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Claim Jumper Newsletters

Claim Jumper 2017

Volume XXXII Issue 7 July 2017

Publications Reminder
Passport and X12N
QMB vs QMB with Medicaid Coverate
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

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

Claim Jumper 2013

Volume XXVIII, Issue 12, December 2013

  • Publications Reminder
  • EFT/ERA Enrollment Deadline December 15!
  • Passport to Health Referral Changes
  • ICD-10 Information
  • Flu Season Is Right Around the Corner ...
  • Provider Reminder – Passport
  • Primary Care Enhancement Payment Program
  • Change in Healthy Montana Kids FQHC/RHC Vaccination Payment Program
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 11, November 2013

  • Publications Reminder
  • ICD-10 Information
  • Provider Training 2013
  • Update! Nursing Facility Services Bureau WebEx Trainings
  • Update! EFT / ERA Requirements
  • De-Stressing the Holidays – Making a List and Checking It Twice!
  • Mid-Level Provider Services in a NICU Setting
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 10, October 2013

  • Publications Reminder
  • ICD-10 Information
  • Payment Error Rate Measurement
  • Update! EFT / ERA Requirements
  • DPHHS Reaches Out to Medicaid and HMK Members
  • SLTC PAS, Hospice, Home Health, and Waivers Providers: PERM Audit
  • Is It Just a Cold? Or Is It the Flu?
  • New Services of Orientation & Mobility Specialist for Schools
  • Provider Training 2013
  • Enhanced Payment Program Update
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 9, September 2013

  • Publications Reminder
  • ICD-10 Information
  • Nursing Facility Services Bureau WebEx Trainings
  • Update on EFT and ERA Requirements
  • DPHHS Reaches Out to Medicaid and HMK Members
  • Passport to Health Disenrollment – How to Do It Right
  • Back to School – Germ Warfare Will Be on the Rise!
  • Provider Training 2013 – WebEx and On-Site Sessions
  • HMK Pharmacy Benefits
  • HMK/CHIP and HMK Plus/Medicaid and PERM
  • Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 8, August 2013

  • Publications Reminder
  • New! ICD-10 Webpage and Survey
  • Psychiatrist Service Reimbursement Change and Timely Billing Requirement
  • Medicaid and Sports Physicals
  • EFT Users and Electronic Remittance Advices (RAs)
  • Calling All Office Managers – We Want You to Meet Nurse First!
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 7, July 2013

  • Publications Reminder
  • Spring 2013 Provider Trainings a Success
  • ICD-10: Coming Soon to a Medicaid Claim Near You!
  • Pneumococcal Influenza Vaccination/Administration and Contraceptive Injections Not Separately Billable
  • Swimming Pools Are Open – Don’t Forget Your Deck Shoes!
  • Effective July 1, 2013, EFT Users Must Receive Electronic RAs, Not Paper
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 6, June 2013

  • Publications Reminder
  • Use the Correct Enrollment Form!
  • Spring 2013 Provider Training
  • HMS Awarded RAC by the State of Montana
  • Diabetes Proof Your Patients and Their Loved Ones!
  • Blanket Denials for Direct Care School Services
  • Effective July 1, 2013, EFT Users Must Receive Electronic RAs, Not Paper
  • Passport to Health Disenrollment
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 5, May 2013

  • Publications Reminder
  • Provider Training WebEx Sessions
  • Primary Care Enhanced Payment Program
  • Primary Care Enhanced Payment Applications
  • Nurse First Has a New Look!
  • Spring 2013 Provider Training
  • Recent Publications Available on the Website
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 4, April 2013

  • Publications Reminder
  • Important Enrollment Information
  • Reminder: Remittance Advices and Adjustments
  • Primary Care Enhanced Payment Program
  • Primary Care Enhanced Payment Applications
  • OPEN! Nurse First Is Never Closed
  • Spring 2013 Provider Training
  • Provider Training WebEx Sessions
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 3, March 2013

  • Publications Reminder
  • New Services for HMK
  • Register Now for Spring 2013
  • Provider Training!
  • Psychotherapy Add-On Codes
  • Is URGENT Patient Information Getting to You
  • Recent Publications Available on the Website
  • Primary Care Enhanced Payment Program
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 2, February 2013

  • Publications Reminder
  • Montana i-Home
  • Medicaid/HMK Plus Toll-Free Number
  • Home Oxygen Therapy for Clients Residing in SNFs
  • Nurse First Services and Usage
  • Recent Publications
  • Integrated Voice Response
  • Spring 2013 Provider Training
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXVIII, Issue 1, January 2013

  • Publications Reminder
  • Enrollment Reminder
  • RHC/FQHC Payment Rate Increases for CY 2013
  • CLIA Updates Effective January 1, 2013
  • Psychiatric Code Changes
  • Reminder for Providers
  • Nurse First Services and Usage
  • Recent Publications
  • Spring 2013 Provider Training Survey
  • Top 15 Claim Denial Reason
  • Key Contacts

Claim Jumper 2012

Volume XXVII, Issue 12, December 2012

  • Publications Reminder
  • Provider Reimbursement for Plan First Members
  • Psychiatric Code Changes
  • Diabetes Prevention
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reason

Volume XXVII, Issue 11, November 2012

  • Publications Reminder
  • 2012 Fall Provider On-Site Training Sessions
  • TPL Versus Medicare EOB
  • Children's Mental Health Medicaid Makes Changes
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVII, Issue 10, October 2012

