Feb 18, 2012 | Medical billing basics
Introduction A Medically Needy recipient is an individual who would qualify for Medicaid, except that the individual’s income or resources exceed Medicaid’s income or resource limits. On a month-by-month basis, the individual’s medical expenses are subtracted...
Feb 14, 2012 | Medical billing basics
Claim Certification Because an electronic claim cannot be submitted with a signature, the provider’s endorsed signature on the back of the remittance check issued by the Medicaid fiscal agent takes the place of a signature on a paper claim form. It acknowledges...
Feb 10, 2012 | Medical billing basics
Introduction Submitting Medicaid claims via electronic media offers the advantage of speed and accuracy in processing. Providers may submit electronic claims themselves or choose a billing agent that offers electronic claim submission services. Billing agents must...
Feb 6, 2012 | Medical billing basics
Claims Submission Checklist Introduction Use the following checklist before submitting a claim to the fiscal agent for reimbursement. Checklist * Is the form typed or printed in black ink? * Is the copy legible? * Were instructions in the handbook...
Feb 2, 2012 | Medical billing basics
The following scenario, claim will not be denied as timely filing limit exceeded. Exceptions to the 12-Month Time Limit Exceptions to the 12-month claim submission time limit may be allowed if the claim meets one or more of the following conditions: ·...
Jan 28, 2012 | Medical billing basics
Timely Claim Submission Medicaid providers should submit claims immediately after providing services so that any problems with a claim can be corrected and the claim resubmitted before the filing deadline. Clean Claim In order for a claim to be paid, it...
