Montana Medicaid Newsletters

Claim Jumper Newsletter

Volume XXVII, Issue 5, May 2012

  • Publications Reminder
  • ACS Is Now Xerox
  • Spring Provider Fair 2012
  • Establishing Care with Passport Clients
  • HMK Claims Adjustment
  • HMK and HMK Plus Claims Clarification
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 4, April 2012

  • Publications Reminder
  • Spring Provider Fair 2012
  • ACS Is Now Xerox
  • Vaccines for Children (VFC) Training
  • Professional Claims EPSDT Indicator Issue
  • Professional Crossover Claims Issue
  • Rate Change for RHCs and FQHCs
  • POA Value of Space
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 3, March 2012

  • Publications Reminder
  • Provider Fair 2012
  • Smoking and Tobacco Use Cessation Counselor Services
  • CSCT Program Changes
  • Be a Healthy Montana Kids Enrollment Partner
  • POA Value of Space for Diagnosis Code Exempt from POA Reporting
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVII, Issue 2, February 2012

  • Publications Reminder
  • Additional Automated Voice Response Option
  • Swing Bed Per Diem Rate
  • Provider File Maintenance
  • Inpatient Hospital Claims and the POA Indicator
  • HIPAA 5010 Updates and COBA Files
  • HIPAA Version 5010 and NCPDP D.0 Effective January 1, 2012
  • NCPDP D.0 Payer Sheet Available
  • Nurse First Services and Usage
  • Recent Publications
  • Testing HIPAA 5010 Continues with Some Trading Partners
  • 5010 835 Claim Payment and Advice Transactions Will Be Available Soon
  • Top 15 Claim Denial Reasons
Volume XXVII, Issue 1, January 2012
  • Publications Reminder
  • Medicare Part B Crossover Claims
  • January 1, 2012 HIPAA 5010 Implementation
  • HIPAA 5010 Update
  • Qualifier for Anesthesia Services on
    HIPAA 5010 837P Transactions
  • Nurse First Services and Usage
  • 5010 WINASAP Production Version
    Now Available
  • Door Prize Winner!
  • Youth Psychiatric Hospital Services Require Prior Authorization
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 12, December 2011

  • Publications Reminder
  • HIPAA 5010 Update
  • 5010 WINASAP Software Available for Testing
  • January 1, 2012 HIPAA 5010 Implementation
  • Nurse First Services and Usage
  • HIPAA 5010 NDC Requirements
  • Basic Medicaid Waiver for MHSP Population
  • Provider Information on the 5010 837 Health Care Claim Transactions
  • Prior Authorization for Synagis®
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 11, November 2011

  • Publications Reminder
  • Fall 2011 Provider Training Update
  • January 1, 2012 HIPAA 5010 Implementation
  • Payment System Change
  • NCPDP D.0 Submission Requirements
  • State Level Registry for EHR Incentive Payments
  • Enhanced Voice Response System
  • Nurse First Services and Usage
  • Basic Medicaid Waiver for MHSP Population
  • Prospective Payment System for End-Stage Renal Disease (ESRD)
  • PERM Provider Education Webinar/Conference Call
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 10, October 2011

  • Publications Reminder
  • Spirometry in the Primary Care Setting
  • January 1, 2012 HIPAA 5010 Implementation
  • Gap-Filled Codes
  • Nurse First Services and Usage
  • CSCT Team Number on 5010 Electronic Claim (837P) Transactions
  • Fall 2011 Provider Training Reminder
  • Recent Publications
  • HMK Updates Vaccine Reimbursement for FQHCs and RHCs
  • HIPAA 5010/OCR Qualifier Changes Effective January 1, 2012
  • Payment Error Rate Measurement
  • Summary of Required Documents to Support Claims
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 9, September 2011

  • Publications Reminder
  • Fall 2011 Provider Training
  • New and Revised ICD-9-CM Codes
  • Federal Medical Assistance Percentage
  • Important Reminder for All DME Providers
  • Wilate Injections for von Willebrand Disease, Code Q2041
  • NDC Requirements for Drugs Billed in Montana Medicaid
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 8, August 2011

  • Publications Reminder
  • ESRD Services Effective Date Correction
  • Nursing Facility Provider Per Diem Rates
  • New Passport to Health Program Officer
  • Fall 2011 Provider Training Survey
  • PA Requirements Discontinued for TCM and Outpatient Therapy
  • PRTF Ancillary Services and Reimbursement Changes
  • HAC on Inpatient Claims and Using POA Indicator
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 7, July 2011

  • Publications Reminder
  • Verification of Presumptive Eligibility for Children
  • HIPAA 5010 Update
  • Door Prize Winner!
  • Primary Care and Mental Health
  • Prospective Payment System for End-Stage Renal Disease (ESRD)
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 6, June 2011
This issue is intentionally 3 pages

  • Publications Reminder
  • Claims Paid by June 30 Get Higher Match Rate
  • Montana Health Care Programs Suspension Span Changes
  • Urgent Notice for Passport Providers
  • “Never Events” Not Payable Under Montana Health Care Programs
  • Spring Provider Training 2011 Nearing an End
  • Health-Acquired Conditions Functionality in MMIS
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 5, May 2011

  • Publications Reminder
  • Claims Paid by June 30 Get Higher Match Rate
  • Address Change Reminder
  • Fax Receipt Confirmation Process
  • Claim Processing Change for MHSP Adult Clients
  • HIPAA 5010 Deadline Closer Than You Think!
  • Spring 2011 Provider Training Materials
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 4, April 2011

  • Publications Reminder
  • HMK Plus Expanded Claims Denied in Error
  • Patient Guide for Practices
  • MHSP Client Claims for FQHC and RHC Providers
  • Quick Billing Guide for HMK, FQHCs, and RHCs
  • Register Now! Spring Provider Training
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 3, March 2011

  • Publications Reminder
  • Suspension of Provider IDs for Nonparticipation
  • Suspension Span Eligibility Verification
  • Spring 2011 Provider Training Via WebEx Updated February 25
  • Provider Training Schedule
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 2, February 2011

  • Publications Reminder
  • Pharmacy Claims and IHS Providers
  • Spring Provider Training
  • HMK (CHIP) Extended Dental Funds Available
  • Montana Medicaid Provider Incentive Program for EHR
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 1, January 2011

  • Publications Reminder
  • Provider Relations Contact Information
  • HMK to Initiate New Temporary Coverage
  • Enhanced Claims Editing and Add-On Codes
  • Electronic Dental Claims with Other Subscriber Information
  • MHSP Waiver
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXV, Issue 12, December 2010

