Some of these claims were overpaid which necessitates a recoupment from the provider. Also, some of the claims will be adjusted to correct the incorrect Units or Billed Charges only, and there will be no adjustment/difference in the Medicaid paid amount for these claims. The systematic adjustm...
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THE PROVIDER SHOULD REFER THE RECIPIENT TO A PARTICIPATING MEDICAID ORTHODONTIST OR IF REFERRAL ASSISTANCE IS REQUIRED, THE PROVIDER SHOULD REFER THE RECIPIENT TO THE KIDMED AND COMMUNITY CARE REFERRAL ASSISTANCE HOTLINE AT 1-877-455-9955. SHOULD...
IN THESE CASES, THE ADMISSION DATE SHOULD BE THE DATE THE OUTPATIENT SERVICES WERE PROVIDED ADDITIONALLY, PSYCHIATRIC PATIENTS ADMITTED THROUGH THE EMERGENCY ROOM SHOULD HAVE THE ER CHARGES ROLLED INTO THE INPATIENT PSYCHIATRIC BILL (EVEN WHEN THE FACILITY HAS SEPARATE PROVIDER NUMBERS FOR ACUTE AND ...
Medicaid Acronyms Provider Enrollment Contact Useful Links Search RA Messages for June 24, 2008 Print RA Messages for June 24, 2008 PHARMACY PROVIDERS, PLEASE NOTE!!! IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT THE PBM HELP DESK AT 1-800-648-0790. PLE...
If an individual's or entity's name appears on these websites, this person or entity is considered excluded and is barred from working with Medicare and/or the Louisiana Medicaid Program in any capacity. If the exclusion is learned prior to employment the provider should not employ the person...
PROVIDER UPDATE FOR Y2K HELPFUL HINTS AND Y2K PATIENT ASSISTANCE TIPS. IF YOU SHOULD RECEIVE CALLS FROM LOUISIANA MEDICAID RECIPIENTS CONCERNING Y2K READINESS ISSUES, PLEASE REFER THEM TO THE LOUISIANA MEDICAID RECIPIENT HOTLINE TOLL-FREE NUMBER (800)834-3333 ON THE BACK OF THEIR ID CARD. IF ...
For questions related to this information, please contact Molina Medicaid Solutions Provider Services at (800) 473-2783 or (225) 924-5040. Thank you for your assistance in this matter. ATTENTION ALL PROVIDERS 2015 HCPCS UPDATE Louisiana Medicaid is currently in the process of completing the 2015...
ALL OTHER ASSOCIATED CHARGES SUCH AS LABS, SUPPLIES, X-RAYS, ETC., ARE TO BE BILLED AS SEPARATE LINE ITEMS USING THEIR SPECIFIC REVENUE CODES. REFER TO THE 2002 LOUISIANA MEDICAID HOSPITAL TRAINING PACKET PAGE 5 FOR FURTHER INFORMATION.IF IT IS DETERMINED THAT THE PATIENT MUST BE MOVED FROM...
IF THE NPI IS PRESENT ON THE CLAIM IT WILL BE DISPLAYED ON THE RA BY LINE ITEM IN THE FIELD "PHYS NO," IMMEDIATELY FOLLOWING THE 7-DIGIT MEDICAID ID NUMBER OF THE ATTENDING PROVIDER. IF YOU FEEL THE NPI(S) PRESENTED ON THE RA IS NOT CORRECT FOR THE CORRESPONDING LA MEDICAID ...