  • Publications Reminder
  • FMAP Reminder for School-Based Providers
  • 2012 Fall Provider On-Site Training Sessions
  • Payments to Physicians for Primary Care Services
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reason

Volume XXVII, Issue 9, September 2012

  • Publications Reminder
  • Nursing Facility Rates
  • Registration Underway! 2012 Provider Training
  • Deleted ICD-9-CM Codes
  • Using Passport Referral Numbers Properly
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 8, August 2012

  • Publications Reminder
  • Nursing Facility Rates
  • Fall 2012 Provider Training Options
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 7, July 2012

  • Publications Reminder
  • Plan First Program
  • Passport to Health Program – Establishing Care and Referrals
  • Billing Claims for Dual Eligible Children
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 6, June 2012

  • Publications Reminder
  • Passport and Foster Care
  • Dispense as Written (DAW) = 9
  • Provider Fair a Success!
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reason

Volume XXVII, Issue 5, May 2012

  • Publications Reminder
  • ACS Is Now Xerox
  • Spring Provider Fair 2012
  • Establishing Care with Passport Clients
  • HMK Claims Adjustment
  • HMK and HMK Plus Claims Clarification
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reasons

Volume XXVII, Issue 4, April 2012

  • Publications Reminder
  • Spring Provider Fair 2012
  • ACS Is Now Xerox
  • Vaccines for Children (VFC) Training
  • Professional Claims EPSDT Indicator Issue
  • Professional Crossover Claims Issue
  • Rate Change for RHCs and FQHCs
  • POA Value of Space
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Denial Reason

Volume XXVII, Issue 3, March 2012

  • Publications Reminder
  • Provider Fair 2012
  • Smoking and Tobacco Use Cessation Counselor Services
  • CSCT Program Changes
  • Be a Healthy Montana Kids Enrollment Partner
  • POA Value of Space for Diagnosis Code Exempt from POA Reporting
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reason

Volume XXVII, Issue 2, February 2012

  • Publications Reminder
  • Additional Automated Voice Response Option
  • Swing Bed Per Diem Rate
  • Provider File Maintenance
  • Inpatient Hospital Claims and the POA Indicator
  • HIPAA 5010 Updates and COBA Files
  • HIPAA Version 5010 and NCPDP D.0 Effective January 1, 2012
  • NCPDP D.0 Payer Sheet Available
  • Nurse First Services and Usage
  • Recent Publications
  • Testing HIPAA 5010 Continues with Some Trading Partners
  • 5010 835 Claim Payment and Advice Transactions Will Be Available Soon
  • Top 15 Claim Denial Reason

Volume XXVII, Issue 1, January 2012

  • Publications Reminder
  • Medicare Part B Crossover Claims
  • January 1, 2012 HIPAA 5010 Implementation
  • HIPAA 5010 Update
  • Qualifier for Anesthesia Services on HIPAA 5010 837P Transactions
  • Nurse First Services and Usage
  • 5010 WINASAP Production Version Now Available
  • Door Prize Winner!
  • Youth Psychiatric Hospital Services Require Prior Authorization
  • Top 15 Claim Denial Reason

Claim Jumper 2011

Volume XXVI, Issue 12, December 2011

  • Publications Reminder
  • HIPAA 5010 Update
  • 5010 WINASAP Software Available for Testing
  • January 1, 2012 HIPAA 5010 Implementation
  • Nurse First Services and Usage
  • HIPAA 5010 NDC Requirements
  • Basic Medicaid Waiver for MHSP Population
  • Provider Information on the 5010 837 Health Care Claim Transactions
  • Prior Authorization for Synagis®
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 11, November 2011

  • Publications Reminder
  • Fall 2011 Provider Training Update
  • January 1, 2012 HIPAA 5010 Implementation
  • Payment System Change
  • NCPDP D.0 Submission Requirements
  • State Level Registry for EHR Incentive Payments
  • Enhanced Voice Response System
  • Nurse First Services and Usage
  • Basic Medicaid Waiver for MHSP Population
  • Prospective Payment System for End-Stage Renal Disease (ESRD)
  • PERM Provider Education Webinar/Conference Call
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 10, October 2011

  • Publications Reminder
  • Spirometry in the Primary Care Setting
  • January 1, 2012 HIPAA 5010 Implementation
  • Gap-Filled Codes
  • Nurse First Services and Usage
  • CSCT Team Number on 5010 Electronic Claim (837P) Transactions
  • Fall 2011 Provider Training Reminder
  • Recent Publications
  • HMK Updates Vaccine Reimbursement for FQHCs and RHCs
  • HIPAA 5010/OCR Qualifier Changes Effective January 1, 2012
  • Payment Error Rate Measurement
  • Summary of Required Documents to Support Claims
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 9, September 2011

  • Publications Reminder
  • Fall 2011 Provider Training
  • New and Revised ICD-9-CM Codes
  • Federal Medical Assistance Percentage
  • Important Reminder for All DME Providers
  • Wilate Injections for von Willebrand Disease, Code Q2041
  • NDC Requirements for Drugs Billed in Montana Medicaid
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 8, August 2011

