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Description: Medicaid Alerts

 

 

 

 

 

 

 


 

 

 

Description: Description: Biller B Aware

Description: Description: Provider Tips

Description: Description: Medicaid Providers

 

 

 

Description: Description: Provider Manual

Description: Description: Provider Fee Schedule

Description: Description: Forms

 

 

 

Description: Description: Documentation E Z Link

Description: Description: Policy Bulletins

Description: Description: ICD10

 

 

 

Description: Description: Email Provider Support

Description: Description: CHAMPS

Description: Description: Phone Menu for Provider Support

 

 

 

 

 

 

 

 

 


 

 

 

Description: Description: Biller B Aware

 

 

 

 

 

 

 

 

 

August 27, 2014: Attention FQHC Providers: MDCH has identified dental claims reported on the Michigan Department of Community Health Pending TPL Void Reports where the beneficiary does not have commercial dental insurance coverage on the claim date of service. MDCH has canceled the dental claims on the pending TPL void reports affected by this error with report date of August 6, 2014. In addition, dental claims that were previously voided in error will be resurrected on pay cycle 36 (September 4, 2014).

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov

August 14, 2014
:  
System Outage: Attention All Providers: Due to system maintenance the CHAMPS system will be down between 7:00 PM through 11:00 PM on Friday, August 15, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

August 04, 2014:
System Outage: Attention All Providers: Due to system maintenance the CHAMPS system will be down between 6:00 PM Saturday, August 9, 2014 through 6:00 AM Sunday, August 10, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 24, 2014:
System Outage: Due to system maintenance, the CHAMPS system will be down between 7:00 PM and 11:00 PM on Friday, July 25th 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 21, 2014:
Attention ALL Providers: The latest batch of MDCH Quarterly Newborn Recoveries is currently being processed.  This batch includes fee for service claims for newborns that were retroactively enrolled into a Medicaid Health Plan. Please note, as with previous quarterly newborn take backs, claims must be submitted to the Medicaid Health Plans within 60 days from the Medicaid Remittance Advice date. Please review the following for information on how to verify the Adjustment Source of your claim.

Providers with further questions can contact provider support by phone1-800-292-2550 or by email ProviderSupport@michigan.gov.

July 16, 2014:
Attention Hospital Providers: In compliance with MSA policy bulletin 10-60 and L-Letter 14-25, MDCH has initiated void claims for 2013 and 2014 dates of service for Outpatient Hospital claims which were billed within 3 days of the Inpatient claim. These void claims will begin to process on pay cycle 31 (07/31/14) and can be identified by claim note “OPH within 3 days of IPH”.


Providers with further questions can contact provider support by phone# 1-800-292-2550 or by email: ProviderSupport@michigan.gov

July 09, 2014
: Attention ALL Providers: Effective August 1, 2014, the prior informational edits for providers who do not have their billing agent associated to their NPI within CHAMPS will be set to deny and denial of claims may occur. The claim adjustment reason code used to communicate this issue was non-covered charges (CARC 96) and remittance advice remark code procedure for billing with group/referring/performing providers were not followed (RARC N55). Providers that receive this denial will need to update their Associated Billing Agent step within their Champs Enrollment. 

July 09, 2014
: Attention ALL Providers: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, July 12, 2014 thru 6:00 AM Sunday, July 13, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

July 08, 2014:
Attention ALL Providers:The 2012 PERM error results have been updated and posted on the MDCH website. Please visit the Medicaid Provider Support website at www.michigan.gov/medicaidproviders and select the PERM PROVIDER EDUCATION hyperlink.

July 01, 2014
System Outage: Due to system maintenance, the CHAMPS system will be down between 5:00 PM and 9:00 PM Sunday, July 6th, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

June 20, 2014
:
Attention  ALL Providers: Due to a system issue the Medicaid Health Plan Primary Care Physician (MHP PCP) information is not being returned on the 271 eligibility response file for individuals enrolled with MME-MC, MA-HMP-MC and CSHCS-MC benefit plans. Until this is resolved please verify eligibility via CHAMPS when verifying MHP PCP information for a beneficiary in one of the above-mentioned plans. If there is no PCP currently listed for the beneficiary then the hyperlink for the MHP PCP will be N and not display any PCP information.

The MHP PCP information for individuals with MA-MC benefit plan is returning on the 271 correctly.

