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Claim Jumper Newsletters

Claim Jumper 2017

Volume XXXII Issue 9 September 2017

Publications Reminder
When Do I Adjust a Physician
Claim?
Check Your Manual
Field Rep Corner
SHMK-CHIP Ambulance Claims
Administration Change
SURS Audit Revelations
Missing an Email?
Inside Provider Relations
Nurse FirstNursing Facility Medicaid Rates
Recent Website Posts
Top 15 Denial Reasons
Key Contacts

Volume XXXII Issue 8 August 2017

Publications Reminder
Dental Treatment Information
Proposed Fee Schedules
Fee Schedule
Hospice Billing Changes
Spring Training Questions and Answers
Missing an Email?
Inside Provider Relations
PERM Medical Review
Recent Website Postings
Top 15 Denial Reasons
Using the Top 15 Denial Reasons
Key Contacts

 

Volume XXXII Issue 7 July 2017

Publications Reminder
Passport and X12N
QMB vs QMB with Medicaid Coverage
Field Rep Corner
Hospice Billing Changes
Paperwork Attachments
Recent Website Postings
top 15 Claim Denial Reasons
PERM Medical Review Process
Key Contacts

Volume XXXII Issue 6 June 2017

Publications Reminder
PERM Medical Review Process
Optometric and Optician FAQ
Field Rep Corner
Changes to the Provider Website
Recent Website Postings
Top 15 Claim Denial Reasons
Inside Provider Relations
Key Contacts

Volume XXXII Issue 5 May 2017

In this issue:

Publications Reminder
Billing for ASC
Inside Provider Relations
Field Rep Corner
Spring Training Agenda
SURS Audit Revelations
Electronic Billing
TCM Q&A
Recent Website Posts
Top 15 Claim Denial Reasons
Successful Claims
Key Contacts

 

Volume XXXII Issue 4 April 2017

In This Issue:

Publications Reminder
National Drug Code Billing
Provider Facility Addresses
Prior Authorization Eye Glasses
Inside Provider Relations
Field Rep Corner
Recent Website Posts
Top 15 Claim Denial Reasons
Successful Claims Card
Key Contacts

Volume XXXII Issue 3 March 2017

In This Issue

Publications Reminder
Medical Billers Role in Healthcare
New General Manual Released
New Telehealth Place of Service Code
Nurse First
Field Rep Corner
SURS Audit Revelations
Recent Website Posts
Top 15 Claim denial Reasons
An Ounce of Prevention
Key Contacts

 

Volume XXXII Issue 2 February 2017

In This Issue

Publications Reminder
Physician Administered Drugs
New NCCI Edits
New General Manual Coming
Level of Care Determination
TPL FAQs Update
Call Center Questions
Field Rep Corner
SURS Audit Revelations
Inside Provider Relations
Recent Website Posts
Top 15 Claim Denial Reasons
Nurse First
Key Contacts

Volume XXXII Issue 1 January 2017
 

In This Issue:

Publications Reminder
New Medicaid Per Diem Rate for Hospital Swing Bed Providers
Field Rep Corner
Provider Website Changes
Nurse First
SURS Audit Revelations
Publications Available on the Website
Top 15 Claim Denial Reasons
Inside Provider Relations
Key Contacts
 

Claim Jumper 2016

Volume XXXI Issue 12 December 2016

Inside Provider Relations
Nurse First
From the PR Road Crew
SURS Audit Revelations
Web Portal Reset
Publications Available on the Website
Top 15 Claim Denial Reasons
WINASAP Questions and Answers

Volume XXXI Issue 11 November 2016

Publications Reminder
Electronic Submissions/WINASAP
Nurse First
Causes of Claim Processing Delays
Mail vs Fax
Publications Available on the Web
Top 15 Claim Denial Reasons
Revalidation Update
Call Centers News
Key Contacts

