RA Messages for May 18, 2004

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NOTICE TO PROVIDER OF PROFESSIONAL SERVICES

EFFECTIVE WITH DATE OF SERVICE JULY 1, 2003.  THE FOLLOWING CPT CODES WILL BE ADDED TO THE LIST OF CODES PAYABLE TO AUDIOLOGISTS.

92541

92543

92544

92545

92547

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ATTENTION DENTAL PROVIDERS

MEDICAID POLICY STATES THAT DENTAL SERVICES WILL BE REIMBURSED AT THE LOWER OF THE BILLED CHARGES OR THE MEDICAID ESTABLISHED RATE. AN EDITING PROBLEM HAS OCCURRED WHICH CAUSED CLAIMS FOR THE AMALGAM PROCEDURE CODES D2140, D2150 AND D2160, FOR PRIMARY TEETH ONLY, TO PAY AT THE MEDICAID RATE ALTHOUGH THE BILLED CHARGES WERE LESS. MEDICAID WILL AUTOMATICALLY RECYCLE THESE CLAIMS IN THE NEAR FUTURE IN ORDER TO RECOVER THE OVERPAYMENTS AND THESE TRANSACTIONS WILL APPEAR ON YOUR REMITTANCE ADVICE. IF YOU HAVE ANY QUESTIONS REGARDING THIS MATTER, YOU MAY CONTACT UNISYS PROVIDER RELATIONS BY CALLING 1-800-473-2783 OR 225-924-5040. 

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ATTENTION OPTHAMOLOGISTS AND OPTOMETRISTS

OPTHAMOLOGISTS AND OPTOMETRISTS THAT HAVE RECEIVED A 690 DENIAL (PAYMENT INCLUDED IN SURGERY FEE) WHEN BILLING PROCEDURE CODE 99211 (FOLLOW-UP EXAM) ON THE SAME DATE OF SERVICE AS THE INITIAL EYE EXAM AND GLASSES SHOULD REBILL PROCEDURE CODE 99211. A ONE DAY GLOBAL SURGERY PERIOD WAS INADVERTENTLY ADDED TO THE INITIAL EYE EXAM PROCEDURE CODE, CAUSING THESE DENIALS.

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ATTENTION PHARMACY PROVIDERS

2004 ANNUAL PHARMACY PROVIDER TRAINING WORKSHOPS ARE SCHEDULED FOR THE 
FOLLOWING DATES AND LOCATIONS. PLEASE MAKE YOUR PLANS TO ATTEND ONE OF 
THESE IMPORTANT SESSIONS: 

DATE	CITY	LOCATION	TIME
JUNE 8, 2004	BATON ROUGE	BATON ROUGE GENERAL HOSPITAL 3600 FLORIDA BLVD.  CONFERENCE ROOMS 1&2  225-387-7000	7-9 A.M.
JUNE 8, 2004	NEW ORLEANS	BEST WESTERN LANDMARK HOTEL 2601 SEVERN AVE.  METAIRIE  CHATEAU 'B'  504-888-9500	5-7 P.M.
JUNE 9, 2004	LAFAYETTE	OUR LADY OF LOURDES HOSPITAL 611 ST. LANDRY ST.  EDUCATION CLASSROOM 109  337-289-2000	7-9 A.M.
JUNE 9, 2004	SHREVEPORT	WILLIS KNIGHTON 2400 HOSPITAL DR.  AUDITORIUM  318-212-4000	5-7 P.M.
JUNE 10, 2004	MONROE	UNIVERSITY OF LOUISIANA MONROE SCHOOL OF PHARMACY  SUGAR HALL, ROOM 101  318-342-5440	7-9 A.M.