Montana Medicaid Newsletters
CLAIM JUMPER NEWSLETTER
Passport TO HEALTH NEWSLETTER
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
- 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 9, September 2005
Volume XX, Issue 8, August 2005
Volume XX, Issue 7, July 2005
Volume XX, Issue 6, June 2005
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
Volume XX, Issue 3, March 2005
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
Volume XIX, Issue 12,
December 2004
When is it Necessary for Clients to Call Nurse First?
Volume XIX, Issue
11, November 2004
Volume XIX, Issue
10, October 2004
Volume XIX, Issue
9, September 2004
Volume XIX, Issue
8, August 2004
Volume XIX, Issue
7, July 2004
Volume XIX, Issue
6, June 2004
Volume XIX, Issue
5, May 2004
Nurse First Introductory Provider Letters
Volume XIX, Issue
4, April 2004
Ambulatory Payment Classification (APC) Note
Volume XIX, Issue
3, March 2004
Final Notice for Electronic Claims Submitters
Volume XIX, Issue
2, February 2004
Electronic Claims Submission Update
Volume XIX, Issue
1, January 2004
Attention: Local Codes No Longer Available After December 31,
2003
Volume XVIII, Issue
11, December 2003
Electronic Claims Submission Update
Volume XVIII, Issue
10, November 2003
Montana Medicaid Clients to Receive Disease Management,
Volume XVIII, Issue
9, October 2003
Attention: Important Claims Submission Information
Volume XVIII, Issue
8, September 2003
Important Information for All Providers on Submitting Claims
Volume XVIII, Issue
7, August 2003
Electronic Claims Submission
Volume XVIII, Issue
6, July 2003
How will you Submit Claims after October 16, 2003?
Volume XVIII, Issue
5, June 2003
Covered Service Changes
Volume XVIII, Issue
4, May 2003
Publications Reminder
Volume XVIII, Issue
3, April 2003
Timely Filing Limits
Volume XVIII, Issue
2, March 2003
Volume XVIII, Issue
1, February 2003
Mental Health Update
Volume XVII, Winter
2002
Provider Medicaid Number Policy
Volume XVI, Summer 2002
Top Ten Prior Authorization Denials for Medical Equipment and
Supplies
Volume XVI, Spring 2002
Cost Sharing Changes
Volume XV, Fall 2001
Verifying Eligibility
Volume XIV, Summer 2001
DPHHS Announces New Medicaid Coverage
Volume XIII, Spring
2001
Consultec Now ACS
Volume XII, Winter
2001
DPHHS Announces New Look for Medicaid ID Cards
Volume XI, Fall 2000
Easy Ways to Verify Eligibility
Volume X, Summer 2000
Montana Medicaid Co-Payment Information
Volume IX, Spring 2000
Claims Processing Timelines
Volume VIII, Winter
2000
New Consultec Provider Relations Manager
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
January - March 2002
October - December 2001