  • Publications Reminder
  • ESRD Services Effective Date Correction
  • Nursing Facility Provider Per Diem Rates
  • New Passport to Health Program Officer
  • Fall 2011 Provider Training Survey
  • PA Requirements Discontinued for TCM and Outpatient Therapy
  • PRTF Ancillary Services and Reimbursement Changes
  • HAC on Inpatient Claims and Using POA Indicator
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 7, July 2011

  • Publications Reminder
  • Verification of Presumptive Eligibility for Children
  • HIPAA 5010 Update
  • Door Prize Winner!
  • Primary Care and Mental Health
  • Prospective Payment System for End-Stage Renal Disease (ESRD)
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 6, June 2011 This issue is intentionally 3 pages

  • Publications Reminder
  • Claims Paid by June 30 Get Higher Match Rate
  • Montana Health Care Programs Suspension Span Changes
  • Urgent Notice for Passport Providers
  • Never Events” Not Payable Under Montana Health Care Programs
  • Spring Provider Training 2011 Nearing an End
  • Health-Acquired Conditions Functionality in MMIS
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 5, May 2011

  • Publications Reminder
  • Claims Paid by June 30 Get Higher Match Rate
  • Address Change Reminder
  • Fax Receipt Confirmation Process
  • Claim Processing Change for MHSP Adult Clients
  • HIPAA 5010 Deadline Closer Than You Think!
  • Spring 2011 Provider Training Materials
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 4, April 2011

  • Publications Reminder
  • HMK Plus Expanded Claims Denied in Error
  • Patient Guide for Practices
  • MHSP Client Claims for FQHC and RHC Providers
  • Quick Billing Guide for HMK, FQHCs, and RHCs
  • Register Now! Spring Provider Training
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 3, March 2011

  • Publications Reminder
  • Suspension of Provider IDs for Nonparticipation
  • Suspension Span Eligibility Verification
  • Spring 2011 Provider Training Via WebEx (Updated 02/25/2011)
  • Provider Training Schedule
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 2, February 2011

  • Publications Reminder
  • Pharmacy Claims and IHS Providers
  • Spring Provider Training
  • HMK (CHIP) Extended Dental Funds Available
  • Montana Medicaid Provider Incentive Program for EHR
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Volume XXVI, Issue 1, January 2011

  • Publications Reminder
  • Provider Relations Contact Information
  • HMK to Initiate New Temporary Coverage
  • Enhanced Claims Editing and Add-On Codes
  • Electronic Dental Claims with Other Subscriber Information
  • MHSP Waiver
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons

Claim Jumper 2010

Volume XXV, Issue 12, December 2010

  • Publications Reminder
  • Medicaid Coverage Not Available to Inmates in Public Institutions
  • Health IT Environmental Survey
  • Dental Benefits Increase for HMK/CHIP Children
  • Videoconference a Success
  • Nurse First Services and Usage
  • Recent Publications
  • Provider Training Recap
  • NCCI Edits May Result in Claim Denial
  • Top 15 Claim Denial Reasons

Volume XXV, Issue 11, November 2010

  • Publications Reminder
  • 2011 ICD-9-CM Code Update
  • Unlinking Passport Providers
  • Dental Benefits Increase for HMK/CHIP Children
  • Billing Medicaid for No-Show or Canceled Appointments
  • Reminder: Medicaid Coverage Not Available to Inmates in Public Institutions
  • Nurse First Services and Usage
  • Recent Publications
  • Attending Provider Clarification
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 10, October 2010

  • Publications Reminder
  • Fall 2010 Provider Training
  • IHS-Specific Training in Great Falls
  • Additional NDC Editing Added to the Claims Processing System
  • Videoconference – October 5, 2010
  • 2011 ICD-9-CM Code Update – Effective October 1, 2010
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 9, September 2010

  • Publications Reminder
  • Provider Record Update Procedure
  • RHC Billing Procedures
  • Montana Medicaid Videoconference
  • Inpatient Hospital Alcohol and Drug Detoxification Services
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 8, August 2010

  • Publications Reminder
  • Health Literacy
  • Modifier for Evaluation and Management (E/M) Services
  • Surgical Pathology for Prostate Needle Biopsies Is Now Subject to CLIA Editing
  • NDC Requirement: Oral Fludarabine Phosphate, Code Q2025
  • Updates to Montana Medicaid’s Global Surgery Edit
  • Nurse First Services and Usage
  • Recent Publications
  • Top 15 Claim Denial Reasons
  • Key Contacts

Volume XXV, Issue 7, July 2010

  • Publications Reminder
  • Medicaid Covers All Transplants Covered by Medicare
  • Billing Medicaid Patients
  • Accuracy Pays
  • Attention Swing Bed Provider
  • Nurse First Services and Usage
  • Top 10 Claim Denial Reasons
  • Type of Bill 77X for Federally Qualified Health Centers (FQHCs
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 6, June 2010

  • Publications Reminder
  • Claim Jumper Mailing to Cease
  • Change Type of Bill (TOB) for Federally Qualified Health Centers (FQHCs)
  • CLIA Updates Effective April 1, 2010
  • Updating a Client's Third-Party Liability
  • April OPPs update New Drugs and Biologicals that will require NDCs
  • AMA Errata Notice for CPT 2009 that Affects Newborn Care Service Codes
  • Nurse First Services and Usage
  • You can Now perform MATH Claim Inquiry via the Group NPI
  • Credit Balance
  • Nursing Facility Claim Eligibility Issue
  • Outpatient Mental Health Treatment Limitation
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 5, May 2010

