Montana Medicaid Newsletters
CLAIM JUMPER NEWSLETTER
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 Biling 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 Publlications
- 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 Publlications
- 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 BlueCross 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 Hints
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
Passport to Health Newsletter
Volume 2, Issue
2, Summer 2005
Volume 2,
Issue 1, Winter 2005
Volume 1,
Issue 4, Fall 2004
Volume 1,
Issue 3, Summer 2004
Volume
1, Issue 2, Spring 2004
Volume 1, Issue
1, Winter 2004
October - December 2003
July - September 2003
April - June 2003
January - March 2003
October - December
2002
July - September 2002
April - June 2002
January - March 2002
October - December 2001
July - September
2001
April - June 2001
Winter 2000-2001
Volume 2, Issue 3 Summer
2000
Volume 2, Issue 2 Spring
2000
Volume 2, Issue 1 Winter
2000