Frequently Asked Questions


Bookmark and Share

 

Frequently Asked Questions

 

Category Search>>


Currently sorted By creation date ascending Sort chronologically: By last update | By creation date change to descending

Page: (Previous)   1  ...  9  10  11  12  13  14  15  16  17  18  ...  23  (Next)
  ALL

Can batches be deleted after they are sent?

No. Batches cannot be deleted at this time.


Can I check claim status on the Web Tool?

Yes. Key in the NPI or provider ID number and the member ID number and press submit.


I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete.


How do I file a replacement claim for a paid claim that is partly incorrect?

Go to the Web Tool submission page. Log in; go to claims entry/history; click on the correct batch number; click on the correct claim number; copy; click the claim type on the left; click on batch, claim; edit; scroll down to claim submission reason code; select replacement. To complete this task, you must have the original Claim Control Number (CCN).


How can I verify that my claims on the Web Tool have been submitted successfully?

If you received a batch number for the submission, then the submission reached MCCS. Go to Reports and click on the type of report that was sent (i.e.: CMS-1500, etc.). If a batch number is shown for the day and number of claims in the batch sent, the submission went through.


Can you send me a copy of the Remittance Advice (RA)?

Copies of Remittance Advice statements can be retrieved online via the Web Tool.

If the remittance advice date is not available, complete a Duplicate Remittance Advice Request Form in the Forms Section of all provider manuals. There is a processing fee of $20 plus 20 cents per page copied. The charges will be deducted from a future Remittance Advice, appearing as a debit adjustment. The duplicate RA policy was enacted in December 2010.


Can you add beneficiaries or other information to the TAD for me?

No, MCCS staff cannot add any information to the TAD. You can only make changes via DHHS Form 181, CRCF 01 and IPC change forms.


Can you assist with Medicaid/bed hold billing procedures?

An authorized SNF 181 along with a separate Medicare-to-Medicaid bed hold billing 181 is required.


Is an eligibility signature required for termination? (Nursing Home)

No signature is required for terminations.


Can I add a member to the TAD if documentation is not approved?

You must have authorized signed documentation in order to add a member to your TAD. You should not add a member before the DHHS 181 is forwarded to DHHS Medicaid Eligibility for approval. Contact your Eligibility office if additional information is needed.



Page: (Previous)   1  ...  9  10  11  12  13  14  15  16  17  18  ...  23  (Next)
  ALL