  • Publications Reminder
  • Claim Jumper Mailing to Cease
  • Encourage Montana Medicaid Clients to Get Screened for Colorectal Cancer
  • Medicaid Videoconference Workshop Scheduled
  • Implantable Neurostimulators
  • New Code for Speech Therapists
  • Common Coding Errors Providers Make
  • Nurse First Services and Usage
  • Change in Medicaid Third Party Liability (TPL) Administration
  • Medicare Showing in TPL Field on 1500
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 4, April 2010

  • Publications Reminder
  • Family Planning Clinic Billing Opportunity Will Expire on August 1, 2010
  • Procedures for Hospital Claims With Medical and Psychiatric Components
  • Medicaid Electronic Health Record (EHR) Incentive Program
  • TPL vs. Medicare EOB
  • Swing Bed Hospitals and Nursing Homes Can Bill Electronically
  • Nurse First Services and Usage
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 3, March 2010

  • Medicaid Health Improvement Program
  • Nursing Home Spans
  • Publications Reminder
  • Acute Services Moves
  • Healthy Montana Kids Increases Dental Funding
  • Attention DME Providers
  • Reimbursement Change for Psychiatric Residential Treatment Facilities and How It Affects Other Montana Medicaid Providers
  • Nurse First Services and Usage
  • Recent Publications
  • Key Contacts
  • Spring Provider Fair registration (insert)
  • Spring 2010 Coding Competency Workshop registration (Insert)

Volume XXV, Issue 2, February 2010

  • Spring Provider Fair Scheduled
  • Publications Reminder
  • DPHHS Offers Billing Clarification on Billing Psychological Testing Codes
  • Top 15 Claim Denial Reasons
  • Nurse First Services and Usage
  • Attention DME Providers
  • Consultation Services
  • Recent Publications
  • Key Contacts

Volume XXV, Issue 1, January 2010

  • Spring Provider Fair Scheduled
  • Publications Reminder
  • MHSP Changes Enrollment for Adults
  • Top 15 Claim Denial Reasons
  • Reporting NDC
  • Nurse First Services and Usage Statistics
  • Mental Health Services Plan Updates
  • Recent Publications
  • Key Contacts

Claim Jumper 2006–2009

Volume XXIV, Issue 12, December 2009

  • Presumptive Eligibility for Pregnant Women
  • Publications Reminder
  • Disenrolling a Passport Client
  • 2009 H1N1 Influenza Vaccine and Administration
  • HCBS Elderly and Physically Disabled Waiver Fee Schedule Updated
  • Hospice Providers Rate Increase
  • Medically Needy Reimbursement
  • Limits on Ostomy Supplies
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 11, November 2009

  • Updating a Client's Third-Party Liability
  • New Eligibility System Implemented October 1
  • SmartPA® Prior Authorization for Synagis® for Physicians, Mid-Level Practitioners and Public Health Clinics
  • Top 15 Claim Denial Reasons
  • Billing Medicaid Clients Directly
  • Publications Reminder
  • Adult Mental Health Services Program Contacts—Updated
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 10, October 2009

  • Healthy Montana Kids Plan Begins October 1
  • Publications Reminder
  • 2010 ICD-9-CM Updates
  • Updates to Provider Rates for Reimbursement
  • Fall Provider Training
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 9, September 2009

  • Fall Provider Training
  • Good News for Montanans with Medicare Part D: Big Sky Rx Is Accepting Applications
  • Top 15 Claim Denial Reasons
  • Cost Sharing: When Is It Taken, and How Much Is It?
  • Publications Reminder
  • Family Planning Clinic Medicaid Billing Changes
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXIV, Issue 8, August 2009

  • MHSP Approved Providers
  • 30-Day Eligibility Suspense
  • Modifier 21
  • Billing Other Insurance Before Billing Medicaid
  • Publications Reminder
  • Psychological Testing Reimbursement Change
  • Psychiatrist Service Reimbursement Change and Timely Billing Requirement
  • Fall Provider Training
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 7, July 2009

  • Access to Baby and Child Dentistry (AbCd)
  • Request for Completion of Forms
  • Reason and Remark Denials
  • Unwanted Paper Remittance Advices
  • Fall Provider Training Suggestions
  • Publications Reminder
  • More on Passport Referrals, Correction and Updated Materials
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 6, June 2009

  • CHIP Joins Providers to Help Insure Montana Children
  • Publications Reminder
  • Transplant Program Update
  • Billing for Passport Client Referrals
  • Top 15 Claim Denial Reasons
  • Billing Electronically With a Paperwork Attachment
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 5, May 2009

  • Discharge Status Codes on Hospital Inpatient Claims / Readmissions and Transfers
  • Publications Reminder
  • Attention Passport Providers: Check Your Fax Machines
  • Top 15 Claim Denial Reasons
  • Circumcisions
  • Using Correct Qualifiers
  • Adult Mental Health Services Primary Program Contacts
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 4, April 2009

  • Provider File Updates
  • Publications Reminder
  • Immunization Administration for Vaccines / Toxoids
  • Top 15 Claim Denial Reasons
  • Vaccines for Children (VFC) Effective as of October 10, 2008
  • Eligibility Changes
  • Vagus Nerve Stimulation (VNS)
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 3, March 2009