  • Publications Reminder
  • Medicaid Coverage Not Available to Inmates in Public Institutions
  • Health IT Environmental Survey
  • Dental Benefits Increase for HMK/CHIP Children
  • Videoconference a Success
  • Nurse First Services and Usage
  • Recent Publications
  • Provider Training Recap
  • NCCI Edits May Result in Claim Denial
  • Top 15 Claim Denial Reasons

Volume XXV, Issue 11, November 2010

  • Publications Reminder
  • 2011 ICD-9-CM Code Update
  • Unlinking Passport Providers
  • Dental Benefits Increase for HMK/CHIP Children
  • Billing Medicaid for No-Show or Canceled Appointments
  • Reminder: Medicaid Coverage Not Available to
    Inmates in Public Institutions
  • Nurse First Services and Usage
  • Recent Publications
  • Attending Provider Clarification
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 10, October 2010

  • Publications Reminder
  • Fall 2010 Provider Training
  • IHS-Specific Training in Great Falls
  • Additional NDC Editing Added to the Claims Processing System
  • Videoconference – October 5, 2010
  • 2011 ICD-9-CM Code Update – Effective October 1, 2010
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 9, September 2010

  • Publications Reminder
  • Provider Record Update Procedure
  • RHC Billing Procedures
  • Montana Medicaid Videoconference
  • Inpatient Hospital Alcohol and Drug Detoxification Services
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 8, August 2010

  • Publications Reminder
  • Health Literacy
  • Modifier for Evaluation and Management (E/M) Services
  • Surgical Pathology for Prostate Needle Biopsies Is Now
    Subject to CLIA Editing
  • NDC Requirement: Oral FludarabinePhosphate, Code Q2025
  • Updates to Montana Medicaid’s Global Surgery Edit
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 7, July 2010

  • Publications Reminder
  • Medicaid Covers All Transplants Covered by Medicare
  • Billing Medicaid Patients
  • Accuracy Pays
  • Attention Swing Bed Provider
  • Nurse First Services and Usage
  • Top 10 Claim Denial Reasons
  • Type of Bill 77X for Federally Qualified Health Centers (FQHCs
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 6, June 2010

  • Publications Reminder
  • Claim Jumper Mailing to Cease
  • Change Type of Bill (TOB) for Federally Qualified Health Centers (FQHCs)
  • CLIA Updates Effective April 1, 2010
  • Updating a Client's Third-Party Liability
  • April OPPs update New Drugs and Biologicals that will require NDCs
  • AMA Errata Notice for CPT 2009 that Affects Newborn Care Service Codes
  • Nurse First Services and Usage
  • You can Now perform MATH Claim Inquiry via the Group NPI
  • Credit Balance
  • Nursing Facility Claim Eligibility Issue
  • Outpatient Mental Health Treatment Limitation
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 5, May 2010

  • Publications Reminder
  • Claim Jumper Mailing to Cease
  • Encourage Montana Medicaid Clients to Get Screened for Colorectal Cancer
  • Medicaid Videoconference Workshop Scheduled
  • Implantable Neurostimulators
  • New Code for Speech Therapists
  • Common Coding Errors Providers Make
  • Nurse First Services and Usage
  • Change in Medicaid Third Party Liability (TPL) Administration
  • Medicare Showing in TPL Field on 1500
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 4, April 2010

  • Publications Reminder
  • Family Planning Clinic Billing Opportunity Will Expire on August 1, 2010
  • Procedures for Hospital Claims With Medical and Psychiatric Components
  • Medicaid Electronic Health Record (EHR) Incentive Program
  • TPL vs. Medicare EOB
  • Swing Bed Hospitals and Nursing Homes Can Bill Electronically
  • Nurse First Services and Usage
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 3, March 2010

  • Medicaid Health Improvement Program
  • Nursing Home Spans
  • Publications Reminder
  • Acute Services Moves
  • Healthy Montana Kids Increases Dental Funding
  • Attention DME Providers
  • Reimbursement Change for Psychiatric Residential Treatment Facilities and How It Affects Other Montana Medicaid Providers
  • Nurse First Services and Usage
  • Recent Publications
  • Key Contacts
  • Spring Provider Fair registration (insert)
  • Spring 2010 Coding Competency Workshop registration (insert)

Volume XXV, Issue 2, February 2010

  • Spring Provider Fair Scheduled
  • Publications Reminder
  • DPHHS Offers Billing Clarification on Billing Psychological Testing Codes
  • Top 15 Claim Denial Reasons
  • Nurse First Services and Usage
  • Attention DME Providers
  • Consultation Services
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 1, January 2010

  • Spring Provider Fair Scheduled
  • Publications Reminder
  • MHSP Changes Enrollment for Adults
  • Top 15 Claim Denial Reasons
  • Reporting NDC
  • Nurse First Services and Usage Statistics
  • Mental Health Services Plan Updates
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 12, December 2009

  • Presumptive Eligibility for Pregnant Women
  • Publications Reminder
  • Disenrolling a Passport Client
  • 2009 H1N1 Influenza Vaccine and Administration
  • HCBS Elderly and Physically Disabled Waiver Fee Schedule Updated
  • Hospice Providers Rate Increase
  • Medically Needy Reimbursement
  • Limits on Ostomy Supplies
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 11, November 2009

  • Updating a Client's Third-Party Liability
  • New Eligibility System Implemented October 1
  • SmartPA® Prior Authorization for Synagis® for Physicians, Mid-Level Practitioners and Public Health Clinics
  • Top 15 Claim Denial Reasons
  • Billing Medicaid Clients Directly
  • Publications Reminder
  • Adult Mental Health Services Program Contacts—Updated
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 10, October 2009

  • Healthy Montana Kids Plan Begins October 1
  • Publications Reminder
  • 2010 ICD-9-CM Updates
  • Updates to Provider Rates for Reimbursement
  • Fall Provider Training
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 9, September 2009

  • Fall Provider Training
  • Good News for Montanans With Medicare Part D: Big Sky Rx Is Accepting Applications
  • Top 15 Claim Denial Reasons
  • Cost Sharing: When Is It Taken, and How Much Is It?
  • Publications Reminder
  • Family Planning Clinic Medicaid Billing Changes
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXIV, Issue 8, August 2009

