Oct 16, 2010 | Medical billing basics
Recipient Signatures While a recipient signature is not required on individual claim forms, all providers must obtain a signature to be kept on file, (such as release forms or sign-in sheets) as verification that the recipient was present on the date of service...
Oct 13, 2010 | Medical billing basics
EOB Claim Page Field DescriptionsMost of the field descriptions for each of the claim type Adjusted, Paid, Denied, and In Process are the same. Each claim type/Status may have fewer of the fields and a few have fields specific to the claim type. For example, Dental...
Oct 13, 2010 | Medical billing basics
Refunds If you receive payment for a recipient who is not your patient or are paid more than once for the same service, it is your responsibility to refund the Alabama Medicaid Program. Provide refunds to the Medicaid Program by using the Check Refund Form (a sample...
Oct 13, 2010 | Medical billing basics
Guidance Regarding NDC’s on the UB-04 Form Effective August 2008, Alabama Medicaid mandated that the National Drug Code (NDC) number be included on the UB-04 claim form for the Top 20 physician administered drugs as defined by CMS. Alabama Medicaid would like to...
Oct 13, 2010 | Medical billing basics
Guidance Regarding NDC’s on the CMS-1500 Form Effective August 2008, Alabama Medicaid mandated that the National Drug Code (NDC) number be included on the CMS-1500 claim form for the Top 20 physician administered drugs as defined by CMS. Alabama Medicaid would like to...
Oct 13, 2010 | Medical billing basics
Submitting Denied Claims to Medicaid Providers may submit denied third party claims to Medicaid. The following third party-related information is required on the claim, in addition to the other required claim data: Claim Form – CMS-1500 Include the Following...