Volume XXXI Issue 10 October 2016

Publications Reminder
Training for All
Signature Line Policy
Revalidation and Faxes
Nurse First
Did You Know
Inside Provider Relations
Call Center Questions
Publications Available on the Website
Top 15 Claim Denial Reasons
An Ounce of Prevention
Key Contacts

 

Volume XXXI Issue 9 September 2016

Publications Reminder
Fall Training Registration
Required Dental Signatures
Updates to Cost Share
Inside Provider Relations
Nurse First: Suicide Prevention-What Can Providers Do
Revalidation Common Questions
Provider Opportunity - Improve Primary Care in America
Publications Available on the Website
Top 15 Claim Denial Reasons
An Ounce of Prevention

Volume XXXI Issue 8 August 2016


Publications Reminder
Medicaid Electronic Health Record Incentive Program
Fee Schedule Increases
Nurse First
Admissions Date and Statement Covers Period
Inside Provider Relations
Publications Available on the Website
Top 15 Claim Denial Reasons
An Ounce of Prevention
Key Contacts

Volume XXXI Issue 7 July 2016

Publications Reminder
Changes to Cost Share
Nurse First
Inside Provider Relation
Coming in July on the Website
Recently Posted Publications on the Website
Top 15 Claim Denial Reasons
An Ounce of Prevention

Volume XXXI Issue 6 June 2016

Publications Reminder
Help with HELP
Proposed Fee Schedules
Nurse First
Inside Provider Relations
Recently Posted Publications on the Website
Top 15 Claim Denial Reasons
An Ounce of Prevention

Volume XXXI Issue 5 May 2016

Publications Reminder
Passport Members Can Get HIP
Mental Health Through Interactive Video Systems
Nurse First Supports Patient Education to Prevent Melanoma
Inside Provider Relations: Enrollment Update and Call Center Update
The 2016 Provider Fair Is Almost Here!
2016 Provider Fair Agenda
Publications Available on the Website
Top 15 Denials Reasons
An Ounce of Prevention

Volume XXXI Issue 4 April 2016

Publications Reminder
Website Bookmark
2016 Provider Fair Offers Information Critical to Your Job
NDC Billing
Nurse First Can Address Patient Zika Virus Concerns
PERM Medical Review Findings
Call Center Common Questions
February 2016 Web Postings
Top 15 Claim Denial Reasons
Key Contacts

Volume XXXI Issue 3 March  2016

Publications Reminder
Montana HELP Plan
Make Your Call to Provider Relations Count!
March is National Kidney Month
Inside Provider Relations: Introducing Julia Porter, Provider Relations Manager
Contact Webmaster Feature
Publications Available on the Website
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner: 2016 Spring Provider Fair
Key Contacts

Volume XXXI Issue 2 February 2016

Publications Reminder
SURS Audit Revelations: Medicaid/CHIP Provider Fingerprint‑Based Background Checks
Heart Disease Leading Cause of Death for Men and Women
Inside Provider Relations: Provider File Updates
Increasing Coverage of Lactation Services to Outpatient Hospitals
Publications Available on the Website
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner: Abbreviated Enrollment Application
Key Contacts

Volume XXXI Issue 1 January 2016

Publications Reminder
Montana HELP Plan
ICD-10 News
Publications Reminder
Patient Discharge Status Codes and Hospital Transfer
Boost Your Immune System Naturally
SURS Audit Revelations: Updating or Correcting Medical Record
Publications Available on the Website
Xerox Field Representatives’ Corner
Inside Provider Relations
Abbreviated Enrollment
Oral Nutrition for Children
Top 15 Claim Denial Reasons
Key Contacts

Claim Jumper 2015

Volume XXX, Issue 12, December 2015
In This Issue:

Publications Reminder
MFP Webinar
ICD-10 News
Provider Training Wrap
Multiple Same-Day Visits and Condition Code G0
HMK/CHIP Plan of Benefits Modification
De-Stressing the Holidays – Making a List and Checking It Twice!
Abbreviated Enrollment for Ordering and Preferring Providers
Inside Provider Relations: Changing of the Guard
Publications Available on the Website
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner
Key Contacts