  • MHSP Approved Providers
  • 30-Day Eligibility Suspense
  • Modifier 21
  • Billing Other Insurance Before Billing Medicaid
  • Publications Reminder
  • Psychological Testing Reimbursement Change
  • Psychiatrist Service Reimbursement Change and Timely Billing Requirement
  • Fall Provider Training
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 7, July 2009

  • Access to Baby and Child Dentistry (ABCD)
  • Request for Completion of Forms
  • Reason and Remark Denials
  • Unwanted Paper Remittance Advices
  • Fall Provider Training Suggestions
  • Publications Reminder
  • More on Passport Referrals, Correction and Updated Materials
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 6, June 2009

  • CHIP Joins Providers to Help Insure Montana Children
  • Publications Reminder
  • Transplant Program Update
  • Billing for Passport Client Referrals
  • Top 15 Claim Denial Reasons
  • Billing Electronically With a Paperwork Attachment
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 5, May 2009

  • Discharge Status Codes on Hospital Inpatient Claims / Readmissions and Transfers
  • Publications Reminder
  • Attention Passport Providers: Check Your Fax Machines
  • Top 15 Claim Denial Reasons
  • Circumcisions
  • Using Correct Qualifiers
  • Adult Mental Health Services Primary Program Contacts
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 4, April 2009

  • Provider File Updates
  • Publications Reminder
  • Immunization Administration for Vaccines / Toxoids
  • Top 15 Claim Denial Reasons
  • Vaccines for Children (VFC) Effective as of October 10, 2008
  • Eligibility Changes
  • Vagus Nerve Stimulation (VNS)
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 3, March 2009

  • Medicaid and CHIP Issue New Income Guidelines for 2009
  • DME Providers
  • Montana Medicaid and the Stimulus Plan
  • Substance Abuse Treatment
  • Clarification for Changes in Prior Authorization Requirements
  • Montana Medicaid Reimbursement Change for Psychiatric Residential Treatment Facilities (PRTFs) Affects Other Medicaid Providers
  • Retroactive Medicare
  • Publications Reminder
  • Recent Publications
  • Key Contacts
  • Spring Provider Training Registration Form (insert)

Volume XXIV, Issue 2, February 2009

  • Moving Credit Balances
  • Updating Provider File Information for Passport to Health/Team Care Providers
  • CyberAccess Available Soon
  • Top 15 Claim Denial Reasons
  • Publications Reminder
  • Reason Code 133
  • Medical Home and Tips for Managing Your Passport to Health Case Load
  • Billing for In-State PRTF Assessment Services and In-State PRTF High-Cost Medical and Ancillary Services Starting March 1, 2009
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 1, January 2009

  • List of Eligible Drug Manufacturers Updated
  • Effective Date Change for Psychiatric Residential Treatment Facility (PRTF) Reimbursement and PRTF Assessment Services
  • Top 15 Claim Denial Reasons
  • Holiday eSOR Schedule
  • New End User Agreement for Providers
  • Paperwork Attachment Tips
  • NPI Billing
  • Successfully Billing With TPL
  • Adjustment Tips
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 12, December 2008

  • New Rules for Children's Mental Health
  • CHIP Extended Dental Benefit
  • Top 15 Claim Denial Reasons
  • Publications Reminder
  • Changes in Transplant Coverage
  • Montana Medicaid Program Is Enrolling 30,000+ Into the Passport to Health Managed Care Program
  • DME Coding Changes
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 11, November 2008

  • PERM Date Correction
  • CMS Announces Suspension of the Competitive Acquisition Program (CAP)
  • TPL Reminders
  • Top 15 Claim Denial Reasons
  • New HIPAA Privacy Rule Guidance
  • CHIP Claims Processing Change for Most Extended Mental Health Services
  • Weekly Payment Cycles
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 10, October 2008

  • Reminder for School-Based Services Providers
  • Improving Response to Provider Questions
  • New Inpatient Reimbursement Begins October 1, 2008
  • Most Common Reasons for Claim Denials
  • Publications Reminder
  • Provider File Updates
  • Letters Sent to Out-of-State Hospitals
  • Fall Provider Trainings
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 9, September 2008

  • Federal Government May Request Medical Records
  • Tamper Resistant Rx Pad Update: Three Features Required October 1
  • Psychologists Must Bill CPT Codes 96101, 96118, 96119 and 96120 With Modifier
  • Multiple Conversion Factors for RBRVS Providers
  • CHIP Joins Pharmacies and Other Providers to Help Get Health Insurance for Montana Children
  • Billing Procedures Regarding Electronic Claims—837P,738I
  • Fee Schedules Posted
  • Publications Reminder
  • Resubmission of Denied Claims
  • New Mental Health Program
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXIII, Issue 8, August 2008

  • Transferring Credit Balances
  • Publications Reminder
  • Tips for Submitting Paper Claims
  • Alcohol and Chemical Inpatient Detoxification
  • Team Care Information for Providers
  • Federal Government May Request Medical Records
  • Clarification on Provider Welcome Letters
  • Fall Provider Training Scheduled
  • Alert Regarding Taxonomy Code Issue Affecting Outbound 837 Professional Crossover Claims
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 7, July 2008

  • Medicare Coinsurance and Deductible in the 2300 HI 01-2 Loop
  • Reporting Tips for Providers Using National Drug Codes (NDC) on the Paper CMS-1500 and 837P
  • DME Reminder
  • Coding Regulations
  • Hospital APR-DRG Training
  • Publications Reminder
  • Medicaid/Medicare Dual Eligible Take-Home and Self-Administered Drugs
  • Resubmission of Denied Claims
  • Multiple Conversion Factors for RBRVS Providers
  • Provider File Updates
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 6, June 2008

  • Revised NDC Instructions Available
  • Frequently Asked Questions About NPI and Reenrollment
  • AVRS/FaxBack Functionality Enhanced
  • Billing for Incontinence Products
  • CHIP Extended Dental Plan Accepts New Requests June 1, 2008
  • New Rules for Case Management
  • Electronic Billing Tips for DME and Hearing Aid Providers
  • Publications Reminder
  • Immunization Administration for Vaccines/Toxoids
  • RHC/FQHC Taxonomy on Provider Encounters in Hospitals
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 5, May 2008

  • Publications Reminder
  • Team Care Clients to Receive Self Care Guides
  • CHIP Issues New Income Guidelines for 2008
  • Resubmission of Denied Claims
  • Billing for Incontinence Products
  • Spring Provider Fair a Success
  • Hospital and Surgery Center NPI Issues
  • Case Management
  • Tips for Billing Professional Claims With NPI
  • NDC Billing Instructions
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 4, April 2008

