RA Messages for May 20, 2003

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PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID.

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HIPAA NOTICE TO ALL PROVIDERS

IN AN EFFORT TO KEEP OUR PROVIDERS UP-TO-DATE WITH NEWLY DEVELOPED LA MEDICAID HIPAA REFERENCE MATERIALS, THE LA MEDICAID'S WEBSITE IS BEING UPDATED REGULARLY TO INCLUDE THE FOLLOWING HIPAA REFERENCE MATERIALS: PROVIDER TRAINING SCHEDULES; PROVIDER TRAINING MATERIALS; VENDOR/BILLING AGENCY/CLEARINGHOUSE (VBC) LIST; TESTING SERVICE ENROLLMENT FORM; AND LTC SURVEY.

PLEASE VISIT OUR WEBSITE AT WWW.LAMEDICAID.COM AND CLICK ON THE "HIPAA INFORMATION CENTER" ICON TO OBTAIN THE MOST CURRENT HIPAA REFERENCE MATERIALS.

FOR THOSE PROVIDERS WHO MAY NOT HAVE ACCESS TO THE WEBSITE, YOU MAY CALL UNISYS PROVIDER RELATIONS AT 800-473-2783.

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HIPAA ALERT

HIPAA IMPLEMENTATION IS LESS THAN 6 MONTHS AWAY!

IF YOU PLAN TO SUBMIT CLAIMS ELECTRONICALLY, YOU MUST REQUIRE YOUR SOFTWARE VENDOR, BILLING AGENT, OR CLEARINGHOUSE (VBC) TO ENROLL IN UNISYS' TESTING PROGRAM. VBC REQUEST ENROLLMENT BY SENDING AN EMAIL TO *HIPAAEDI@UNISYS.COM (NOTE: * IS PART OF THE EMAIL ADDRESS) OR BY CALLING 225-237-3318.

UNISYS PRODUCES A WEEKLY STATUS LIST OF ALL SOFTWARE VENDORS, BILLING AGENTS, AND CLEARINGHOUSES (VBC) THAT ARE PURSUING HIPAA READINESS WITH LA MEDICAID.  TO SUBSCRIBE TO THE VBC LIST, PLEASE SEND AN EMAIL TO *HIPAAEDI@UNISYS.COM (NOTE: * IS PART OF THE EMAIL ADDRESS) AND PUT "SUBSCRIBE TO VBC LIST" IN THE SUBJECT LINE.

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

EFFECTIVE WITH DATE OF SERVICE MAY 1, 2003, THE FOLLOWING CPT CODES WILL
BE ADDED TO THE LIST OF CODES PAYABLE TO ASSISTANT SURGEONS: 

58551 LAPAROSCOPY, REMOVE MYOMA 
58660 LAPAROSCOPY, LYSIS 
58661 LAPAROSCOPY, REMOVE ADNEXA 
58662 LAPAROSCOPY, EXCISE LESIONS 
58673 LAPAROSCOPY, SALPINGOSTOMY 

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NOTICE TO CNPS AND CNSS

EFFECTIVE WITH DATE OF SERVICE MAY 1, 2003, THE FOLLOWING CPT CODES WILL
BE ADDED TO THE LIST OF CODES PAYABLE TO CNPS AND CNSS:

 96115 99232 99244 99252 99261 
99221 99233 99245 99253 99262 
99223 99243 99251 99254 99263 

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

A CLAIM TYPE RESTRICTION WAS PLACED IN ERROR ON PROCEDURE CODE Q0111 IN 
MARCH 2003. THIS ERROR HAS BEEN CORRECTED. DENIED CLAIMS FOR THIS CODE 
MAY BE REBILLED. WE APOLOGIZE FOR THE INCONVENIENCE CAUSED BY THIS 
OVERSIGHT. 

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ATTENTION ALL PROVIDERS OF DURABLE MEDICAL EQUIPMENT (DME)

EFFECTIVE MAY 1, 2003, REIMBURSEMENT FOR A NEBULIZER WITH COMPRESSOR HAS
BEEN REDUCED FROM A MAXIMUM OF $95.00 TO A MAXIMUM OF $60.00, NOT TO 
EXCEED THE PROVIDER'S USUAL AND CUSTOMARY CHARGES. THIS REDUCTION WAS 
PUBLISHED AS A RULE IN THE APRIL 20, 2003 EDITION OF THE LOUISIANA 
REGISTER.

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NOTICE TO ALL DENTAL PROVIDERS

DHH HAS DECIDED TO TEMPORARILY SUSPEND THE MANDATORY REQUIREMENT OF THE 2002 ADA CLAIM FORM USAGE UNTIL FURTHER NOTICE.  WE STRONGLY ENCOURAGE PROVIDERS TO TRANSITION TO THE NEW 2002 FORM AT THIS TIME IF THERE IS NO REASON TO PROHIBIT THIS TRANSITION. DURING THIS INTERIM PERIOD, PROVIDERS WHO ARE HAVING DIFFICULTIES WITH THIS TRANSITION AND CHOOSE TO CONTINUE TO SUBMIT CLAIMS USING PRIOR ACCEPTABLE VERSIONS OF THE ADA CLAIM FORM MUST USE THE TOOTH NUMBER FIELD TO ENTER THE NEW ORAL CAVITY DESIGNATOR WHEN AN OCD IS REQUIRED.  ALSO, EFFECTIVE WITH DATE OF SERVICE MAY 1, 2003, DENTAL PROVIDERS MAY ONLY BILL PROCEDURE CODES LISTED IN THE 2003 DENTAL FEE SCHEDULE LOCATED IN THE RECENTLY DISTRIBUTED PAGE REVISIONS TO THE DENTAL SERVICES PROVIDER MANUAL AND THE 2003 DENTAL SERVICES TRAINING PACKET!!