  • Medicaid and CHIP Issue New Income Guidelines for 2009
  • DME Providers
  • Montana Medicaid and the Stimulus Plan
  • Substance Abuse Treatment
  • Clarification for Changes in Prior Authorization Requirements
  • Montana Medicaid Reimbursement Change for Psychiatric Residential Treatment Facilities (PRTFs) Affects Other Medicaid Providers
  • Retroactive Medicare
  • Publications Reminder
  • Recent Publications
  • Key Contacts
  • Spring Provider Training Registration Form (insert)

Volume XXIV, Issue 2, February 2009

  • Moving Credit Balances
  • Updating Provider File Information for Passport to Health/Team Care Providers
  • CyberAccess Available Soon
  • Top 15 Claim Denial Reasons
  • Publications Reminder
  • Reason Code 133
  • Medical Home and Tips for Managing Your Passport to Health Case Load
  • Billing for In-State PRTF Assessment Services and In-State PRTF High-Cost Medical and Ancillary Services Starting March 1, 2009
  • Recent Publications
  • Key Contacts

Volume XXIV, Issue 1, January 2009

  • List of Eligible Drug Manufacturers Updated
  • Effective Date Change for Psychiatric Residential Treatment Facility (PRTF) Reimbursement and PRTF Assessment Services
  • Top 15 Claim Denial Reasons
  • Holiday eSOR Schedule
  • New End User Agreement for Providers
  • Paperwork Attachment Tips
  • NPI Billing
  • Successfully Billing With TPL
  • Adjustment Tips
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 12, December 2008

  • New Rules for Children's Mental Health
  • CHIP Extended Dental Benefit
  • Top 15 Claim Denial Reasons
  • Publications Reminder
  • Changes in Transplant Coverage
  • Montana Medicaid Program Is Enrolling 30,000+ Into the Passport to Health Managed Care Program
  • DME Coding Changes
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 11, November 2008

  • PERM Date Correction
  • CMS Announces Suspension of the Competitive Acquisition Program (CAP)
  • TPL Reminders
  • Top 15 Claim Denial Reasons
  • New HIPAA Privacy Rule Guidance
  • CHIP Claims Processing Change for Most Extended Mental Health Services
  • Weekly Payment Cycles
  • Publications Reminder
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 10, October 2008

  • Reminder for School-Based Services Providers
  • Improving Response to Provider Questions
  • New Inpatient Reimbursement Begins October 1, 2008
  • Most Common Reasons for Claim Denials
  • Publications Reminder
  • Provider File Updates
  • Letters Sent to Out-of-State Hospitals
  • Fall Provider Trainings
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 9, September 2008

  • Federal Government May Request Medical Records
  • Tamper Resistant Rx Pad Update: Three Features Required October 1
  • Psychologists Must Bill CPT Codes 96101, 96118, 96119 and 96120 With Modifier
  • Multiple Conversion Factors for RBRVS Providers
  • CHIP Joins Pharmacies and Other Providers to Help Get Health Insurance for Montana Children
  • Billing Procedures Regarding Electronic Claims—837P, 837I
  • Fee Schedules Posted
  • Publications Reminder
  • Resubmission of Denied Claims
  • New Mental Health Program
  • Recent Publications
  • Key Contacts
  • Fall Provider Training Registration Form (insert)

Volume XXIII, Issue 8, August 2008

  • Transferring Credit Balances
  • Publications Reminder
  • Tips for Submitting Paper Claims
  • Alcohol and Chemical Inpatient Detoxification
  • Team Care Information for Providers
  • Federal Government May Request Medical Records
  • Clarification on Provider Welcome Letters
  • Fall Provider Training Scheduled
  • Alert Regarding Taxonomy Code Issue Affecting Outbound 837 Professional Crossover Claims
  • Recent Publications
  • Key Contacts

Volume XXIII, Issue 7, July 2008

  • Medicare Coinsurance and Deductible in the 2300 HI 01-2 Loop
  • Reporting Tips for Providers Using National Drug Codes (NDC) on the Paper CMS-1500 and 837P
  • DME Reminder
  • Coding Regulations
  • Hospital APR-DRG Training
  • Publications Reminder
  • Medicaid/Medicare Dual Eligible Take-Home and Self-Administered Drugs
  • Resubmission of Denied Claims
  • Multiple Conversion Factors for RBRVS Providers
  • Provider File Updates
  • Recent Publications
  • Key Contacts

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 Billing 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
  • ReminderSharing 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 Publications
  • 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 Publications
  • 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

Volume XXI, Issue 5, May 2006

  • 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

Claim Jumper 2000–2005

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 10, October 2005

  • Nurse First Survey Results Impressive
  • Web Portal Up and Running
  • Helping With the Medicare Prescription Drug Benefit
  • Fall Advanced Medicaid Training Scheduled
  • Ask ACS: Provider Relations Helpdesk
  • OCR: How It Affects Claims
  • Blanket Denials
  • Recent Publications
  • Key Contacts

Volume XX, Issue 9, September 2005

  • Benefits of Electronic Billing
  • Attachments: One Time Form Filing
  • Rates for Psychiatrists
  • Medicare Part D Plans to Be Named Soon
  • Montana Access to Health Web Portal
  • Vaccines for Children
  • Pharmacy Providers
  • Recent Publications
  • Key Contacts

