RA Messages for December 2, 2003

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PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/01/02 VERSION OF APPENDIX C:

LABELER	COMPANY	BEGIN	END
00168	E. FOUGERA AND CO.		01/01/04
52761	GENDERM		01/01/04
53706	DELTA PHARMACEUTICALS, INC		01/01/04
53807	RIJ PHARMACEUTCAL CORPORATION		01/01/04
59746	TRIGEN LABORATORIES, INC		01/01/04
61808	IMIREN PHARMACEUTICALS, INC.	01/01/04
62338	BAXTER HEALTHCARE CORPORATION		01/01/04
63044	NNODUM CORPORATION		01/01/04
66657	GENTA, INC	01/01/04
66814	WORLD GEN	01/01/04
67919	CUBIST PHARMACEUTICALS, INC	01/01/04
68220	ALAVEN PHARMACEUTICAL, LLCP	01/01/04

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HOME AND COMMUNITY-BASED WAIVER SERVICES

FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN 
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.

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ATTENTION PROVIDERS

DURING THE LAST WEEK OF SEPTEMBER, SOME CODES FOR PHYSICIAN SERVICES WERE PLACED IN NON-PAY STATUS THROUGH ERROR. CONSEQUENTLY, CLAIMS FOR CODES 36489, 36620, 93503, 62270, ETC. DENIED WITH ERROR EDIT 299. PROVIDERS WILL RECEIVE REIMBURSEMENT FOR THESE SERVICES ON THE RA OF 11-25-03. CALL KANDIS WHITTINGTON AT 225-342-9490 IF YOU HAVE QUESTIONS.

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ATTENTION ANESTHESIA PROVIDERS

BEGINNING WITH HIPAA IMPLEMENTATION AND FOR CLAIM DATES OF SERVICE OCTOBER 1, 2003 AND AFTER, ALL ANESTHESIA CLAIMS FOR THE ADMINISTRATION OF ANESTHESIA MUST BE SUBMITTED WITH MINUTES INDICATED IN THE UNITS FIELD. CLAIMS SUBMITTED WITHOUT MINUTES INDICATED ON THE CLAIM FORM WILL BE DENIED WITH ERROR CODE 949-ANESTHESIA MINUTES INVALID OR MISSING. CLAIMS FOR ANESTHESIA SERVICES THAT ARE NOT FOR THE ADMINISTRATION OF ANESTHESIA DO NOT REQUIRE A MODIFIER OR MINUTES. TO AVOID UNNECESSARY CLAIM DENIALS, PLEASE ENSURE THAT YOUR CLAIM FOR THE ADMINISTRATION OF ANESTHESIA INCLUDES THE APPROPRIATE MINUTES.

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ATTENTION AMBULANCE PROVIDERS

AS A RESULT OF HIPAA IMPLEMENTATION, AMBULANCE CLAIMS THAT DID NOT HAVE THE NEWLY REQUIRED MODIFIERS WERE INCORRECTLY PAID. THESE CLAIMS SHOULD HAVE DENIED DUE TO THE MISSING MODIFIERS. DHH WILL VOID THESE CLAIMS AND PROVIDER MUST RE-BILL USING THE APPROPRIATE MODIFIERS. THE VOIDS WILL SHOW UP ON THE NEXT RA.