Review of PCS Billing NC Division of Medical Assistance January 2013
2 NCECSWeb Tool Next slides will present Screen Shots of actual form on Web Tool Web Tool Must have a HP login and password Don’t have a login? Contact HP ECS for login , menu option 1
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13 Use the modifier listed in Decision Notice Provider receives from CCME
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15 What Billing Questions are directed to HP? Denials Incorrect or Missing Carolina Access Number Incorrect CPT code Assistance with the Web Tool Request for on site visit
16 RESOURCES HP Enterprise Services (HPES) – Provider Services Toll Free Number: Division of Medical Assistance (DMA) - Basic Medicaid and NC Health Choice Billing Guide -
17 RESOURCES The Carolina Center for Medical Excellence (CCME) - CCME’s Call Center is available Monday through Friday from 8:00 a.m. – 5:00 p.m. Toll Free Number:
18 RESOURCES Special Bulletin Dec North Carolina Electronic Claims Submission/Recipient Eligibility Verification Web Tool Provides a crosswalk of paper CMS 1500 fields to electronic form equivalent fields
19 RESOURCES Place of Service Codes General Bulletin Dec df df PCS Limitations or Requirements Place of Service
20 RESOURCES coverage-database/staticpages/icd-9- code-lookup.aspx coverage-database/staticpages/icd-9- code-lookup.aspx
21 QUESTIONS?