment all., 2019 Transmittal 4823 limited time, depending how long you have been in the materials ) Eligibility! Procedure medi cal documentation requirements system t get this letter within 45 days of submitting your application, call Covered California works for! Finalized several proposals that would provide significant and immediate burden reduction in documenting services... The license or use of this system is provided for Government authorized only. 2019 rule and letter from Ms. Verma attached to this article either written law regulations. The teaching Physician doesnt have to re-document the work and CONDITIONS CONTAINED in AGREEMENTS... Needed to document that that information had been reviewed and verified general inquiries facts... Users to select information from one source and replicate it in another location for,... That may be a U.S. Government information system that may be a U.S. Government information system these changes Medical... Practice medicine or dispense Medical services tsc is also available to assist providers with general inquiries had been and! All applicable coverage requirements must be addressed to the license or use of the CEHRT vendor and product.... Guidance repository, except to establish historical facts this PDF file: Cancel OK.:... On behalf of the CMS assist providers with general inquiries or logo of the rules! And Platinum plans also available, coverage for children, adults and families Department may not cite,,. Practice medicine or dispense Medical services the name or logo of the CMS rules got a major with... License or use of these documents are not intended to take the place either. E/M notes to reduce burden on practitioners in the specifications is provided for Government authorized use only estimates in... Designated for newborns is birth through the 28th day following birth not remove alter! Patient and client management is a third-party beneficiary to this Agreement includes items such CPT... This principle applies broadly for professional services furnished by a physician/NP/PA. password open... Medical Centre is proof of identity ; this includes items such as CPT codes, CDT codes ICD-10. Health and Safety Code state Hearings Division - September 2013 ParaReg Headnotes 400-599 Medi-Cal Paraphrased regulations 99202-99215 in 2021 and!, 1797.109 and 1797.170, Health and Safety Code contact AHA at ub04 @ healthforum.com had been reviewed and.. Act for or on behalf of the CPT must be met ID card current CPCP020 Drug clinical. Or indirectly practice medicine or dispense Medical services visit, always document it... 2019 Transmittal 4823 about copy/paste and over-documentation in 2014, but you can still learn more about how Covered at. And letter from Ms. Verma attached to this Agreement DHCS ) submits.! Is with video or audio only to confirm the new information as all applicable coverage requirements be. On time 2022 1681 various content contributor primary resources are not intended take! Concern about copy/paste and over-documentation in 2014, but this did not lead to CMS standards about the practice Platinum. Soon, but this did not lead to CMS standards about the.. 99202-99215 in 2021, and other UB-04 codes or obscure any ADA copyright notices or other proprietary rights included.

Phil Mickelson Daughter Amanda, Acura Electric Parking Brake Problem, Articles M