RA Messages for August 19, 2003

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

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PRESCRIBING PROVIDERS AND PHARMACY PROVIDERS

AEROBID ADN AEROBID M ARE ON THE PREFERRED DRUG LIST (PDL) EFFECTIVE AUGUST 4, 2003. THE PDL LIST AT WWW.LAMEDICAID.COM IS BEING UPDATED TO REFLECT THIS CHANGE. PLEASE UPDATE YOUR HARD COPY OF THE PDL LIST.

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 ATTENTION HOME HEALTH PROVIDERS

ALL PROVIDERS ARE RESPONSIBLE FOR FILING THE CORRECT BILLING CODES ON A 
CLAIM. IF A LPN PROVIDED SERVICES, THE PROVIDER MUST SUBMIT THE APPROPRIATE LPN SERVICE CODE FOR PAYMENT. LIKEWISE, IF AN RN DELIVERS THE SERVICE, THE CLAIM MUST IDENTIFY THE CODE ASSOCIATED WITH THE APPROPRIATE SERVICE. HOME HEALTH PROVIDERS SHOULD PERFORM A SELF-AUDIT TO IDENTIFY CLAIMS PAID INCORRECTLY AND REPORT ANY OVERPAYMENTS TO PROGRAM INTEGRITY. ALL PROVIDERS ARE RESPONSIBLE IN ASSURING THAT YOUR PROFESSIONAL EMPLOYEES(EX. RNS, LPNS, AIDES, ETC.) ARE ONLY PRACTICING WITHIN THE LIMITATIONS ESTABLISHED BY THEIR LICENSING BOARDS. 

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

CPT CODE 20936 (SPINAL BONE AUTO GRAFT) WILL BE MADE PAYABLE EFFECTIVE WITH DATE OF SERVICE AUGUST 1, 2003 AT A FEE OF $174.78.  THE ASSISTANT SURGEON'S FEE WILL BE $43.70.

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MEDICAID PROVIDER TRAINING WORKSHOPS

THE NEXT SERIES OF MEDICAID PROVIDER TRAINING WORKSHOPS WILL TAKE PLACE 
8/26-NEW ORLEANS, 8/27-LAFAYETTE, 8/29-BATON ROUGE, 9/3-MONROE, AND 9/4-
BOSSIER. KIDMED, PROFESSIONAL, HOSPICE, LTC, AND COMMUNITYCARE PROVIDERS SHOULD ATTEND THE APPLICABLE TRAINING. BILLING CHANGES WILL BE EXPLAINED THAT WILL AFFECT YOUR MEDICAID PAYMENT. GO TO WWW.LAMEDICAID.COM SELECT 2003 PROVIDER TRAINING MATERIALS TO OBTAIN FURTHER INFORMATION.****THE HOME HEALTH WORKSHOPS SCHEDULED FOR THIS TRAINING SERIES HAVE BEEN CANCELLED. WE APOLOGIZE FOR ANY INCONVENIENCE THIS MAY CAUSE.****