Volume XX, Issue 8, August 2005

  • Children's Special Needs Screening Begins in September
  • Passing the Mail Room Screening
  • Vaccines for Children
  • Revised Processing for Emergency Room Visits
  • Tips for Processing with OCR
  • PA Rejections
  • Changes to the Website
  • Recent Publications
  • Key Contacts

Volume XX, Issue 7, July 2005

  • Ask ACS: New Provider Relations Helpdesk
  • School Program Changes
  • Speech-Language Pathologists
  • Health E Web Attachments
  • Web Portal Available Soon
  • Correspondence from Medicare about Drugs
  • OCR Tips
  • Patient Account Numbers Now on RAs
  • Bill CHIP First
  • EAS Begins in August
  • Join the Paperless Partnership
  • Recent Publications
  • Key Contacts

Volume XX, Issue 6, June 2005

  • Spring Provider Training: Medicaid 101
  • Final Passport Summits This Month
  • Dental Program Coverage Changes
  • Call to Nurse First Nearly Double
  • TPL Tips
  • Recent Publications
  • Key Contacts

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

  • First Passport Summit this Month
  • Billing for MHSP Services
  • CMS-1500 Tips
  • Nurse First: Three Distinct Programs
  • Submitting Denial Information Obtained from Blue Cross Website
  • Electronic Billing
  • WINASAP 2003 Claim Status Function
  • Optical Character Recognition Tips
  • Pricing Logic Changes for Professional (CMS-1500) Claims

Volume XX, Issue 3, March 2005

  • Date Set for First Passport Summit
  • ACS Now Providing EDI Support
  • Nurse First Wallet Cards Now Available
  • Provider Survey
  • Obstetric Observation Billing
  • Recent Publications

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
  • Electronic Remittance Advice
  • EPSDT Indicator Codes
  • Diaper/Incontinence Product Coding Changes
  • Team Care and MEPS
  • Passport Summits
  • Recent Publication

Volume XIX, Issue 12, December 2004

  • When is it Necessary for Clients to Call Nurse First?
  • Passport to Health
  • Provider Resources Website
  • UB Billers: Revenue Code Changes
  • Reminder: No Grace Period for Discontinued Codes
  • New Provider Relations Manager
  • Attention: Vision Services Providers
  • Electronic Billing Support Number to Change
  • Attention: WINASAP Submitters
  • Provider Training Available
  • Recent Publications

Volume XIX, Issue 11, November 2004

  • Emergency Department Claim Appeal Process
  • Obstetric Observation Claims
  • EOB R&R Crosswalk
  • Fax Helps Providers Manage Team Care Clients
  • Dental Providers
  • Recent Publications

Volume XIX, Issue 10, October 2004

  • "Health Buddy" Program
  • Grace Period for Discontinued Codes No Longer Allowed
  • Drug Prior Authorization Process
  • Dental and Denturist Providers
  • Recent Publications

Volume XIX, Issue 9, September 2004

  • Timely Filing Clarification
  • School-Based Providers
  • Hospital Update
  • Vaccines For Children (VFC)
  • Providers Key to Team Care Success
  • Managed Care Bureau Names Physician Advisor for Nurse First Programs
  • Recent Publications
  • Medicaid Fraud Alert

Volume XIX, Issue 8, August 2004

  • Emergency Department Claims
  • Avoiding Returned Claims
  • Checking Benefit Limits With Provider Relations Unit
  • Providers Respond Positively to Team Care Program
  • Electronic Claims Submission for Nursing Facilities
  • Team Care FAQs
  • Recent Publications
  • The Next Five Top Denial Reasons (And How to Avoid Them)

Volume XIX, Issue 7, July 2004

  • Team Care Program Update
  • New TPL Fax Number
  • New Dental Covered Services and Limitations
  • Inpatient Hospitals: Discharge Status Codes
  • Electronic Billing and Blanket Denials
  • Top Five Denial Reasons (And How to Avoid Them)
  • Recent Publications
  • Clarification: Passport Numbers to Change Quarterly
  • Montana Neonate Units
  • Medicare and TPL

Volume XIX, Issue 6, June 2004

  • Passport Numbers to Change Quarterly
  • Billing Tips for Non-Covered Services
  • EOB R&R Crosswalk
  • DPHHS Provider Fair
  • Use of Modifier 52 With Lab Codes
  • Passport to Health Launches Team Care Program
  • Reminder to Providers who Perform Sterilization, Hysterectomy and Abortion-Related Services
  • Avoid Unnecessary Attachments to Claims
  • Recent Publications

Volume XIX, Issue 5, May 2004

  • Nurse First Introductory Provider Letters
  • Passport and Nurse First Referrals
  • New Emergency Dental Services Form
  • Cost Sharing and Emergency Rooms
  • Indicating TPL Payment on WINASAP Professional Claims
  • Claims Processing Timetable
  • Still Billing on Paper?
  • Recent Publications

Volume XIX, Issue 4, April 2004

  • Ambulatory Payment Classification (APC) Note
  • Pharmacy Limits and Preauthorization
  • Attention Optometric Providers
  • WINASAP 2003 Notes
  • Delayed Payments Due to System Upgrade
  • Still Billing on Paper
  • Parking at the Fair
  • Passport Newsletter
  • Recent Publications