  • Publications Reminder
  • Provider Fair
  • New APR-DRG Payment Method
  • Enhanced Claims Editing—Bloodhound ClaimsGuard®
  • Coding Workshop Coming Up
  • Pharmacies Must Reenroll for DME
  • Professional Claim Review
  • Reenrollment and Billing for NPI
  • NDC Requirements
  • Tamper-Resistant Prescription Pads
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 3, March 2008

  • Provider Fair
  • Publications Reminder
  • Provider Types Which Require a Rendering Provider
  • Duplicate Issue
  • Industry-Wide Enforcement of the NPI Compliance Data
  • Tamper-Resistant Prescription Pads
  • Passport to Health Caseloads to Increase
  • Claim Attachments
  • Use of ID Numbers
  • NPI-Only Requirement for Pharmacies
  • Delivery of 835s
  • Elimination of the Medicaid Administrative Claiming (MAC) for School-Based Service Providers
  • Recent Publications
  • Key Contacts
  • Spring Provider Fair Registration (insert)
  • Spring 2008 Coding Competency Workshop Registration and Parking Information (insert)

Volume XXIII, Issue 2, February 2008

  • Sports Physicals
  • Publications Reminder
  • CHIP Community Partners
  • Spring Provider Fair
  • WINASAP Upgrade Required for NDC Data Collection
  • Radiopharmaceutical Pricing 2007 Update
  • WINASAP 5.13 Improvements
  • Expansion of Provider Types for the Mental Health Services Plan
  • CHIP Extended Dental Plan
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 1, January 2008

  • RHC Services in Hospitals
  • NDC Requirement on All Physician-Administered Drugs
  • Billing With an NPI
  • CHIP Extended Dental Benefit
  • Carisoprodol (Soma®) Containing Products to Require PA
  • Publications Reminder
  • Cost Share Changes
  • Alcohol/Drug Detox Medicaid Monies Recovery
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 12, December 2007

  • DME Prior Authorization
  • New APR-DRG Payment Method
  • Reenrollment for Audiology and Hearing Aid Dispensers
  • Provider Contingency
  • Taxonomy Required for Billing
  • Requirement to Update Information in the NPPES
  • Medicare Announces a New "Key" NPI Date
  • Publications Reminder
  • Billing With an NPI
  • RHC and FQHC Billing for Smoking and Tobacco Use Cessation Counseling
  • Accessing Remittance Advices
  • Recent Publications
  • Key Contacts
  • New Features on the Montana Access to Health Web Portal (insert)
  • Billing With NPI Only (insert)

Volume XXII, Issue 11, November 2007

  • Tamper-Resistant Prescription Pads — POSTPONED
  • Attending and Rendering Provider Information Required
  • FaxBack Alert
  • Smoking and Tobacco Use Cessation Counseling
  • Publications Reminder
  • Add-on Code Editing to Be Enhanced
  • Billing Revenue Code 510
  • Children's Mental Health Bureau Expands Service Array
  • NPI Requirement for Institutional Healthcare Provider Claims
  • New Web Portal Offerings
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 10, October 2007

  • Tamper-Resistant Prescription Requirements
  • CHIP Extended Dental Plan
  • Community Based Alternatives to Psychiatric Residential Treatment Facilities
  • Montana Healthcare Program Reenrollment
  • Corrected PA Contact Numbers
  • Children's Mental Health Bureau Expands Service Array
  • Billing Montana Healthcare Programs
  • Fall Provider Training
  • Electronic Billing Tips for DME and Hearing Aid Providers
  • Publication Reminder
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXII, Issue 9, September 2007

  • Reminder to School-Based Services Providers of Upcoming FMAP Rate Change
  • NPI Requirements for Clinics and Group Practices
  • New Format for Provider Training for Schools
  • Have You Completed Your Required Reenrollment?
  • Two New NPI Educational Products Posted
  • Reminder—Sharing NPIs
  • Publications Reminder
  • Breast and Cervical Cancer Treatment Program Changes
  • Nursing Facility Claim Submission
  • Elimination of ESOR
  • A Reminder on CHIP Extended Mental Health Benefit Claims
  • Fall Provider Training Is Almost Here!
  • NPIs Will Be Required for Attending Providers
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXII, Issue 8, August 2007

  • Medicaid Provider Self Disclosure / Self Audits
  • Institutional Claim Value Code Changes
  • NUBC Response Regarding UB-04 Form Printing Problems
  • Reenrollment Deadline Looms
  • CHIP Income Guidelines Increase
  • How to Complete an Adjustment
  • Reenrollment for Organizations
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 7, July 2007

  • Nursing Facility Reenrollment and Billing
  • TPL Reminders
  • New CMS-1500 to Be Required Beginning July 2, 2007
  • The NPI Compliance Deadline Is Here!
  • Reminder: PA Transfer
  • Billing During the NPI Contingency Period
  • Publications Reminder
  • NPI Contingency Plan Implemented, Reenrollment Extended
  • Annual July RBRVS Fee Schedule Update to Be Implemented in October
  • Planning for Fall Provider Training
  • Medicare EOMBs Must Match Claim Data
  • Electronic Swing Bed Claims
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 6, June 2007

  • Coordination of Benefits Between Medicare and Medicaid
  • Publications Reminder
  • Improved Claims Processing Editing for Montana's Healthcare Programs
  • Billing During the NPI Contingency Period
  • Why an EDI Trading Partner Agreement Is Required to Reenroll
  • Global Maternity Policy
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 5, May 2007

  • NPI Contingency Plan Implemented
  • All Providers Must Reenroll
  • New Claim Form Requirements
  • Montana Healthcare Addresses Pharmacy Concerns With NPI
  • Reenrollment and Billing for Nursing Facilities and Contracted Therapists
  • Reenrollment and Billing for Mental Health Centers
  • CMS Continues to Raise Awareness of NPI
  • NPI—Will You Be Ready?
  • Units of Service No Longer Defaulting to 1
  • ACS to Assume Passport to Health Functions
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 4, April 2007

  • NPI: Get It. Share It. Use It.
  • Cardiac and Pulmonary Rehabilitation No Longer Require Prior Authorization for Outpatient Settings
  • Reenrollment Deadline Looms
  • CHIP Community Partners
  • Valid Bill Types
  • New Claim Form Requirements
  • Using Diagnosis Pointers on the CMS-1500
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 3, March 2007

