All Providers:
February 4, 2009 -
Paper Biller Tips Powerpoint
February 4, 2009 -
Tips for Billing Secondary/Tertiary Claims Electronically
December 5, 2008 - MDCH General Billing Tips and Resources Powerpoint
August 27, 2008
- CMS 1500 Claim Completion Instructions
August 19, 2008
-Professional Providers CHAMPS, NPI, and General Updates Powerpoint
June 14, 2005
- ListServ Instructions - Updated 9/22/2009
June 6, 2005
- MDCH Payment Liability
November 19, 2004
- Documentation Requirements
Physician:
July 1, 2009
- Physician Billing Information and Reference Powerpoint
July 1, 2009-
Physician Billing Claim Examples
Claim with CLIA number
Co-Insurance deductible after Blue Cross
Commercial Insurance Co-Insurance
Correct EOB Information
Incorrect Billing
Medicare Deductible
Multiple Surgery
NDC Claim
Reporting NOC (injectible drug) codes
Non-Covered by Medicare
Other Insurance Not Covered
Replacement Claim
Hospital:
February 27, 2009-
Update on Michigan Medicaid Hospital Audits
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:
April 20, 2009 - Billing Information and Reference Powerpoint
April 20, 2009
- Nursing Facility Claim Examples:
County Medical Care Facility Billing Oxygen
Nursing Facility Billing Hospital Leave Days
Nursing Facility Billing Multiple Theraputic Leave Days
Nursing Facility Billing Patient Pay and Offset
Nursing Facility Billing Physical Therapy
Nursing Facility Replacement Claim Example
Nursing Facility Void Claim Example
September 7, 2006
- LOCD Billing Issues
September 17, 2008
-Criteria for billing Oxygen for county medical care facility or hospital long-term care unit only
Hospice
April 29, 2009 -
Billing Information and Reference Powerpoint
April 29, 2009 -
Hospice Claim Examples
Billing Theraputic Leave Days
Billing Hospital Leave Days
Billing Continuous Home Care
Billing Inpatient Respite Care
Billing General Inpatient Care-Non respite
Billing Physician Services
Reporting Patient Pay Amount
Other Insurance Denied
Other Insurance Terminated
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.
Private Duty Nursing:
September 10, 2009
-
Agency Billing Information and Reference Powerpoint
(CHAMPS information included)
September 10, 2009
- Independent Nurse Billing Information and Reference Powerpoint
(CHAMPS information included)
Pharmacy and DME:
January 17, 2006
- Diabetic Supplies
Ambulance Providers:
July 7, 2009
- Ambulance Billing Information and Reference Powerpoint
June 18, 2007
- Multiple Transports
Dental Providers
August 12, 2009
- CHAMPS, NPI, and General Updates Powerpoint
August 12. 2009 -
Dental Billing Claim Examples:
Other Insurance Claim Example
Replacement Claim Example
Void Claim Example
Out of State Providers:
April 26, 2006
- Out of State Billing Tips