RA Messages for July 31, 2007

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ATTENTION ALL PROVIDERS

BEGINNING MID-TO-LATE JULY, YOU WILL BEGIN TO SEE NPI(S) POSTED ON THE HARD COPY REMITTANCE ADVICES. THE NPI FOR THE BILLING PROVIDER WILL ONLY APPEAR IF YOU HAVE REGISTERED YOUR NPI WITH LA MEDICAID. THE BILLING NPI WILL APPEAR AT THE UPPER LEFT CORNER OF EACH RA PAGE IMMEDIATELY FOLLOWING THE 7-DIGIT LA MEDICAID BILLING PROVIDER NUMBER. NPI(S) FOR ATTENDING PROVIDER(S) WILL ONLY APPEAR ON THE RA IF THE NPI IS ENTERED
IN THE APPROPRIATE FIELD ON THE CLAIM SUBMITTED FOR PROCESSING. 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 PROVIDER NUMBER(S), PLEASE CONTACT THE UNISYS NPI HELP DESK AT 225/216-6400 OR VIA E-MAIL AT LAMEDICAIDNPI@UNISYS.COM

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ATTENTION PROVIDERS

EFFECTIVE THE WEEK OF JULY 23, 2007, THE MEDICAL RECORD NUMBER AND THE PATIENT ACCOUNT NUMBER DISPLAYED ON YOUR HARDCOPY REMITTANCE ADVICE (RA) WILL BE EXPANDED. THE MEDICAL RECORD NUMBER WILL BE EXPANDED FROM 20 TO 24 CHARACTERS, AND THE PATIENT ACCOUNT NUMBER WILL BE EXPANDED FROM 16 TO 20 CHARACTERS. THE PLACEMENT OF THIS INFORMATION WILL REMAIN THE SAME; HOWEVER, FOR UB/837I BILLING, BOTH THE PATIENT ACCOUNT NUMBER AND THE MEDICAL RECORD NUMBER WILL BE DISPLAYED TOGETHER WITH A DELIMITER SEPARATING THE TWO NUMBERS; FOR 1500/837P BILLING ONLY ONE OF THESE NUMBERS IS DISPLAYED (PATIENT ACCOUNT NUMBER TAKES PRECEDENCE). THERE ARE SOME PROVIDERS THAT DO NOT RECEIVE THIS INFORMATION ON THE RAS, AND THE INFORMATION WILL NOT BE AVAILABLE AT THIS TIME. IF YOUR RA CURRENTLY DISPLAYS EITHER OF THESE NUMBERS, PLEASE TAKE NOTE OF THIS CHANGE.

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ATTENTION PROVIDERS

THE NEW UB04 FORM WILL BE ACCEPTED BY LOUISIANA MEDICAID FOR ALL DATES OF SUBMISSION BEGINNING AUGUST 1, 2007, BUT WILL NOT BE MANDATED FOR USE UNTIL NOVEMBER 5, 2007.
PROVIDERS WILL BE PERMITTED TO USE EITHER THE CURRENT UB92 OR THE NEW UB04 FORM BEGINNING AUGUST 1, 2007 THROUGH NOVEMBER 4, 2007. EFFECTIVE NOVEMBER 5, 2007, THE UB92 FORM WILL BE DISCONTINUED AND ONLY THE NEW UB04 FORM SHALL BE USED. THIS INCLUDES ALL REBILLING OF CLAIMS EVEN THOUGH EARLIER SUBMISSIONS MAY HAVE BEEN ON THE UB92 FORM.

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ATTENTION PROVIDERS

THE 2007 ANNUAL PROVIDER TRAINING WORKSHOPS WILL BEGIN IN SEPTEMBER. THE DETAILED TRAINING SCHEDULE WILL BE AVAILABLE ON THE LA MEDICAID WEBSITE WWW.LAMEDICAID.COM TRAINING LINK SHORTLY. PLEASE WATCH THE WEBSITE AND RA MESSAGES/STUFFERS FOR DETAILS.

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ATTENTION PROVIDERS

WITH THE IMPLEMENTATION OF THE NATIONAL PROVIDER IDENTIFIER AND CHANGES IN CLAIMS PROCESSING GUIDELINES, LA MEDICAID WILL NO LONGER BE ABLE TO BILL MEDICARE DIRECTLY WHEN RECIPIENTS ARE MEDICARE ELIGIBLE & MEDICAID HAS ALREADY PAID THE CLAIM. THUS, IN THESE CASES, LA MEDICAID RECENTLY BEGAN RECOUPING THESE PAYMENTS DIRECTLY FROM PROVIDERS. RECENTLY, THE IDENTIFICATION OF CLAIMS FOR THE INITIAL QUARTERLY RECOUPMENT WHICH INCLUDES THIS NEW PROGRAMMING WAS DONE, & LETTERS MAILED TO AFFECTED PROVIDERS. BECAUSE OF AN ERROR IN THE NEW LOGIC, SOME PROVIDERS WHO SHOULDN'T HAVE BEEN INCLUDED IN THE RECOUPMENT RECEIVED LETTERS. MANY OF THESE PROVIDERS QUICKLY NOTIFIED US OF THIS PROBLEM, AND WE WERE ABLE TO IDENTIFY THE ERROR AND CORRECT THE PROGRAMMING BEFORE ANY MONIES WERE ERRONEOUSLY RECOUPED. WE APPRECIATE THE SPEEDY ACTION BY THE PROVIDER COMMUNITY AND ARE PLEASED THAT BECAUSE THE PROCESS WORKED NO RECOUPMENTS WERE MADE PRIOR TO THE IDENTIFICATION AND CORRECTION OF THE PROBLEM.