Volume XXX, Issue 11, November 2015
In This Issue:

Publications Reminder
Free Webinars in 2015
Money Follows the Person Webinars
ICD-10 Is Here!
ICD-10 and Plan First
A+ Government Solutions Concludes PERM Medical Review Process
Pediatric Polysomnography
Is It Just a Cold or the Flu?
Provider Training Fall 2015
Changes to the Dialysis Clinic Services Provider Manual
Publications Available on the Website
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner
Key Contacts

Volume XXX, Issue 10, October 2015
In This Issue:

Publications Reminder
Free Webinars in 2015
ICD-10 Is Coming October 1, 2015!
Mental Health Services and Targeted Case Management
Passport: Provider Change Form Reminder
DME Proof of Delivery
Five Signs Someone May Be Considering Suicide
Publications Available on the Website
Attention RHC and FQHC Providers!
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner
Key Contacts

Volume XXX, Issue 9, September 2015
In This Issue:

Publications Reminder
Free Webinars in 2015
Provider Training Fall 2015
ICD-10 Is Coming October 1, 2015!
Provider Specialty Table of Services in
Montana
Provider Requirements for CANS
Parent’s Guide to Vaccinations
ESRD Payment
Publications Available on the Website
Top 15 Claim Denial Reasons
Xerox Field Representatives’ Corner
Key Contacts

Volume XXX, Issue 8, August 2015
In This Issue:

In This Issue
Publications Reminder
Free Webinars in 2015 (Revised)
Coming Soon ... Provider Specialty Table
Nursing Facility Rate
ICD-10 Is Coming October 1, 2015 (Revised)
Montana Plan First Covered Services
Summer Safety and Proper Wound Care
Provider Training Fall 2015
Tooth Extractions
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 7, July 2015
In This Issue:

In This Issue
Publications Reminder
Attention Providers!
Free Webinars in 2015
Consequences for Providers Employing Excluded Individuals
ICD-10 Testing Available
Get Sun Smart! NurseWise Debunks 5 Summer Safety Myths
National Drug Code (NDC) Billing
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 6, June 2015
In This Issue:

Publications Reminder
Attention Providers! Payment Suspended for Some Providers
Anesthesia and Global Service Requirement
Free Webinars in 2015
Spring 2015 Provider Trainings Successful
Swimming Pools Are Open — Don't Forget Your Deck Shoes!
Cost Share for Home Infusion Therapy
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 5, May 2015

In This Issue:
Publications Reminder
Attention Providers! Payment Suspended for Some Providers
Free Webinars in 2015
Spring 2015 Provider Trainings
NurseWise Nurses Share Facts about the Health Benefits of Vitamin D
Spring 2015 Provider Training Agenda
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 4, April 2015
In This Issue:

Publications Reminder
Attention Providers! Payment Suspended for Some Providers
Updating Passport Provider File Information
OPEN! Nurse First is Never Closed
Spring 2015 Provider Trainings
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 3, March 2015
In This Issue:

Publications Reminder
Spring 2015 Provider Trainings
Telehealth Diagnosis Codes
New HCPCS Codes XE, XP, XS, and XU
Colorectal Cancer Awareness Month
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 2, February 2015
In This Issue:

Publications Reminder
Website Changes
Passport Monthly Enrollee Lists and Disenrollments
February is American Heart Month
Final Update: EFT and ERA Changes
Publications Available on the Website
Top 15 Claim Denial Reasons
Key Contacts

Volume XXX, Issue 1, January 2015
In This Issue:

Publications Reminder
Website Changes
Reporting Physical and Mailing Address Changes
LARC Inserted at Time of Delivery in PPS Hospital
Norovirus
Passport: Establishing Care and Referrals
Primary Care Enhanced Payment Extended
Publications Available on the Website
Personal Assistance Services/Community First Choice Mass Adjustment
HSS and TGH Utilization Review Update Notification
Top 15 Claim Denial Reasons
Key Contacts