We apologize for any inconvenience that this may cause and we are working to get this corrected.
 
Please email AutomatedBilling@michigan.gov with any questions.


June 17, 2014
: System Outage: Attention ALL Providers: Due to MDCH Single Sign-On (SSO) maintenance, the CHAMPS application will not be accessible Wednesday June 18th, 2014, Thursday June 19th, 2014 and Friday June 20th, 2014 between the times of 2:00am and 5:00am. This Outage will affect CHAMPS front end systems access via the MDCH Single Sign-On. We apologize for any inconvenience this may cause.

June 11, 2014: Attention Outpatient Hospital Providers: All paid claims with dates of service on or after 4/01/2014 will be adjusted with the newly loaded April APC software updates and will appear on pay cycle 26 (6/26/14). Adjusted claims can be identified by the claim note “APC April 2014 quarterly updates.”

For further information, please review how to verify the Adjustment Source of your claim

June 11, 2014: Attention Inpatient & Outpatient Hospital Providers: As part of the most recent CHAMPS update, claims are now processing in alignment with current MSA policy bulletin 10-60. Effective for DOS on and after January 1, 2011, MDCH will follow Medicare’s policy for all preadmission diagnostic services and other preadmission services. All non-diagnostic services rendered in the three day window prior to the inpatient hospital admission may not be billed separately and must be bundled into the inpatient stay, unless the hospital can document they are unrelated services. MDCH may initiate outpatient hospital claim voids to recover paid claims that were not processed in compliance with Bulletin MSA 10-60.


Claims can be identified with Claim Adjustment Reason Code (CARC) 96 and Remittance Advice Remark Code (RARC) M2.


June 10, 2014
: System Outage: Due to system maintenance, the CHAMPS system will be down between 6:00 PM Saturday, June 14th through 6:00 AM Sunday, June 15th, 2014. This outage will affect the CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

June 06, 2014
: Attention ALL Providers: Due to a system update and the MDCH Other Insurance Claims Unit (formerly Third Party Liability Claims Processing Unit) claims review process, some providers may experience a delay in payment.

June 03, 2014:
System Outage: Due to system maintenance, CHAMPS will be down between 5:00 PM Saturday, June 7, 2014 thru 1:00 AM Sunday, June 8, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause. 

May 21, 2014
: ATTENTION TRADING PARTNERS AND BILLING AGENTS: Automated Billing for Michigan Medicaid announces an opportunity to register your email address for immediate updates. This is a great way to receive direct, immediate communication. Common updates will include: training opportunities, CHAMPS system updates and outages, and other important automated billing specific alerts. Click here to subscribe and receive updates for Automated Billing announcements delivered to your registered email address. You can unsubscribe at any time.

May 20, 2014:
System Outage: Due to system maintenance, CHAMPS will be down between 7:00 PM Friday, May 30, 2014 thru 2:00 AM Saturday, May 31, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

May 09, 2014:
Attention Nursing Facility Providers: When billing for days that include coinsurance, all Medicare insurance payments and CARC information must be reported as listed on the Explanation of Benefits (EOB) received by Medicare.   Refer to the Medicaid Provider Manual – 8.16 MEDICARE - MEDICAID NURSING FACILITY CROSSOVER CLAIMS WITH GROUP HEALTH INCORPORATED (GHI) (COORDINATION OF BENEFITS). Claims reported with missing or incomplete Medicare payment information will be denied.

May 06, 2014: System Outage: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday May 10th, 2014 thru 6:00 AM Sunday, May 11th, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

May 06, 2014: Attention ALL Providers: Due to a CHAMPS system issue, The Fee for Service (FFS) Remittance Advice (RA) and Electronic Funds Transfer (EFT) payments will be delayed by one day. Warrants are unaffected by this issue and will remain on schedule.

April 16, 2014:
Attention ALL Providers: The latest batch of MDCH Quarterly Newborn Recoveries is currently being processed. This batch includes fee for service claims for newborns that were retroactively enrolled into a Medicaid Health Plan. Please note, as with previous quarterly newborn take backs, claims must be submitted to the Medicaid Health Plans within 60 days from the Medicaid Remittance Advice date. Please review the following for information on how to verify the Adjustment Source of your claim.