Volume XIX, Issue 3, March 2004

  • Final Notice for Electronic Claims Submitters
  • WINASAP 2003 Notes
  • TPL Billing Notes
  • Important Tips for UB Billers
  • Adult Intensive Outpatient Therapy Services
  • New & Deleted HCPCS/CPT Codes
  • Mental Health Notes
  • FaxBack Requires Separate Phone Line
  • DMEPOS Fee Schedule Update
  • Recent Publications

Volume XIX, Issue 2, February 2004

  • Electronic Claims Submission Update
  • WINASAP 2003 Electronic Claims Notice
  • Provider Relations Call Menu Updated
  • Local Codes Update
  • Procedure 92070 No Longer Requires Prior Authorization
  • Nurse First Advice Line and Disease Management Now Available
  • Vaccines for Children (VFC)
  • Corrections
  • Recent Publications

Volume XIX, Issue 1, January 2004

  • Attention: Local Codes No Longer Available After December 31, 2003
  • Nurse First Advice Line and Disease Management Now Available
  • Attention ACE$ Submitters
  • WINASAP 2003 Notes
  • Holidays Impact Timing of EFT Payments
  • HIPAA Provider Fact Sheet Updated
  • Reminder for Pharmacy and Dental Providers: Cost Avoidance Waiver
  • DME, Dental/Denturist, Home & Community Based Providers
  • Avoid Unnecessary Attachments
  • Procedure for Reviewing Emergency Department Claims
  • Nursing Facility Ancillary Billing Changes
  • Recent Publications

Volume XVIII, Issue 11, December 2003

  • Electronic Claims Submission Update
  • NSF Enrollment Procedures
  • WINASAP 2003 Notes
  • Partial Hospitalization Payment
  • Vaccines For Children (VFC)
  • Bilateral X-Ray Reimbursement
  • Contraceptive Supplies
  • Botox Injections Criteria
  • Hard Card Reminder
  • EMTALA Policy Change
  • Cost Avoidance: Pharmacy and Dental Providers
  • Usual and Customary Charge (UCC)
  • New Program to Decrease Inappropriate Utilization and Enhance Quality of Life for Clients
  • Attend: Psychologists, Social Workers and Licensed Professional Counselors
  • Recent Publications

Volume XVIII, Issue 10, November 2003

  • Montana Medicaid Clients to Receive Disease Management
  • Nurse Triage Services
  • Reference Lab Billing
  • Manual Pricing for Mental Health Services
  • Attention Passport Providers
  • Correction: Family Care Services Modifier
  • Cost Avoidance: Pharmacy and Dental Providers
  • EPSDT/Family Planning Indicator
  • HIPAA Reminder
  • Electronic Claims with Paper Attachments
  • Prospective Payment Outpatient Hospitals (excludes CAHS)
  • Recent Publications

Volume XVIII, Issue 9, October 2003

  • Attention: Important Claims Submission Information
  • Weekly Payment Option
  • Determining Eligibility
  • Proof of Eligibility for Eyeglasses Claims
  • ICD-9-CM Procedure Codes
  • HIPAA-Compliant Diagnosis Codes
  • Electronic Claims Submission for Pharmacies
  • Revenue Code 250: Take Home Drugs
  • Reminders for Hospitals
  • Emergency Room Physicians and Hospital Emergency Departments
  • Physician and Outpatient Hospitals Observation Bed Changes
  • Outpatient Hospitals, Physicians, Mid-Levels, Lab & X-Ray, Podiatrist, IDTF and Psychiatrist ATP and Lab Panel Changes
  • Outpatient Hospital Changes
  • DMEPOS Advisory Workgroup Recent Publications

Volume XVIII, Issue 8, September 2003

  • Important Information for All Providers on Submitting Claims
  • Claims Submission for Pharmacies
  • Medicaid Hard Cards are Here!
  • Attention: Psychologists, LCPCs, and Social Workers
  • Unbundling of Inpatient and Outpatient Claims at Critical Access Hospitals
  • Notice about Proposed Administrative Rule Change
  • Passport Update
  • Attention: Therapeutic Group Homes and Family Care Services
  • HIPAA-Compliant Diagnosis Codes
  • Recent Publications

Volume XVIII, Issue 7, August 2003

  • Electronic Claims Submission
  • Providers and Billing Agents Using the ACE$ Software
  • Software Developers, Testing and EDIFECS
  • HIPAA Privacy and Covered Entities
  • Transportation Manuals Available
  • Local Transportation Modifiers to Change
  • Medicaid Hard Cards
  • Outpatient Reimbursement Changes CMS 15000 Providers in the Emergency Room
  • Outpatient Hospital Manual
  • Recent Publications

Volume XVIII, Issue 6, July 2003

  • How will you Submit Claims after October 16, 2003?
  • Reimbursement Changes for Interactive Psychotherapy
  • Rate and Payment Reductions and Optional Services
  • Personal Care Services Change
  • Publications Reminder
  • Alternative Addresses for PHI
  • Billing for a Bilateral Procedures
  • Outpatient Hospital Q&A
  • Dental Update on Surface Code P
  • Documentation Changes for Hearing Aid Services
  • ACS EDI Gateway, Inc.
  • Montana's Medicaid Hard Card
  • Recent Publications

Volume XVIII, Issue 5, June 2003

  • Covered Service Changes
  • Publications Reminder
  • Business Associate Agreements
  • Hysterectomy Update
  • Proton Pump Inhibitor Cost Comparisons
  • Outpatient Hospital Q&A
  • Recent Publications