  • Federal Medical Assistance Percentage (FMAP) Change
  • NPI Provider Reenrollment
  • NPI: Get It. Share It. Use It.
  • Remittance Advice Files on the Web Portal
  • Dental Procedure Codes Updated
  • Publications Reminder
  • Big Savings With Team Care
  • Spring Provider Training
  • Something New With Big Sky Rx
  • Recent Publications
  • Key Contacts
  • Spring Provider Training Registration Form (insert)

Volume XXII, Issue 2, February 2007

  • Private Duty Nursing Provider Rate Increase
  • Changes to ASC Payment Rates
  • Provider Reenrollment for NPI
  • Inpatient Out-of-State Hospital Changes
  • New Provider Relations Phone System
  • Publications Reminder
  • Montana Medicaid Now Covers Birthing Center Services
  • NPI: Get It. Share It. Use It.
  • Prior Authorization for DMEPOS and Medical/Surgical Procedures Updated Phone and Fax Lines
  • Admit Hour to Be Required for Institutional Claims
  • Clarification on CPT Codes 36415 and 36416
  • Employee Education About False Claims Recovery
  • SLMB, QI and Medicaid
  • New 1099 Process
  • Cost Sharing: When Is It Taken, and How Much Is It?
  • New Place of Service
  • Recent Publications
  • Key Contacts

Volume XXII, Issue 1, January 2007

  • Reenrollment Begins in January
  • Changes in Provider-Based Facility Billing and Reimbursement
  • Publications Reminder
  • Prior Authorization on the Move
  • Understanding 837 Qualifiers
  • Changes in Emergency Department Reimbursement
  • Claim Attachments
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 12, December 2006

  • Passport Client Lists
  • Medicare Provider Numbers Needed
  • New Form for School-Based Services
  • 1099 Verification Letters
  • COBA and Medicare Crossovers
  • Documentation for Services Not Covered by Medicare
  • New Website URL
  • Prior Authorization on the Move
  • Are You Ready for NPI?
  • SLMB and QI-1 Eligibility in the MMIS
  • New Dental Hygienists Program
  • Publications Reminder
  • Billing for Anesthesia Units
  • Noridian to Be New Medicare Claims Processor
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 11, November 2006

  • Provider Training in November
  • Hospice Fees Updated
  • Collaboration on Utilization of Diagnostic Tests
  • QY Modifier Change
  • COBA Update
  • NPI—Will You Be Ready?
  • Publications Reminder
  • MATH Claims Status
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 10, October 2006

  • Extended Hours for Team Care Pharmacy Suspensions
  • Fall Provider Training in November
  • System Maintenance
  • The Importance of Cross-Referenced Medicare and Medicaid Numbers
  • Prior Authorization for Inpatient Rehab Admissions
  • RHC and FQHC Revenue Code Changes Effective July 1
  • The Most Common Denial Reasons and How to Avoid Them
  • Claims-Based Medical History Reminder
  • COBA Update
  • Publications Reminder
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXI, Issue 9, September 2006

  • Big Sky Rx Currently Accepting Applications
  • NPI: Get It. Share It. Use It.
  • Billing for Clients With Medicare and Medicaid—Revised
  • Targeted Youth Case Management Choices for Families
  • DME Fees Updated
  • Publications Reminder
  • The Most Common Denial Reasons and How to Avoid Them
  • COBA and Medicare Crossovers
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 8, August 2006

  • Targeted Youth Case Management Contract Opportunity
  • National Provider Identifier (NPI) Is Coming
  • Claims-Based Medical History Reminder
  • COBA Update<
  • Ambulance Notification Time Limits Change
  • Coverage for the Medically Needy
  • EPSDT Private Duty Nursing Providers
  • RBRVS Fees Updated
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 7, July 2006

  • Health Insurance Premium Payment Program
  • Big Sky Rx
  • Passport to Health Introduces a New Enrollment Broker
  • Publications Reminder
  • Coverage for Hospital Outpatient Cardiac and Pulmonary Rehabilitation Services
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 6, June 2006

  • What Is COBA and How Does It Affect Montana?
  • Obtaining Disproportionate Share Payment
  • Publications Reminder
  • CHIP Offers Enhanced Services for Children With Special Mental Health Needs
  • Provider Enrollment Function Now Available on the Web Portal
  • Refill Too Soon Edit Set to 90% for Controlled Substances (CII-CV)
  • Submitting Medicare Crossover Claims to Medicaid
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 5, May 2006

  • DEA Numbers on Microfiche to Be Discontinued
  • Client Assistance
  • EPSDT/Family Planning Indicators
  • Publications Reminder
  • CHIP Eyeglasses Rx Form
  • OCR and Handwritten Claims
  • Prior Authorization for Medicaid and CHIP Lens Add-on Materials
  • Claims-Based Medical History Available on the Web Portal
  • Sending Checks to ACS
  • Personal Needs Trust Accounts for Nursing Home Residents
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 4, April 2006

  • Abortion Form Update
  • CHIP Income Eligibility Guidelines Changing
  • Publications Reminder
  • Obtaining Disproportionate Share Payment
  • OCR and Institutional Crossovers
  • Paperwork Associated With Electronic Claims
  • New Codes for Psychological, Neurobehavioral, and Neuropsychological Testing
  • Casualty Recovery Program
  • Montana Access to Health Web Portal Update
  • Optometric Update
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 3, March 2006

  • OCR and Document Quality
  • What Are Gross Adjustments?
  • Changes to the Website
  • Passport Required for FQHCs, RHCs and Home Health
  • "Modifiers Do Matter" Class Coming March 22
  • Requesting a Blanket Denial
  • Specific Diagnosis Codes
  • Provider Fair 2006 Comes to Helena March 22-23
  • Recent Publications
  • Key Contacts

Volume XXI, Issue 2, February 2006

  • Credit Balance Remittance Advice
  • Coverage Review Board to Convene
  • CHIP Teams Up With Providers to Insure More Kids
  • Changes in Observation Billing
  • Provider Fair to Be Held in Helena This Spring
  • Recent Publications
  • Key Contacts
  • Modifiers That Matter Coding Workshop (insert)
  • DPHHS Provider Fair (insert)

