| Provider Training 2002 Scheduled
for September
Please mark your calendar to attend
these important training
sessions. The first half of training will focus
on recent changes in the PMHS, the clinical authorization
process, and issues surrounding clinical policies and
procedures. The second half will focus primarily on
billing issues including common Q&A regarding membership
and billing, how to complete HCFA and UB92 claim forms,
as well as the electronic claims process. Please visit
the MAPS-MD web-site (www.mdhp.com)
for information on how to register and directions to
each training site location.
Timely Filing/Claims Appeal
Process
First Appeal:
Please submit first appeal with cover
letter and supporting documentation to MAPS-MD's Appeal
Unit.
Second
Appeal:
Please submit the second appeal with
additional supporting documentation and cover letter
to MAPS-MD's Appeal Unit.
(The first and second appeals should be forwarded to
the following address)
MAPS-MD Claims Appeal Unit
P.O. Box 3190
Columbia, Maryland 21045
|
Third/Final Appeal:
Please submit the third and final appeal
along with the two denial appeal letters from MAPS-MD to
the Mental Hygiene Administration (MHA) at the address
listed below:
Mental Hygiene Administration
Office of Managed Care
Spring Grove Hospital Center-Dix Building
55 Wade Avenue
Catonsville, Maryland 21228
|
Discharge Summaries
Please include consumer's Social Security
Number, Medicaid Number, and Date of Birth on all discharge
summaries in order to assist us in identifying the consumer.
UB Billing Update
All claims (inpatient and outpatient)
with a discharge status in form locator 22 require
an occurrence code of 42 as well as discharge
date in form locator 32 - 35. This is inclusive
of bill types 131 and 137. This process requirement
has been in effect since May 2000. Effective August
25, 2002, claims without the proper occurrence codes
will be denied.
UB92 Electronic Billing
If you are a hospital/facility that
submits claims on UB92 claims forms, and are interested
in billing electronically, please contact Vicky Franklin,
EDI Coordinator for MAPS-MD @ 410/953-1837. Claims processed
electronically are generally processed within 5-7 days.
Retraction Notice Reminder
Retractions began August 5, 2002, for
those providers who were previously notified in April
and July.
Previous Issues Bulletins
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