Volume XVIII, Issue 4, May 2003

  • Publications Reminder
  • DRG Schedule
  • Mental Health Providers
  • TPL Reminder for DME Providers
  • Spring Provider Trainings
  • New Optometric and Eyeglass Services Manual
  • When to Send Paper Attachments
  • Electronic Payment and RA
  • Transition to PDCSX2 for Pharmacies
  • HIPAA Privacy Rule
  • New Outpatient Q&A
  • Recent Publications

Volume XVIII, Issue 3, April 2003

  • Timely Filing Limits
  • Notice of Public Hearing
  • Publications Reminder
  • Coding Tips
  • Passport to Health Survey Executive Summary
  • Provider Information Website Tips
  • Recent Publications

Volume XVIII, Issue 2, March 2003

  • New Billing Requirements for Outpatient Hospitals, RHC, FQHC, and IHS Beginning April 1, 2003
  • Publications Reminder
  • Billing With CDT-4 Dental Codes
  • Podiatry Update
  • Are you Receiving Multiple Mailings?
  • TPL Tips
  • Hysterectomy Form Clarification
  • Modifier Reminder
  • Frequently Asked Questions
  • ACE$ Tips
  • Recent Publications

Volume XVIII, Issue 1, February 2003

  • Mental Health Update
  • New Medicaid Ambulance Services Manual
  • Provider Updates and Program Changes
  • ACE$ Tips
  • Sterilization and Premature Deliveries
  • TPL Tips
  • Recent Publications

Volume XVII, Winter 2002

  • Provider Medicaid Number Policy
  • HIPAA Montana Conference
  • Watch for Additional Claim Jumper Issues to Come in 2003
  • Suggestions for Chiropractic Claims
  • New Policy Change Distribution Procedure
  • December 20, 2002 Medicaid Program Changes
  • TPL Tips
  • Recent Publications

Volume XVI, Summer 2002

  • Top Ten Prior Authorization Denials for Medical Equipment and Supplies
  • Global Surgery Edit
  • Provider Information Website
  • TPL Tips
  • Emergency Rule Changes
  • Modifier Tips
  • Modifier Changes as of 07/01/02
  • Recent Publications

Volume XVI, Spring 2002

  • Cost Sharing Changes
  • Weekly Payment Cycle Available for Providers
  • Provider Number Policy Change
  • HIPAA Update
  • Recently Released Publications
  • Protected Health Information

Volume XV, Fall 2001

  • Verifying Eligibility
  • Tips for New Users of ACE$
  • Recently Released Publications
  • Hot Topics at Provider Training
  • Reasons Claims are Returned to the Provider

Volume XIV, Summer 2001

  • DPHHS Announces New Medicaid Coverage
  • Fee Schedules Available from Provider Relations
  • Billing Changes Coming for Rural Health Clinics and Federally Qualified Health Centers
  • Third Party Liability Claims
  • First Montana Medicaid Provider Fair a Success
  • Recently Released Publications
  • Top Denial Reasons for UB-92 Outpatient Claims Submitted on Paper and How to Avoid Them

Volume XIII, Spring 2001

  • Consultec Now ACS
  • Calling Provider Relations
  • Fee Schedules Available from Provider Relations
  • Provider Ownership Information Required Upon Enrollment
  • Reporting Changes
  • Recently Released Publications
  • What are Credit Balances and How Can They be Resolved?
  • Top Denials Reasons for HCFA Medicare Crossover Claims and How to Avoid Them

Volume XII, Winter 2001

  • DPHHS Announces New Look for Medicaid ID Cards
  • Special Handling Needed for Some Denied QMB Claims
  • Top Denial Reasons for HCFA-1500 Claims and How to Avoid Them
  • Consultec Provider Relations Quality Assurance
  • CHIP –Who to Contact for Information about CHIP
  • Frequently Asked Questions about ACE$

Volume XI, Fall 2000

  • Easy Ways to Verify Eligibility
  • First Health Services Assumes Mental Health Utilization Review Role
  • HIPAA Administrative Simplification Final Rules Published
  • Recently Released Publications
  • Announcing Exciting New Training Opportunity
  • Frequently Asked Questions
  • About ACE$ 225

Volume X, Summer 2000

  • Montana Medicaid Copayment Information
  • HIPAA - A New Language in the New Millennium
  • Recently Released Publications
  • Provider Relations Staff Available to Assist You
  • Third Party Liability's Ninety Day Rule
  • Timely Claims Follow-up
  • ACE$ Helpful Hints

Volume IX, Spring 2000

  • Claims Processing Timelines
  • Your Responsibilities as a Montana Medicaid Provider
  • What are Credit Balances and How Can They be Resolved?
  • Recently Released Montana Medicaid Publications
  • Recipient Component
  • Consultec Field Representative Available for On-site Visits
  • EMC Becoming EDI
  • ACE$ Helpful Hint

Volume VIII, Winter 2000

  • New Consultec Provider Relations Manager
  • Usual and Customary Charges
  • Prior Authorization Means Before the Service
  • Guidelines for When You Can and Cannot Bill a Medicaid Recipient
  • Passport Authorization Procedures
  • Recently Released Montana Medicaid Publications
  • Electronic Fund Transfer and Remittance Advice Available
  • Important Info about Provider Status Changes
  • Successful Roll-Out of ACE$ 21