Volume XXI, Issue 1, January 2006

  • Self Directed Personal Assistance Services
  • Billing with an Incurment Amount
  • Paperwork Document Submissions
  • Cost Share and Previous Payment Amount Indicators
  • Medicare Part D: Exceptions and Appeals
  • Erectile Dysfunction Drugs
  • Web Portal Makes Team Care Verification Easy
  • Tips for Processing with OCR
  • New Release for Montana Access to Health Web Portal
  • New Strategic Direction for Health-e-Web
  • Recent Publications
  • Key Contacts
Volume XX, Issue 12, December 2005
  • CHIP Dental Benefit Limit
  • Claim Attachments and the Paperwork Attachment Warehouse
  • Passport Summits Focus Group Formed
  • Good-bye to MEPS
  • Health-E Web Electronic Submissions and Paperwork Attachments
  • Bundling for Critical Access and Exempt Hospitals
  • OCR and Pended Claims
  • Last Menstrual Cycle Dates and HIPAA Compliance
  • Fall Advanced Medicaid Training a Success
  • Making the Transition to the Medicare Prescription Drug Benefit
  • Indicators and the Pregnant Male
  • Cost Sharing: When Is It Taken and How Much Is It?
  • The Montana Medicaid Website: Finding What You Need
  • Electronic Claims with TPL
  • Eligibility Inquiries on the Web Portal
  • Several Ways to Contact ACS Provider Relations
  • Recent Publications
  • Key Contacts
Volume XX, Issue 11, November 2005
  • Good News for Clients on Medicare: The Big Sky Rx Program
  • Outpatient Therapy Changes
  • Split Claims for Outpatient Hospital Billing
  • Medicaid Drug Coverage for Duals Ends Dec. 31
  • Questions Asked at the Web Portal Trainings
  • Advanced Medicaid Training
  • Cost Share and TPL
  • Recent Publications
  • Key Contacts

Volume XX, Issue 10, October 2005
  • Nurse First Survey Results Impressive
  • Web Portal Up and Running
  • Helping With the Medicare Prescription Drug Benefit
  • Fall Advanced Medicaid Training Scheduled
  • Ask ACS: Provider Relations Helpdesk
  • OCR: How It Affects Claims
  • Blanket Denials
  • Recent Publications
  • Key Contacts
Volume XX, Issue 9, September 2005
  • Benefits of Electronic Billing
  • Attachments: One Time Form Filing
  • Rates for Psychiatrists
  • Medicare Part D Plans to Be Named Soon
  • Montana Access to Health Web Portal
  • Vaccines for Children
  • Pharmacy Providers
  • Recent Publications
  • Key Contacts
Volume XX, Issue 8, August 2005
  • Children's Special Needs Screening Begins in September
  • Passing the Mail Room Screening
  • Vaccines for Children
  • Revised Processing for Emergency Room Visits
  • Tips for Processing with OCR
  • PA Rejections
  • Changes to the Website
  • Recent Publications
  • Key Contacts
Volume XX, Issue 7, July 2005
  • Ask ACS: New Provider Relations Helpdesk
  • School Program Changes
  • Speech-Language Pathologists
  • Health E Web Attachments
  • Web Portal Available Soon
  • Correspondence from Medicare about Drugs
  • OCR Tips
  • Patient Account Numbers Now on RAs
  • Bill CHIP First
  • EAS Begins in August
  • Join the Paperless Partnership
  • Recent Publications
  • Key Contacts
Volume XX, Issue 6, June 2005
  • Spring Provider Training: Medicaid 101
  • Final Passport Summits This Month
  • Dental Program Coverage Changes
  • Call to Nurse First Nearly Double
  • TPL Tips
  • Recent Publications
  • Key Contacts
Volume XX, Issue 5, May 2005
  • Medicaid 101: Spring Provider Trainings
  • Passport Summits to Continue
  • Complete All Required Fields on Claim
  • General Medicaid Services Rule Change
  • Patient Account Numbers Now on RAs
  • New Medicare Drug Benefit Part D
  • Bill Only One Unit for Bilateral Procedures
  • All Claims Go to ACS Unless They Need State Review
  • OCR Tips
  • Recent Publications
  • Key Contacts
Volume XX, Issue 4, April 2005
  • First Passport Summit this Month
  • Billing for MHSP Services
  • CMS-1500 Tips
  • Nurse First: Three Distinct Programs
  • Submitting Denial Information Obtained from Blue Cross Website
  • Electronic Billing
  • WINASAP 2003 Claim Status Function
  • Optical Character Recognition Tips
  • Pricing Logic Changes for Professional (CMS-1500) Claims
Volume XX, Issue 3, March 2005
  • Date Set for First Passport Summit
  • ACS Now Providing EDI Support
  • Nurse First Wallet Cards Now Available
  • Provider Survey
  • Obstetric Observation Billing
  • Recent Publications
Volume XX, Issue 2, February 2005
  • Member Number Now a Billable Number
  • Special Instructions for WINASAP Electronic Submitters
  • New Version of WINASAP Available
  • New Year, New Passport?
  • Nursing Homes: HIPAA-Compliant Diagnosis Codes
  • All Providers: HCPCS Code G0001
  • Neonate Providers: Discharge Status Code 30
  • Verifying Client Eligibility
  • Recent Publications

Volume XX, Issue 1, January 2005

  • CMS-1500 Paper Claim Submission
  • Electronic Remittance Advice
  • EPSDT Indicator Codes
  • Diaper/Incontinence Product Coding Changes
  • Team Care and MEPS
  • Passport Summits
  • Recent Publication

Volume XIX, Issue 12, December 2004

  • When is it Necessary for Clients to Call Nurse First?
  • Passport to Health
  • Provider Resources Website
  • UB Billers: Revenue Code Changes
  • Reminder: No Grace Period for Discontinued Codes
  • New Provider Relations Manager
  • Attention: Vision Services Providers
  • Electronic Billing Support Number to Change
  • Attention: WINASAP Submitters
  • Provider Training Available
  • Recent Publications

Volume XIX, Issue 11, November 2004

  • Emergency Department Claim Appeal Process
  • Obstetric Observation Claims
  • EOB R&R Crosswalk
  • Fax Helps Providers Manage Team Care Clients
  • Dental Providers
  • Recent Publications

Volume XIX, Issue 10, October 2004

  • "Health Buddy" Program
  • Grace Period for Discontinued Codes No Longer Allowed
  • Drug Prior Authorization Process
  • Dental and Denturist Providers
  • Recent Publications

Volume XIX, Issue 9, September 2004

  • Timely Filing Clarification
  • School-Based Providers
  • Hospital Update
  • Vaccines For Children (VFC)
  • Providers Key to Team Care Success
  • Managed Care Bureau Names Physician Advisor for Nurse First Programs
  • Recent Publications
  • Medicaid Fraud Alert

