Claim Jumper Newsletters

Volume XXXVII Issue 7 - July 2022

SURS Revelations: Written Therapy Orders
Provider Services Portal News:
     Provider Services Portal Versus Fax and Mail
     Important DEA/DEAX Information
Montana Medicaid and TPL Part 2 of 4: Full and Final Versus Adjustments to Pursue TPL
Top 15 Denial Reasons
Recent Website Posts
Who Ya Gonna Email?

Volume XXXVII Issue 6 - June 2022

SURS Revelations: Treatment Plan Documentation for Mental Health Services
Montana Medicaid and TPL Part 1 of 4: When is it appropriate to bill Medicaid?
Provider Services Portal News:
     Uploading Supplemental Documentation in the MPATH Provider Services Portal
     New Mailing Process Requires Cover Sheet
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVII Issue 5 - May 2022

Provider Services Portal News:
     Changes Requiring a Technical Service Ticket
     Provider Revalidation
     When to Access the MPATH Provider Services Portal
PERM
Top 15 Denial Reasons
Recent Website Posts

Volume XXXVII Issue 4 - April 2022

Provider Services Portal Helpdesk Requests
SURS Revelations: Medication Assisted Treatment (MAT) Program
Electronic Adjustments - Void/Void Replace
Top 15 Denial Reasons
Recent Website Posts

Volume XXXVII Issue 3 - March 2022

The Nurse First Line is Ending
SURS Revelations: Medical Records - When More Isn't Always Better
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVII Issue 2 - February 2022

MPATH Provider Services Portal News
Waiver for Additional Services and Populations (WASP) Application Process for Providers
SURS Revelations: Provider Adjustments and Self-Audits
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVII Issue 1 - January 2022

MPATH Provider Services Portal Is Live!
Recent Website Posts
Top 15 Denial Reasons
Upcoming Trainings

Volume XXXVI Issue 12 - December 2021

Provider Services Module Go Live December 13, 2021!
SURS Revelations: “Excuse Me, Do You Have the Time?”
Field Rep Corner: Electronic Claim Adjustments Now Available!
Recent Website Posts
Top 15 Denial Reasons
Upcoming Trainings

Volume XXXVI Issue 11 - November 2021

SURS Revelations: What are Credit Balances?
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVI Issue 10 - October 2021

SURS Revelations: Personal Health Information and Your Role in Keeping It Safe
Billing Update – Licensed Marriage and Family Therapist (LMFT)
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVI Issue 09 - September 2021

Provider Services Module to Go Live Fall 2021!
SURS Revelations: The Importance of Documentation
Upcoming Trainings
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVI Issue 08 - August 2021

New Provider Type: Licensed Marriage and Family Therapist
Recommend the Nurse First Advice Line to Members!
SURS Revelations: Provider Information, Medicaid, and You
Upcoming Trainings
Top 15 Denial Reasons
Recent Website Posts

Volume XXXVI Issue 07 - July 2021

Upcoming Trainings
Top 15 Denial Reasons
SURS Revelations: Unbundling Obstetrical Services on Bundles of Joy
Website Update
Recent Website Posts

Volume XXXVI Issue 06 - June 2021

Electronic Funds Transfer Reminder
Upcoming Trainings
Top 15 Denial Reasons
SURS Revelations: Sharing is Not Always Caring
Recent Web Posts

Volume XXXVI Issue 05 - May 2021
Upcoming Trainings
Top 15 Denial Reasons
Recent Website Posts

Volume XXXVI Issue 04 - April 2021
Upcoming Trainings
Recent Website Posts
Top 15 Denial Reasons

Volume XXXVI Issue 03 - March 2021
Waiver for Additional Services and Populations (WASP) Application Process
SURS Revelations: Dental Radiograph Records
Top 15 Denial Reasons
Recent Website Posts
Upcoming Trainings

Volume XXXVI Issue 02 - February 2021

Field Rep Corner: Individual Adjustment Requests 
FQHC & RHC Service Requirements 
Top 15 Denial Reasons 
Recent Website Posts
Upcoming Trainings 

Volume XXXVI Issue 01 - January 2021

PERM Medical Review Process Has Started
The National Diabetes Prevention Program in Montana
Field Rep Corner: Top 15 Denial Reason Codes
PPS Hospitals — Inpatient Bundled Services
Top 15 Denial Reasons
Recent Website Posts
SURS Revelations: Peer Support Services
Upcoming Trainings