Providers with further questions can contact provider support by phone# 1-800-292-2550 or by email:

ProviderSupport@michigan.gov

April 15, 2014
: Attention ALL Providers: MDCH Third Party Liability (TPL claims processing) has identified and will adjust claims which were incorrectly over paid in CHAMPS by not reducing payment correctly when there was more than one service line of other insurance information reported. Current policy outlined in the Medicaid Provider Manual within the Coordination of Benefits chapter, “MDCH payment liability for beneficiaries with other insurance is the lesser of the beneficiary's liability (including coinsurance, copayments, or deductibles), the provider's charge minus contractual adjustments, or the maximum Medicaid fee screen minus the insurance payments.” These claims may be identified by the following note: “adjustments – Lesser of Logic correction.”

April 15, 2014
: Attention ALL Providers: MDCH Third Party Liability (TPL claims processing) will be adjusting claims to correct a system defect within CHAMPS which allowed claims and service lines to process for payment in error. The other payers claim adjustment reason codes (CARC) were not appropriate for Medicaid to make reimbursement based upon current policy outlined in the Medicaid Provider Manual within the Coordination of Benefits chapter “MDCH does not pay for services denied by Medicare or other insurance plans due to noncompliance with Medicare or other insurance plan requirements.” These claims may be identified by the following note: “CARC reported does not allow payment.”

April 15, 2014
: Attention ALL Providers and Trading Partners: Due to the Heartbleed virus, all accounts interfacing with the State of Michigan’s Data Exchange Gateway (DEG) system are required to change their passwords by 5:00 p.m. on Friday April 18, 2014. This includes all passwords associated with individual users as well as automated systems. If you do not change your password by this date and time, your password will be disabled and you will be unable to submit any files.  If you have any questions, please contact AutomatedBilling@michigan.gov

April 15, 2014
: UPDATE: In regards to the message posted on April 7, 2014 for Institutional providers; providers should no longer be experiencing the DDE screen error message when entering a secondary or tertiary claim when the other payer’s information does balance on the claim.

April 10, 2014
: Attention Outpatient Hospital Providers: Due to APC software updates, MDCH has resurrected claims for dates of service on or after January 1, 2014, that previously denied for procedure code G0463. Providers can identify the affected claims by reviewing the claim note which will read “G0463 resurrects.”

April 07, 2014
: Attention Institutional Providers: Providers submitting secondary/tertiary claims through the CHAMPS portal using Direct Data Entry (DDE) with a claim adjustment reason code (CARC) reported at the header with a value ending in .00 are receiving the following message in error: “Total submitted charges is not equal to the sum of Payments and CARC amounts for payer” when the charges and other payers information does balance. Providers are encouraged to submit these claims through their electronic vendor until this defect has been resolved, a subsequent message will be posted once resolved.

April 07, 2014: System Outage: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, April 12, 2014 thru 6:00 AM Sunday, April 13, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

April 02, 2014
:
Attention ALL Providers: This is an update to the Biller B Aware posted on February 25, 2014, in reference to Section 1104 of the Affordable Care Act (ACA). As of March 28, 2014, MDCH will set informational edits which will be used to alert providers when their billing agent is not properly associated to their NPI within CHAMPS. The codes used to communicate this issue will be claim adjustment reason code (CARC) 96 -Non-covered charges and remittance advice remark code (RARC) N55 -Procedures for billing with group/referring/performing providers were not followed.

Providers are encouraged to resolve this as soon as possible, by updating their Provider enrollment application within CHAMPS and associate the appropriate billing agent. Another Biller B Aware will be posted in the near future to inform providers of the date these edits will be changed to a deny level edit.   


April 02, 2014
: Attention Outpatient Hospital Providers: All paid claims with dates of service on or after 1/01/2014 will be adjusted with the newly loaded January APC software updates and will begin to appear on pay cycle 14 (4/03/14).  Adjusted claims can be identified by the claim note “APC Jan 2014 quarterly updates”. Please review the following for information on how to verify the Adjustment Source of your claim.

April 02, 2014
: Attention ALL Providers: Beneficiaries may have Medicare Advantage Plans with an additional Traditional or PPO BCBSM policy that includes medical and hospital coverage. “Federal regulations require that all identifiable financial resources be utilized prior to expenditure of Medicaid funds for most health care services provided to Medicaid beneficiaries.”  In most cases, the beneficiary has coverage with a Medicare Advantage plan and a BCBSM Traditional or PPO plan that covers medical and hospital services. Providers must bill all resources prior to billing Medicaid. Any questions on how to report other insurance information on your claims, please contact the Provider Hotline at 1-800-292-2550.