Volume XIX, Issue 8, August 2004

  • Emergency Department Claims
  • Avoiding Returned Claims
  • Checking Benefit Limits With Provider Relations Unit
  • Providers Respond Positively to Team Care Program
  • Electronic Claims Submission for Nursing Facilities
  • Team Care FAQs
  • Recent Publications
  • The Next Five Top Denial Reasons (And How to Avoid Them)

Volume XIX, Issue 7, July 2004

  • Team Care Program Update
  • New TPL Fax Number
  • New Dental Covered Services and Limitations
  • Inpatient Hospitals: Discharge Status Codes
  • Electronic Billing and Blanket Denials
  • Top Five Denial Reasons (And How to Avoid Them)
  • Recent Publications
  • Clarification: Passport Numbers to Change Quarterly
  • Montana Neonate Units
  • Medicare and TPL


Volume XIX, Issue 6, June 2004

  • Passport Numbers to Change Quarterly
  • Billing Tips for Non-Covered Services
  • EOB R&R Crosswalk
  • DPHHS Provider Fair
  • Use of Modifier 52 With Lab Codes
  • Passport to Health Launches Team CAre Program
  • Reminder to Providers who Perform Sterilization, Hysterectomy and Abortion-Related Services
  • Avoid Unnecessary Attachments to Claims
  • Recent Publications


Volume XIX, Issue 5, May 2004

  • Nurse First Introductory Provider Letters
  • Passport and Nurse First Referrals
  • New Emergency Dental Services Form
  • Cost Sharing and Emergency Rooms
  • Indicating TPL Payment on WINASAP Professional Claims
  • Claims Processing Timetable
  • Still Billing on Paper?
  • Recent Publications

Volume XIX, Issue 4, April 2004

  • Ambulatory Payment Classification (APC) Note
  • Pharmacy Limits and Preauthorization
  • Attn: Optometric Providers
  • WINASAP 2003 Notes
  • Delayed Payments Due to System Upgrade
  • Still Billing on Paper
  • Parking at the Fair
  • Passport Newsletter
  • Recent Publications

Volume XIX, Issue 3, March 2004

  • Final Notice for Electronic Claims Submitters
  • WINASAP2003 Notes
  • TPL Billing Notes
  • Important Tips for UB Billers
  • Adult Intensive Outpatient Therapy Services
  • New & Deleted HCPCS/CPT Codes
  • Mental Health Notes
  • BAXBACK Requires Separate Phone Line
  • DMEPOS Fee Schedule Update
  • Recent Publications

Volume XIX, Issue 2, February 2004

  • Electronic Claims Submission Update
  • WINASAP2003 Electronic Claims Notice
  • Provider Relations Call Menu Updated
  • Local Codes Update
  • Procedure 92070 No Longer Requires Prior Authorization
  • Nurse First Advice Line and Disease Management Now Available
  • Vaccines for Children (VFC)
  • Corrections
  • Recent Publications

Volume XIX, Issue 1, January 2004

  • Attention: Local Codes No Longer Available After December 31, 2003
  • Nurse First Advice Line and Disease Management Now Available
  • Atten: ACE$ Submitters
  • WINASAP2003 Notes
  • Holidays Impact Timing of EFT Payments
  • HIPAA Provider Fact Sheet Updated
  • Reminder for Pharmacy and Dental Providers: Cost Avoidance Waiver
  • DME, Dental/Denturist, Home & Community Based Providers
  • Avoid Unnecessary Attachments
  • Procedure for Reviewing Emergency Department Claims
  • Nursing Facility Ancillary Billing Changes
  • Recent Publications

Volume XVIII, Issue 11, December 2003

  • Electronic Claims Submission Update
  • NSF Enrollment Procedures
  • WINASAP2003 Notes
  • Partial Hospitalization Payment
  • Vaccines For Children (VFC)
  • Bilateral X-Ray Reimbursement
  • Contraceptive Supplies
  • Botox Injections Criteria
  • Hard Card Reminder
  • EMTALA Policy Change
  • Cost Avoidance: Pharmacy and Dental Providers
  • Usual and Customary Charge (UCC)
  • New Program to Decrease Inappropriate Utilization and Enhance Quality of Life for Clients
  • Atten: Psychologists, Social Workers and LIcensed Professional Counselors
  • Recent Publications

Volume XVIII, Issue 10, November 2003

  • Montana Medicaid Clients to Receive Disease Management,
  • Nurse Triage Services
  • Reference Lab Billing
  • Manual Pricing for Mental Health Services
  • Attention Passport Providers
  • Correction: Family Care Services Modifier
  • Cost Avoidance: Pharmacy and Dental Providers
  • EPSDT/Family Planning Indicator
  • HIPAA Reminder
  • Electronic Claims with Paper Attachments
  • Prospective Payment Outpatient Hospitals (excludes CAHS)
  • Recent Publications

Volume XVIII, Issue 9, October 2003

  • Attention: Important Claims Submission Information
  • Weekly Payment Option
  • Determining Eligibility
  • Proof of Eligibility for Eyeglasses Claims
  • ICD-9-CM Procedure Codes
  • HIPAA-Compliant Diagnosis Codes
  • Electronic Claims Submission for Pharmacies
  • Revenue Code 250: Take Home Drugs
  • Reminders for Hospitals
  • Emergency Room Physicians and Hospital Emergency Departments
  • Physician and Outpatient Hospitals Observation Bed Changes
  • Outpatient Hospitals, Physicians, Mid-Levels, Lab & X-Ray, Podiatrist, IDTF and Psychiatrist ATP and Lab Panel Changes
  • Outpatient Hospital Changes
  • DMEPOS Advisory Workgroup Recent Publications

Volume XVIII, Issue 8, September 2003

  • Important Information for All Providers on Submitting Claims
  • Claims Submission for Pharmacies
  • Medicaid Hard Cards are Here!
  • Attention: Psychologists, LCPCs, and Social Workers
  • Unbundling of Inpatient and Outpatient Claims at Critical Access Hospitals
  • Notice about Proposed Administrative Rule Change
  • Passport Update
  • Attention: Therapeutic Group Homes and Family Care Services
  • HIPAA-Compliant Diagnosis Codes
  • Recent Publications

