RA Messages for September 2, 2003

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REMINDER TO ALL HOME HEALTH PROVIDERS

HOME HEALTH AGENCIES ARE NOT TO BILL MEDICAID FOR REHABILITATION IN NURSING HOMES. AS PER THE CODE OF FEDERAL REGULATIONS, SECTION 440.70, "A RECIPIENT'S PLACE OF RESIDENCE, FOR HOME HEALTH SERVICES, DOES NOT INCLUDE A HOSPITAL, NURSING FACILITY, OR INTERMEDICATE CARE FACILITY FOR THE MENTALLY RETARDED." 

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

THE UNITS FOR PROCEDURE CODE 77418 (RADIATION TX DELIVERY, IMRT) WERE 
INCREASED FROM 1 TO 2 EFFECTIVE WITH DATE OF SERVICE AUGUST 1, 2003. 

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ATTENTION RHC/FQHC PROVIDERS

PLEASE REMEMBER WHEN BILLING THE ENCOUNTER CODE,T1015,FOR KIDMED SCREENINGS, MODIFIER EP IS REQUIRED.THIS INCLUDES THE CHARGES ON THE NEW KM3 FORM AND THE CHARGES ON THE HCFA 1500 IF IMMUNIZATIONS ARE INDICATED ALL CLAIMS BILLED USING T1015 PLUS THE EP MODIFIER MUST INCLUDE SUPPORTING DETAIL PROCEDURES. PLEASE REFER TO THE 2003 RHC/FQHC TRAINING PACKET FOR COMPLETE BILLING INSTRUCTIONS. IF YOU HAVE ADDITIONAL QUESTIONS OR NEED THE 2003 TRAINING PACKET, PLEASE CONTACT PROVIDER RELATIONS AT (800) 473-2783 OR (225) 924-5040. 

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NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES

WE ARE UNBUNDLING THE FEE FOR THE INTRAUTERINE COPPER CONTRACEPTIVE EFFECTIVE WITH DATE OF SERVICE 10/1/03. CURRENTLY,A PORTION OF THE FEE IS FOR INSERTING THE DEVICE, A PORTION IS FOR HANDLING AND SHIPPING AND THE REMAINDER IS FOR THE DEVICE. EFFECTIVE WITH DATE OF SERVICE 10/1/03, CODE J7300 SHALL BE BILLED FOR THE DEVICE ($344.00) AND THE MOST APPROPRIATE CPT CODE SHALL BE BILLED FOR THE INSERTION. NO FEE WILL BE PAID FOR HANDLING AND SHIPPING. 

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NOTICE TO ALL KIDMED PROVIDERS

PLEASE BE AWARE THAT REVISED KM-3 FORMS ARE NOW BEING ISSUES FOR BILLING AS SUPPLIES OF YOUR CURRENT KM-3 FORMS ARE DEPLETED. PLEASE PAY CAREFUL ATTENTION TO THE FLYER THAT WILL ACCOMPANY YOUR ORDER; IT TELLS HOW THE KM-3 FORMS ARE TO BE COMPLETED BEFORE AND AFTER HIPAA IMPLEMENTATION.