March 20, 2014:
 System Outage: Due to system maintenance, CHAMPS will be down Friday March 28, 2014, between 7:00 PM through 11:00 PM. This outage will affect CHAMPS system access for all functionality, we apologize for any inconvenience.

March 20, 2014
Attention Dental Providers: Since the initial release of CHAMPS in 2009, procedure code D9240 has paid in error when billed for places of service that are not appropriate based on the CDT description. The system has been corrected and MDCH will be performing adjustments to recover the incorrect payments as of 04/15/2014. To avoid financial hardship, providers are encouraged to adjust their claims prior to this date and include the following note “rebilling for change in place of service.”

March 05, 2014
: Attention ALL Providers: Due to system maintenance, CHAMPS will be down between 6:00 PM Saturday, March 8 thru 6:00 AM Sunday, March 9, 2014. This outage will affect CHAMPS system access for all functionality. We apologize for any inconvenience this may cause.

March 03, 2014:
Attention Nursing Facility Providers: Medicare Coinsurance rates for 2014 will not be loaded in CHAMPS until March 28, 2014. This is resulting in Coinsurance day claims, reporting value code 82, to be reimbursed at zero dollars in error. Once the 2014 Coinsurance rates have been loaded into CHAMPS MDCH will adjust any incorrectly paid claims. 

March 03, 2014:
Attention ALL Providers: Michigan Department of Community Health (MDCH) will be converting to the ADA 2012 and the CMS 1500 (Version 02/12) paper claim formats. Effective March 22, 2014, MDCH will be implementing a hard cut-over to the new formats for claim adjudication. Claims received using the previous formats on or after this date will be returned to the provider for resubmission utilizing the new claim forms. Providers are encouraged to review MSA 14-07  for further information and guidelines.


Previous 2014 Biller "B" Aware Alerts

 

 

 

 

 

 

 

 

2013 

 

 

 

 

2012

Description: Description: 2011

Description: Description: 2010

 

 


 

 

 

Description: Description: Provider Tips

 

 

 

 

 

 

 

 

 


 

 

 

Description: All Providers

Description: Description: Ambulance

Description: Description: Clinics

 

 

 

Description: Description: Dental

Description: Description: Home Health

Description: Description: Hospice

 

 

 

Description: Description: Hospital

Description: Description: Nursing Facility

Description: Description: Pharmacy and DME

 

 

 

Description: Description: Physician 

Description: Description: Private Duty Nursing

 

 

 

 


 

 

 

All Providers

 

 

 

October 17, 2013: Refund of Payment

October 10, 2013: Benefits Monitoring Program (BMP):

Benefits Monitoring Program

Verifying BMP Eligibility

Beneficiary Notification Letter Example

Beneficiary Final Notification Letter Example

 

MSA 1302 for Specialty Referrals


October 01, 2013:
MDCH-ICD10 Virtual Training *NEW

June 14, 2013: Upper Peninsula Navigational Presentation  *Updated

June 14, 2013: Upper Peninsula Professional Presentation 

 
May 29, 2013:  Spendown Information 

March 22, 2013: Medicaid 101 Training Sessions PowerPoint Presentation 

 

March 07, 2013ICD-10 Virtual Training 

 

December 11, 2012: ICD-10 Presentation 

 

December 3, 2012: Medicare Part D Coverage of Benzodiazepines and Barbiturates 1/1/2013.

As of January 1, 2013, Medicare Part D plans will begin covering benzodiazepines and barbiturates (i.e. barbiturates used in the treatment of epilepsy, cancer, or a chronic mental health disorder). For additional information on the Part D coverage changes, please visit the Michigan Medicaid website https://michigan.fhsc.com 

 

October 8, 2012: How to Adjust a claim with OTHER INSURANCE 


April 16, 2012:
  CHAMPS Navigational Presentation 

March 21, 2012:  CHAMPS Navigational Presentation (billing/claims specific)

 

October 26, 2011:  5010 Professional DDE

October 26, 2011:  5010 Institutional DDE

October 26, 2011:  5010 Dental DDE

October 3, 2011:  Local CSHCS Office Contact Info

December 1, 2010:  Incorrect Reporting of OI and Medicare on Medicaid Claims

July 29, 2010:  NDC Format for Billing

April 15, 2010:  Common Provider Rejections 

February 22, 2010: 
CHAMPS Direct Data Entry (DDE) Billing Other Insurance Examples

