MAPS-MD Issues Bulletin

December 2000

Reminder: "No-Shows"

Medical Assistance and gray-zone consumers may be charged a reasonable fee for failure to keep an appointment without giving 24 hour notice so long as all consumers, including Medicaid, self-pay, gray zone, and commercially insured, are charged this same fee under the same set of circumstances. MAPS-MD does not reimburse providers for "no-shows."

Revenue Code 899

Revenue Code 899 should be used when an HSCRC is billing W9510 (interdisciplinary team treatment planning.) In a previous web update (March 2000) MAPS-MD indicated that a W9510 was only to be listed on a UB-92.

MAPS-MD has initiated the rule that Revenue Code 899 is equal to a W9510 to better accommodate hospital billing systems. Providers should now bill using revenue code 899 and should do so retrospectively.

Retractions and Adjustments

If a provider has received an overpayment or incorrect payment, the provider should NOT send a check to MAPS-MD. Instead, the provider should send the following to the --Recovery Unit of MAPS-MD, P.O. Box 5150, Columbia, MD 21046-5150:

-Identification number(s) of claim(s) (optional)

-Reasons why amount is to be retracted (explained in detail), for example, "incorrect provider," "duplicate payment," "retract original and pay the attached claims" (attach list of claims needing resolution), etc.

-Patient name(s)

-Patient ID number(s)

-Date(s) of service

-CPT/Revenue code(s)

Providers requesting adjustments to claims should phone MAPS-MD claims customer service.

Reminder: Paper Claim Payment Addresses

The provider payment address submitted on paper claims should match the provider payment address on file with MAPS-MD.