Policy Bulletins

Billing Instructions

Training

Testing Instructions

Electronic Claims Submission Information

General Information

Claim Form Conversion Chart

L 01-57: 2002 Health Care Common Procedure Coding System (HCPCS) changes

L 02-02: January 2002 Provider Letter

L 02-10: Dental Electronic Claim Conversion

L 02-11: Nursing Facility Electronic Claim Conversion

L 02-14: HCPCS 2002 Ancillary Revisions

L 02-16; HIPAA Mandates Update

L 02-17; Reminder About Processing Claims with Attachments

L 02-18; May Update for Nursing Facilities

L 02-21; Hospice Provider Claim Conversion

L 02-25; Nursing Facility Claim Conversion Extension

L 02-31; Nursing Facilities Reminder about Testing

L 02-32; Additional Training for Nursing Facilities

L 02-36; December Uniform Billing Update

L 03-03; February Uniform Billing Update

L 03-07; March Uniform Billing Update

L 03-10;  HIPAA Mandated Transactions and Code Set Requirements

Policy Bulletins

FQHC 02-02: Uniform Billing for Tribal Health Centers.

FQHC 02-03: Uniform Billing for Federally Qualified Health Centers and Indian Health Centers.

MSA 02-02: Uniform Billing for Hearing and Speech Services.

RHC 02-02: Uniform Billing for Rural Health Clinics.

MSA 01-26: Changes for Enteral and Parenteral Nutrition.

MSA 01-24: Changes for ACD Equipment and Supplies.

Family Planning Clinics 01-06: CPT Code Changes.

CMHSP 02-03: Uniform Billing for Community Mental Health Service Programs.

Nursing Facilities 02-02; Uniform Billing; Revised Chapter IV; Billing Codes Appendix

Nursing Facilities 02-04; Uniform Billing:  Nursing Facilities Bulletin 02-04

Billing Instructions

MSA 02-08: Chapter IV HCFA 1500/837 Billing and Reimbursement

UB-92 Claims Completion Instructions for Hospice: Hospice 02-01

UB-92 Claims Completion Instructions for Home Health: HHA 01-06

Billing Instructions for Nursing Facilities

Training

L 03-17;  Private Duty Nursing Training

Testing Instructions

Instructions for accessing the free HCFA 1500 web-based training course

Instructions for accessing the free UB 92 web-based training course

Electronic Claims Submission Information

MDCH Electronic Submission Manual

          Section 1;  Authorization to Submit Data Electronically

          Section 2;  Introduction to MDCH Electronic Submission

          Section 3;  Initial Testing

          Section 4;  Preparing Electronic Claim Files

          Section 5;  Using the Data Exchange Gateway (DEG)

          Section 6;  Files Exchanged

          Section 7;  Resources for Electronic Billing

          Glossary

          Appendix A;  TR9000 File Preparation Program Instructions

          Appendix B;  Files Submitters Send to MDCH

          Appendix C;  Files MDCH Sends to Submitters

EDI 837 Introduction

EDI 837 Professional Version 3051 Transaction Set

EDI 837 Professional Michigan Medicaid Interim 4010 Version Transaction Set

837 Institutional Version 4010 Clarification Document

837 Professional Version 4010 Clarification Document

UB 92 EMC 5 Transaction Set