RA Messages for May 29, 2007

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ATTENTION PROVIDERS

EFFECTIVE 7-2-2007, IN ACCORDANCE WITH A RECENT DHH DIRECTIVE, UNISYS WILL NO LONGER ACCEPT COPIES OF STANDARD CLAIM FORMS, THE REGULATIONS DO NOT ALLOW THE COPYING OF HARDCOPY CLAIM FORMS. THESE INCLUDE THE UB-92, UB-04, CMS 1500 (12-90), CMS 1500 (08-05), ADA, AND THE NCPDP UNIVERSAL CLAIM FORM. ANY HARD COPY CLAIMS SUBMITTED TO UNISYS FOR PROCESSING MUST BE AN ORIGINAL, STANDARD CLAIM FORM AND MUST MEET THE LICENSURE/ COPYRIGHT REQUIREMENTS OF THE PARTICULAR ORGANIZATION THAT REGULATES THAT CLAIM FORM. THIS INCLUDES ORIGINAL SUBMISSIONS, RE-SUBMISSIONS OF PREVIOUS CLAIMS, AND CLAIM ADJUSTMENTS/VOIDS.

WITH THE IMPLEMENTATION OF THIS REQUIREMENT, PROVIDERS THAT ARE ROUTINELY BILLING ALL CLAIMS HARD COPY MAY WANT TO CONSIDER TRANSITIONING TO ELECTRONIC CLAIMS SUBMISSION. QUESTIONS CONCERNING EDI BILLING MAY BE DIRECTED TO THE UNISYS EDI DEPARTMENT AT 225/216-6000, OPTION 2. A COMPLETE LISTING OF APPROVED EDI VENDORS IS AVAILABLE ON THE LA MEDICAID WEB SITE, WWW.LAMEDICAID.COM, LINK HIPAA INFORMATION CENTER/LINK VBC LIST. PLEASE CONTACT THE VENDORS FOR SPECIFIC INFORMATION ON THEIR SERVICES AS A WIDE RANGE OF PACKAGES/FEES ARE AVAILABLE.

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ATTENTION PROVIDERS - UPDATE ON STERILIZATION CONSENT FORMS

THE OFFICE OF POPULATION AFFAIRS (OPA) HAS UPDATED THE STERILIZATION CONSENT FORM AVAILABLE ON THEIR CLEARINGHOUSE WEBSITE WHICH INCLUDES THE REVISED EXPIRATION DATE OF THE FORM. PROVIDERS ARE STRONGLY ENCOURAGED TO USE THE MOST CURRENT STERILIZATION CONSENT FORM FROM THIS SITE. THE OPA WEBSITE ADDRESS IS:
HTTP://OPA.OSOPHS.DHHS.GOV/PUBS/PUBLICATIONS.HTML (LOWERCASE LETTERS MUST BE USED TO ACCESS THE SITE)

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ATTENTION ALL PROVIDERS

CMS HAS EXTENDED THE ENFORCEMENT OF THE RULE MANDATING MAY 23, 2007 AS THE IMPLEMENTATION DATE FOR THE USE OF NPI ONLY FOR CLAIMS SUBMISSIONS. DHH AND UNISYS HAVE DETERMINED THAT ADDITIONAL TIME IS NEEDED TO IMPLEMENT AND TEST SYSTEM CHANGES TO ENSURE CORRECT AND TIMELY PAYMENT OF CLAIMS WITH NPI SUBMITTED TO LA MEDICAID. THUS, WE WILL NOT IMPLEMENT THE USE OF NPI FOR LA MEDICAID CLAIMS PROCESSING ON MAY 23, 2007. PLEASE REFER TO THE LA MEDICAID WEB SITE, WWW.LAMEDICAID.COM, FOR FURTHER
INFORMATION.

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ATTENTION PHYSICIANS

THE FOLLOWING CPT CODES WILL BE ADDED TO THE LIST OF CODES THAT REQUIRE A QW MODIFIER, EFFECTIVE 01/01/2007.
G0328 QW - FECAL BLOOD SCRN IMMUNOSSAY
83655 QW- ASSAY BLOOD FOR LEAD

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ATTENTION PROVIDERS

LOUISIANA MEDICAID HAS RECYCLED THE CLAIMS SUBMITTED USING 2007 HCPCS CODING AND SUBSEQUENTLY DENIED WITH ERROR CODE 232 (PROCEDURE CODE NOT COVERED) WHEN THE CLAIMS WERE SUBMITTED PRIOR TO THE LOADING OF THE 2007 HCPCS CODES ONTO THE MEDICAID SYSTEM. THIS RECYCLE APPEARS ON THE REMITTANCE ADVICE DATED 5/22/07. A RECYCLE DOES NOT ASSURE PAYMENT; CLAIMS MAY DENY FOR OTHER EDITS IN THE CLAIMS PROCESSING SYSTEM.