Volume XVIII, Issue 7, August 2003

  • Electronic Claims Submission
  • Providers and Billing Agents Using the ACE$ Software
  • Software Developers, Testing and EDIFECS
  • HIPAA Privacy and Covered Entities
  • Transportation Manuals AVailable
  • Local Transportation Modifiers to Change
  • Medicaid Hard Cards
  • Outpatient Reimbursement Changes CMS 15000 Providers in the Emergency Room
  • Outpatient Hospital Manual
  • Recent Publications

Volume XVIII, Issue 6, July 2003

  • How will you Submit Claims after October 16, 2003?
  • Reimbursement Changes for Interactive Psychotherapy
  • Rate and Payment Reductions and Optional Services
  • Personal Care Services Change
  • Publications Reminder
  • Alternative Addresses for PHI
  • Billing for a Bilateral Procedures
  • Outpatient Hospital Q&A
  • Dental Update on Surface Code P
  • Documentation Changes for Hearing Aid Services
  • ACS EDI Gateway, Inc.
  • Montana's Medicaid Hard Card
  • Recent Publications

Volume XVIII, Issue 5, June 2003

  • Covered Service Changes
  • Publications Reminder
  • Business Associate Agreements
  • Hysterectomy Update
  • Proton Pump Inhibitor Cost Comparisons
  • Outpatient Hospital Q&A
  • Recent Publications

Volume XVIII, Issue 4, May 2003

  • Publications Reminder
  • DRG Schedule
  • Mental Health Providers
  • TPL Reminder for DME Providers
  • Spring Provider Trainings
  • New Optometric and Eyeglass Services Manual
  • When to Send Paper Attachments
  • Electronic Payment and RA
  • Transition to PDCSX2 for Pharmacies
  • HIPAA Privacy Rule
  • New Outpatient Q&A
  • Recent Publications

Volume XVIII, Issue 3, April 2003

  • Timely Filing Limits
  • Notice of Public Hearing
  • Publications Reminder
  • Coding Tips
  • Passport to Health Survey Executive Summary
  • Provider Information Website Tips
  • Recent Publications

Volume XVIII, Issue 2, March 2003

  • New Billing Requirements for Outpatient Hospitals, RHC, FQHC, and IHS Beginning April 1, 2003
  • Publications Reminder
  • Billing With CDT-4 Dental Codes
  • Podiatry Update
  • Are you Receiving Multiple Mailings?
  • TPL Tips
  • Hysterectomy Form Clarification
  • Modifier Reminder
  • Frequently Asked Questions
  • ACE$ Tips
  • Recent Publications

Volume XVIII, Issue 1, February 2003

  • Mental Health Update
  • New Medicaid Ambulance Services Manual
  • Provider Updates and Program Changes
  • ACE$ Tips
  • Sterilization and Premature Deliveries
  • TPL Tips
  • Recent Publications

Volume XVII, Winter 2002

  • Provider Medicaid Number Policy
  • HIPAA Montana Conference
  • Watch for Additional Claim Jumper Issues to Come in 2003
  • Suggestions for Chiropractic Claims
  • New Policy Change Distribution Procedure
  • December 20, 2002 Medicaid Program Changes
  • TPL Tips
  • Recent Publications

Volume XVI, Summer 2002

  • Top Ten Prior Authorization Denials for Medical Equipment and Supplies
  • Global Surgery Edit
  • Provider Information Website
  • TPL Tips
  • Emergency Rule Changes
  • Modifier Tips
  • Modifier Changes as of 07/01/02
  • Recent Publications

Volume XVI, Spring 2002

  • Cost Sharing Changes
  • Weekly Payment Cycle Available for Providers
  • Provider Number Policy Change
  • HIPAA Update
  • Recently Released Publications
  • Protected Health Information

Volume XV, Fall 2001

  • Verifying Eligibility
  • Tips for New Users of ACE$
  • Recently Released Publications
  • Hot Topics at PRovider Training
  • Reasons Claims are Returned to the Provider

Volume XIV, Summer 2001

  • DPHHS Announces New Medicaid Coverage
  • Fee Schedules Available from Provider Relations
  • Billing Changes Coming for Rural Health Clinics and Federally Qualified Health Centers
  • Third Party Liability Claims
  • First Montana Medicaid Provider Fair a Success
  • Recently Released Publications
  • Top Denial Reasons for UB-92 Outpatient Claims Submitted on Paper and How to Avoid Them

Volume XIII, Spring 2001

  • Consultec Now ACS
  • Calling Provider Relations
  • Fee Schedules AVailable from Provider Relations
  • Provider Ownership Information Required Upon Enrollment
  • Reporting Changes
  • Recently Released Publications
  • What are Credit Balances and How Can They be Resolved?
  • Top Denials Reasons for HCFA Medicare Crossover Claims and How to Avoid Them

Volume XII, Winter 2001

  • DPHHS Announces New Look for Medicaid ID Cards
  • Special Handling Needed for Some Denied QMB Claims
  • Top Denial Reasons for HCFA-1500 Claims and How to Avoid Them
  • Consultec Provider Relations Quality Assurance
  • CHIP –Who to Contact for Information about CHIP
  • Frequently Asked Questions about ACE$


Volume XI, Fall 2000
  • Easy Ways to Verify Eligibility
  • First Health Services Assumes Mental Health Utilization Review Role
  • HIPAA Administrative Simplification Final Rules Published
  • Recently Released Publications
  • Announcing Exciting New Training Opportunity
  • Frequently Asked Questions
  • About ACE$ 225

Volume X, Summer 2000

  • Montana Medicaid Co-Payment Information
  • HIPAA - A New Language in the New Millennium
  • Recently Released Publications
  • Provider Relations Staff Available to Assist You
  • Third Party Liability's Ninety Day Rule
  • Timely Claims Follow-up
  • ACE$ Helpful Hints

Volume IX, Spring 2000

  • Claims Processing Timelines
  • Your Responsibilities as a Montana Medicaid Provider
  • What are Credit Balances and How Can They be Resolved?
  • Recently Released Montana Medicaid Publications
  • Recipient Copayment
  • Consultec Field Representative Available for On-site Visits
  • EMC Becoming EDI
  • ACE$ Helpful Hint

Volume VIII, Winter 2000

  • New Consultec Provider Relations Manager
  • Usual and Customary Charges
  • Prior Authorization Means Before the Service
  • Guidelines for When You Can and Cannot Bill a Medicaid Recipient
  • Passport Authorization Procedures
  • Recently Released Montana Medicaid Publications
  • Electronic Fund Transfer and Remittance Advice Available
  • Important Info about Provider Status Changes
  • Successful Roll-Out of ACE$ 218