All Providers:
August 27, 2008
- CMS 1500 Claim Completion Instructions
August 19, 2008
-Professional Providers CHAMPS, NPI, and General Updates Powerpoint
September 12, 2007
-CMS 1500 & UB04 Paper Claim Format General Instructions
June 14, 2005
- ListServ Instructions
June 6, 2005
- MDCH Payment Liability
November 19, 2004
- Documentation Requirements
Hospital:
October 13, 2008 -
Edit 244, 245 & 247 - The claim is being reviewed for possible Medicare coverage. Providers should report Medicare payer ID number (i.e. C00245) for Medicare Fee-For-Service, Medicare commercial insurance (i.e. Medicare Advantage), and Medicare health plan.
September 17, 2008
-Billing tip for when beneficiary transfers from one hospital to another
August 14, 2008
- Tips for Billing Observation Room
August 7, 2008
- Noncovered Emergency Diagnosis Codes (Updated 10/13/2008)
August 4, 2008
- Outpatient hospital providers are referred to the below links for more information regarding NDC: NDC Format For Billing, NDC Frequently Asked Questions and Letter L 08-14.
May 19, 2006
- Contractual Adjustment Examples
May 13, 2008
- MDCH Institutional Billing Resource
April 1, 2007
- Dialysis Billing Valid for DOS PRIOR to 4/1/07
April 1, 2007
- Edit 185- The end date of service is invalid OR, for Outpatient Hospital, the claim line date of service is not included in the range of dates indicated by the "from" and "through" dates on the claim. All series services should be reported one calendar month per claim.
Nursing Facility:
September 17, 2008
-Criteria for billing Oxygen for county medical care facility or hospital long-term care unit only
August 21, 2008
- Billing Information and Reference Powerpoint - Updated 10/27/08
September 7, 2006
- LOCD Billing Issues
Hospice
October 7, 2008 -
Billing Information and Reference Powerpoint
September 8, 2008
- Edit 100- The amount to be paid for this procedure is being determined manually. The Medical Services Administration has identified a problem with Hospice Room and Board claims. Claims pending 100 will require review of the Hospice Membership Notice DCH-1074, to determine if the appropriate nursing facility provider ID number was reported. To avoid future 100 edit pends, Hospice Membership Notice (DCH-1074) must be submitted to correct the eligibility file. The DCH- 1074 version dated 7/08 or 11/06 may be used.
Pharmacy and DME:
January 17, 2006
- Diabetic Supplies
Ambulance Providers:
June 18, 2007
- Multiple Transports
Dental Providers
August 19, 2008
- CHAMPS, NPI, and General Updates Powerpoint
Out of State Providers:
April 26, 2006
- Out of State Billing Tips