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Managed Care Approach
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Last modified: Tuesday, August 21, 2018, 10:38 AM
◄ Introduction
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Community Long Term Care (CLTC) Training
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Medicaid Basics & Beyond
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Web Tool
Introduction
Eligibility
Claim Filing
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Adjustments
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The Web Tool
Getting Started (1) (Web Tool)
Customize Your Web Tool (2) (Web Tool)
Check Eligibility (3) (Web Tool)
Enter a Claim (4) (Web Tool)
Submit a Claim (5) (Web Tool)
Revisit, Re-use, and Remit (6) (Web Tool)
Claims Attachments (Web Tool)
Convert ICD-9 Claims to ICD-10 (Web Tool)
Introduction (Visual Book)
Managed Care (Visual Book)
Eligibility (Visual Book)
Claim Filing Options (Visual Book)
Remittance Package (Visual Book)
Third-Party Liability (Visual Book)
Adjustments (Visual Book)
Resources (Visual Book)
Claim Reconsideration (video)
Credit Balance Reporting (video)
Health Insurance Premium Payment (HIPP) (video)
Online Enrollment Application Introduction Video (1 minute) (video)
Provider Revalidation (video)
Resolving Claim Denials (video)
TPL Calculation (video)
What's at a Workshop? (video)
What to Expect from a Site Visit (video)
CMS-1500 Professional Claim (version 02/12) (Rollover Form)
CRCF-01 (Rollover Form)
Form 130 (Adjustments) (Rollover Form)
Form 181 (Rollover Form)
Form 205 (Medicaid Refunds) (Rollover Form)
Health Insurance Information Referral Form (HIIRF) (Rollover Form)
Reasonable Effort Documentation Form (Rollover Form)
UB-04 Institutional Claim (Rollover Form)
A Patient Comes In With Managed Care (podcast)
Script for podcast - A Patient Comes In With Managed Care
Claims Filing Best Practices (podcast)
Script for podcast - Claims Filing Best Practices
Does Medicaid Pay Before Or After? (podcast)
Script for podcast - Does Medicaid Pay Before or After?
How to Get Third Party Payers to Pay (podcast)
Script for podcast - How to Get Third-Party Payers to Pay
The Importance of Patient Responsibility (podcast)
Script for podcast - The Importance of Patient Responsibility
Making Your Claims Process Perfectly (Learning Games)
HIPP Eligibility Calculator
TPL Calculator
Frequently Addressed Edit Codes Menu
Edit 150
CMS-1500, edit 150 graphic
UB claim, edit 150 graphic
Web Tool Eligibility screen with TPL carrier code
Edit 953
CMS-1500, edit 953 graphic
UB claim, edit 953 graphic
Edit 989
Edit 990
Appendix 1 Resolution Steps
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Edit 510
Edit 852
Edit 713
Edit 717
Acronyms
Claims Attachments - Web Tool Reference Guide
CMS-1500 Addendum
CMS-1500 Claim Form (version 02/12) Completion Guide
Fact Sheet - MIVS Credit Balance Reporting
Frequently Asked Questions
Glossary
Online Enrollment Application Visual Guide
Online Training
Provider Revalidation Process - FAQs
Provider Screening Requirements FAQ Guide
Purge Alert
Quick Contact List
South Carolina Medicaid EHR Incentive Program
South Carolina Medicaid EHR Incentive Program (PDF)
South Carolina Medicaid EHR Incentive Program (Program Brochure) (PDF)
UB-04 Addendum
UB-04 Completion Guide - Hospital
UB-04 Completion Guide - Psychiatric
Web Tool Quick Reference Guide
Web Tool User Guide (full)
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