January 15, 2010:
  PERM Audit Information
 

August 27, 2008:  CMS 1500 Claim Completion Instructions 

June 14, 2005:  Listserv Instructions- Updated 09.22.2009 

 

 

 

 


 

 

 

 

Ambulance

 

 

 

 

August 4, 2011:  Ambulance Billing Information and Reference Powerpoint 

 

June 23, 2011:  Multiple Transports (Word)          Multiple Transports (PDF) 

June 16, 2010:  2 Trips and Transport Codes 

 

 

 

 

 

 

 

 

 


 

 

 

 

Clinics

 

 

 

 

September 4, 2012FQHC Common Rejections 

 

May 8, 2012: LHD, RHC, FQHC, and THC- Instructions for pulling reconciliation data from CHAMPS

 

May 8, 2012: Clinic Billing Tips 

 

 

 

 

 

 

 

 

 


 

 

 

 

Dental

 

 

 

 

March 12, 2012:  Dental Presentation 

 

October 31, 2011:  Important 5010 Information

 

October 31, 2011:  5010 Dental DDE 

 

October 31, 2011:  5010 Failure to Comply WILL Result in Payment Delays 

 

May 13, 2010:  Common Dental Reason and Remark Crosswalk 

 

August 12, 2009:  CHAMPS, NPI, and General Updates PowerPoint 

 

August 12, 2009:  Dental Billing Claim Examples: 

                           

                           Other Insurance Claim Example 

 

                           Replacement Claim Example  

 

                           Void Claim Example

 

 

 

 

 

 

 

 

 


 

 

 

 

Home Health

 

 

 

 

February 22, 2010: Home Health Billing Information and Reference Power Point

February 22, 2010: CHAMPS Direct Data Entry (DDE) Billing Other Insurance Examples 

 

 

 

 

 

 

 

 

 


 

 

 

 

Hospice

 

 

 

 

September 12, 2011:  Hospice Top Pend/Rejection 

 

September 8, 2011: Room & Board- Revenue code 0658 and 0659 do not require date of service on claim line. 

 

June 8, 2011: Reminder: All Hospice claims must be reported with value code 61 and a valid CBSA code. 

 

January 27, 2011: Hospice claims are being submitted with Value Code 66 to report the Patient Pay Amount (PPA).  Although this was acceptable under legacy, CHAMPS does not accept the use of Value Code 66 to report the PPA.  Per the National Uniform Billing Committee (NUBC), Value Code 66 is only to be used when reporting the Medicaid Spend Down Amount (Deductible).  Value Code D3, Patient Estimated Responsibility, must be used to report the PPA. 
 

September 10, 2010: Hospice Membership Notices 

 

June 28, 2010:  General Hospice Tips  

 

April 29, 2009: Billing Information and Reference Powerpoint 

 

April 29, 2009: Hospice Claim Examples:
                   Billing Theraputic Leave Days                  
                   
Billing Hospital Leave Days                  
                   
Billing Continuous Home Care                  
                   
Billing Inpatient Respite Care                  
                   
Billing General Inpatient Care-Non respite                  
                
   Billing Physician Services                 
                   
Reporting Patient Pay Amount                    
                  
 Other Insurance Denied                  
                   
Other Insurance Terminated  

 

 

 


 

 

 

 

Hospital

 

 

 

 

April 08, 2013: How to Find Professional REV Codes 

 

August 5, 2011: Inpatient Surgical/ ICD 9 Procedure code documentation requirements 

 

June 20, 2011: Hysterectomy- When billing for a hysterectomy performed during a beneficiary's period of retroactive eligibility, please indicate in the Remarks section: "No consent not eligible on DOS, Retro MA. PT told prior to HYST unable to reproduce." 

 

June 8, 2011: Outpatient Hospital Top Pend/Rejection 

 

June 8, 2011: Inpatient Hospital Top Pend/ Rejection  

 

June 6, 2011: Billing Tip: When beneficiary transfers from one hospital to another 

 

June 2, 2011: Inpatient Hospital Rehab- Providers should report appropriate taxonomy code 273Y00000X, 283X00000X, or 283XC2000X ( not 282N00000X). 