 

 

 

Claim Jumper 2014

2014

Volume XXIX, Issue 12, December 2014

Publications Reminder
ICD-10 Information
Fall 2014 Provider Trainings Were Successful
Get Your Flu Shot!
Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 11, November 2014

Publications Reminder
Fall 2014 Provider Trainings
ICD-10 Information
November Is American Diabetes Month
Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 10, October 2014

Publications Reminder
Fall 2014 Provider Fair Trainings
ICD-10 Information
Home Support Services and Therapeutic Group Home Services for Youth
HMK Member ID Change
October Is Breast Cancer Awareness Month
Montana Prescription Drug Registry
Publications Available on the Website
Community-Based Psychiatric Rehabilitation and Supports (CBPRS)
Top 15 Claim Denial Reasons

Volume XXIX, Issue 9, September 2014

Publications Reminder
Fall 2014 Provider Fair Trainings
ICD-10 Information
HMK Member ID Change
A+ Government Solutions Begins PERM Medical Review Process
September is National Childhood Obesity Awareness Month
Publications Available on the Website
Community-Based Psychiatric Rehabilitation and Supports (CBPRS)
Top 15 Claim Denial Reasons

Volume XXIX, Issue 8, August 2014

Publications Reminder
Nursing Facility Services Bureau WebEx Trainings
PERM Provider Educational Webinars
Elective Deliveries
August is National Immunization Awareness Month (NIAM)!
Publications Available on the Website
Top 15 Claim Denial Reason

Volume XXIX, Issue 7, July 2014

Publications Reminder
HMK/CHIP Dental Changes
PERM Provider Educational Webinars
2014 Spring Provider Fair Was a Success!
Proper Use of Modifier 59
Children’s Mental Health
Helpful Tips for Summer
ICD-10 Delay
Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 6, June 2014

Publications Reminder
Update! CMS-1500 (02/12)
2014 Spring Provider Fair
New Addition to Nurse First
PERM Provider Educational Webinars
Modifier Changes
Nursing Facility Services Bureau WebEx Trainings
Top 15 Claim Denial Reasons

Volume XXIX, Issue 5, May 2014

Publications Reminder
Update! CMS-1500 Form (02/12)
Nursing Facility Services Bureau WebEx Trainings
2014 Spring Provider Fair
Payment Error Rate Measurement (PERM)
Passport Provider Change Form
Use the Medicaid Member ID
May Is Skin Cancer Awareness Month
Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 4, April 2014
Publications Reminder
Attention Home Health Providers
New CMS-1500 Form
Nursing Facility Services Bureau WebEx Trainings
2014 Spring Provider Fair
Billing Multiple Same-Day Visits on a UB-04 or 837I
Effective Immediately for All Providers Use the Medicaid Member ID
OPEN! Nurse First Is Never Closed
Recent Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 3, March 2014
Publications Reminder
2014 Spring Provider Fair
New CMS-1500 Form
Retroactive Eligibility
Presumptive Eligibility Expands to Meet Federal Guidelines
March is National Nutrition Month
Recent Publications Available on the Website
Top 15 Claim Denial Reasons

Volume XXIX, Issue 2, February 2014
Publications Reminder
CMS and Medicaid ICD-10 Provider Readiness Assessment
ICD-10 Vendor Information
New CMS-1500 Form
Effective Immediately for All Providers
Use the Medicaid Member ID
The Skinny on Holiday Weight Gain
Passport Providers Must Enroll in EFT
Medicaid and G-Codes
Reimbursement Changes for Ancillary Services
Recent Publications Available on the Website
Top 15 Claim Denial Reasons
 

Volume XXIX, Issue 1, January 2014
Publications Reminder
ICD-10 Information
Spring Provider Fair 2014
Attention WINASAP Users
EFT and ERA Requirement Update
Effective Immediately for All Providers – Use the Medicaid Card ID for Billing and Checking Eligibility
Suicide Prevention
Recent Publications Available on the Website
Top 15 Claim Denial Reasons

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