Volume XXXV Issue 12 - December 2020

The Field Rep Corner: COVID-19 Claims Resources
Top 15 Denial Reasons
Recent Website Posts
There's a Resource for That!: What is in the Site Index
Upcoming Monthly Trainings

Volume XXXV Issue 11 - November 2020

Montana State Level Registry
Cross Links
Field Rep Corner: Enrollment Tips
TCM for Youth with SED Program Changes Now Effective
Top 15 Denial Reasons
Recent Website Posts
There’s a Resource for That!: Website Crosslinks Made Easier

Volume XXXV Issue 10 - October 2020

SURS Revelations: The Risks of Up-Coding and Overbilling
Field Rep Corner: Common Denial Reasons
Claims Administration Change for HMK-CHIP DMEPOS and HMK-CHIP Hearing Aid Claims
NCI Inc. to Begin PERM Medical Record Review Process
Top 15 Denial Reasons
Hospital and Physician Claims Submitted with Unlisted Procedure Codes
The Importance of Verifying Waiver Eligibility − Claims in Pending Status
Recent Website Posts 
There's a Resource for That!: Fast, Effective Provider Page Web Search 
Key Contacts

Volume XXXV Issue 9 - September 2020

Field Rep Corner: Thinking About Buying or Selling a Business or Starting Your Own
Private Practice?
SURS Revelations: Durable Medical Equipment CMN and DIF Forms
Registration Is Open
New Behavioral Health Service
Top 15 Denial Reasons
Recent Website Posts
There's a Resource for That!: The Training Page: More Than Just Upcoming Trainings!
Key Contacts

Volume XXXV Issue 8 August 2020

Outpatient Psychotherapy Limits
SURS Revelations: Comprehensive School and Community Treatment Services
Top 15 Denial Reasons
Recent Website Posts
Registration Is Open
There's a Resource for That!: Where Can Members Get Answers?
Key Contacts

Volume XXXV Issue 7 July 2020

Provider Outreach
Help Us Help You
Updates to Mental Health Services
Top 15 Denial Reasons
Recent Website Posts
Registration Is Open
There’s a Resource For That!: Where Else Could Information Be?
SURS Resource Revelations: “If It’s Not Documented, It Didn’t Happen”
Key Contacts

Volume XXXV Issue 6 June 2020

SURS Audit Revelations: Dental Behavior Management Services
Field Rep Corner: Training and Information to Meet Providers' Needs
Recent Website Posts
Top 15 Denial Reasons 
There’s a Resource For That!: Information 24/7
Temporary COVID-19 Changes
Key Contacts

Volume XXXV Issue 5 May 2020

Children’s Mental Health Bureau Change
Field Rep Corner: Answers from Billing 101
SURS Audit Revelations: Testing Evaluation Services
Upcoming Training
Temporary COVID-19 Changes
Requirements and Billing for Telehealth Services by Nursing Facilities
Recent Website Posts
Top 15 Denial Reasons
There’s a Resource For That!: Training Opportunities and Materials
Key Contacts

Volume XXXV Issue 4 April 2020

Inside Provider Relations
SURS Audit Revelations: Supervision of In-Training Mental Health Practitioners
Montana Healthcare Programs Providers and Third-Party Liability
There’s a Resource For That!: Presumptive Eligibility – When can an uninsured individual be covered at a hospital?
Field Rep Corner: Additional Fax Number
Recent Website Posts
Top 15 Denial Reasons
Key Contacts

Volume XXXV Issue 3 March 2020

Medical Billers Are Important
Use the Correct Consent for Sterilization Form
Montana’s Promoting Interoperability Program
Field Rep Corner: Billing 101 Training With New and Updated Information!
Top 15 Denial Reasons
Recent Website Posts
There’s a Resource For That!: Questions about Prior Authorization?
Key Contacts

Volume XXXV Issue 2 February 2020

Upcoming Changes for Montana Healthcare Programs Providers What You Need To Know
New Member Guide Available
Elimination of Co-Payments Reminder
Montana's Promoting Interoperability Program
Field Rep Corner: W-9/1099-MISC
Top 15 Denial Reasons
Recent Website Posts
There's a Resource for That!: Introducing New Staff to the Provider Website
Key Contacts

Volume XXXV Issue 1 January 2020

Elimination of Co-Payments
SURS Audit Revelations: Medicaid/Medicare Excluded Individuals
FFY 2019 PERM Medical Review Findings
Top 15 Denial Reasons
Field Rep Corner: Happy New Year 2020
Recent Website Posts
Key Contacts