  

February 27, 2009: Update on Michigan Medicaid Hospital Audits 

 

August 14, 2008: Tips for Billing Observation Room  

 

August 4, 2008: Outpatient hospital providers are referred to the below links for more information regarding NDC: NDC  Format For Billing  NDC Frequently Asked Questions  and  Letter L 08-14.  

 

 

 


 

 

 

 

Nursing Facility

 

 

 

 

March 12, 2012: Nursing Facility Presentation  

 

July 18, 2011: Hospital Swing Beds are to report Type of Bill (TOB) as 018x

 

July 1, 2011: All Nursing facility providers must report Medicare information if the beneficiary has active Medicare on file, even if Medicare benefit exhausted (billing after 100-day benefit period) or billing for non-skilled level of care. 

 

June 30, 2011: Outpatient County Medical Care Facilities- Report Type of Bill (TOB) as 23X when billing for therapies.

 

June 23, 2011: Report Covered, Non-Covered and Co-Ins Days based on Primary insurance with Value code 80, 81 and 82

 

June 23, 2011: Exhausted Medicare Part A Benefits - Report Occurrence Code A3 and the last date patient had Medicare Part A and report Medicare information with appropriate CARC/Reason Code 119 or 96 and reason why it was not covered by Medicare.

 

June 23, 2011: Total of units for Room and Board and Leave Days on line level should be equal with number of days reported on FROM and TO Date (UB04 - Form Locator 6).

 

May 25, 2011: Reporting Leave Days - When billing leave days, FROM/ TO Dates and quantity must be reported on service line.

 

May 25, 2011: All Nursing facility providers should report Medicare information if the beneficiary has active Medicare on file, even if they are Medicaid only (non Medicare certified bed) facilities.

 

 

 


 

 

 

 

Pharmacy/DME

 

 

 

 

March 20, 2013: Effective April 1, 2013, Health Care Procedure Codes (HCPCS) E2373, K0733 and L3600 fees will be reduced below Medicare fees to align with Medicaid policy referenced in the Medicaid Provider Manual, Medical Supplier Chapter, Section 1.7.H.  A formal announcement of these changes will not be indicated in a policy bulletin.  Please refer to policy and the Medical Supplier Database for standards of coverage and code parameters.  The new reimbursement rates are as follows:

 

 

HCPCS Code:                           Rate Effective 04/01/13:

E2373                                       $560.10

K0733                                       $20.75

L3600                                       $52.43

 

 

December 3, 2012: Medicare Part D Coverage of Benzodiazepines and Barbiturates 1/1/2013.

As of January 1, 2013, Medicare Part D plans will begin covering benzodiazepines and barbiturates (i.e. barbiturates used in the treatment of epilepsy, cancer, or a chronic mental health disorder). For additional information on the Part D coverage changes, please visit the Michigan Medicaid website https://michigan.fhsc.com 

 

May 13, 2010:  Common DME Reason and Remark Crosswalk 

 

 

 


 

 

 

 

Physician

 

 

 

 

February 25, 2013Immunizations Administration and Preventive Medicine Services. 

  

June 14, 2011: Physician/Professional Billing Power Point   

 

June 17, 2010: General Physician Tips 

 

January 27, 2010: CHAMPS Direct Data Entry (DDE) billing Other Insurance examples -  *Updated 10/12/10 

 

 

 

 


 

 

 

 

Private Duty Nursing

 

 

 

 

September 14, 2010: IMPORTANT NOTICE:  Effective October 1, 2010, the Michigan Department of Community Health (MDCH) will require Private Duty Nursing (PDN) providers to bill HCPCS codes S9123 and S9124 in one-hour increments as required in the 2010 HCPCS coding book. PDN services are prior authorized in hours. Therefore, when billing for services, the total number of hours billed - whether with S9123 and/or S9124 - must not exceed the total number authorized for that month. Since whole hours of care are authorized, only those hours of care that entail a full hour of care may be billed.     
Please Note:  Authorization letters for the month of October will authorize care in units but the quantity will reflect the number of hours approved for the month.  One unit = one hour.  Refer to Bulletin MSA 10-35 for further information.  

 

August 10, 2010: PDN Agency Presentation 

 

September 10, 2009: Agency Billing Information and Reference Powerpoint 
                                      (CHAMPS information included)

 

September 10, 2009: Independent Nurse Billing Information and Reference Powerpoint   *Updated 09/01/10 
                                      (CHAMPS information included)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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