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01 - General Information
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02 - UB-04 Questions and Answers
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03 - Billing Questions and Answers
| Long Term Provider | Choice 1 | | |
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04 - Medicare Questions and Answers
| Long Term Provider | Choice 1 | | |
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05 - PES (Provider Electronic Solutions Software)
| Long Term Provider | Choice 1 | | |
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07 - Are You Puzzled by Your Remittance Advice Statement
| General Provider | Choice 1 | | |
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10 - ePEAP (electronic Provider Enrollment Automation Project)
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100 - ANSI v5010 NCPDP D.0 Recertification
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102 - As DHS Moves from DRG to APR DRG
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103 - 1099-MISC - Information for Providers
| General Provider | Choice 1 | | |
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104 - 2-25-11 APR-DRG Implementation DELAYED
| General Provider | Choice 1 | | |
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105 - APR-DRG Implementation to Begin on 3-4-11
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106 - PES Software Upgrade
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107 - Medical Assistance Health Information Technology Initiative Electronic Health Record Incentive Program
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108 - Pediatric Palliative and Hospice Care Task Force
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109 - Is it Necessary to Certify for X12 v5010 Transactions
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11 - The Eligibility Verification System (EVS)
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110 - Medical Assistance Dental Benefit Changes
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111 - Discontinued Mailing of Medical Assistance Bulletins
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112 - Reprocessing Procedure Code 90999 Claims
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113 - Changes to Diagnosis Code Edits
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114 - Fee-For-Service Relative Weight Adjustment
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115 - Medical Assistance Inpatient Hospital Claims Secondary to Medicare Include 3 Day (72 hour) Payment Rule
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116 - Compliance Date for ANSI X12 v5010 NCPDP vD.0 IS January 1, 2012; Pennsylvania will Implement January 1, 2012
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117 - Medical Assistance (MA) Phone Number Changes
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119 - PROMISe™ Internet Adjustments, Voids and Resubmissions Beginning January 1, 2012
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12 - Do You Need to Send an Attachment for an Electronic Claim
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120 - Waiving of the Certification Requirements for ANSI X12 v5010 and NCPDP D.0 for current electronic claim submitters
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121 - Certification Renewal Required for MA Providers Dispensing Hearing Aid Supplies revised Feb 2019
| General Provider | Choice 1 | | |
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122 - Medical Assistance (MA) Outpatient Online Fee Schedule
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125 - Reporting Ambulance Pick-up Drop-Off Point of Service
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126 - HealthChoices is Expanding to your County in 2012
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127 - Provider Electronic Solutions (PES) Software v3.59 replaces v3.58
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138 - MA Providers and MCOs Must Ensure Continuity of Care During CHC Expansion
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145 - The ACCESS Card is not Going Away
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15 - Copayments for Prescription Drugs
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164 - Most Common Billing Errors for Drugs Covered Under the Medical Assistance (MA) Program
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17 - Scope of Coverage of Pharmacy Services Medical Assistance Dual Eligibles
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190 - Announcing the Electronic Provider Enrollment Application
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21 - You Can Stop Receiving Paper Remittance AS (RAs)
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212 - Medicare and Medicare Advantage Crossover Claims for Certified RNP CRNP and PA
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222 - New Electronic Benefit Transfer Card
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223 - Availability of the Provider Directory on the Department of Human Services Website
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23 - Federal Medicaid Citizenship and Identity Eligibility Requirements
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24 - NPI and Paper Claim Forms
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25 - Access Plus Referral Requirements Effective November 1, 2006
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26 - Securing National Provider Identifier (NPI) Numbers for Subparts
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27 - National Provider Identifier (NPI) Taxonomy Codes
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31 - New Option on ePeap!
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32 - Atypical Providers
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35 - The PROMISe Outpatient Fee Schedule is Online
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38 - Attention, All Healthcare Providers You MUST Register an NPI Number with DHS
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39 - Provider Data Elements Expected on HIPAA-Covered Transactions
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40 - New Downloadable Outpatient Fee Schedule
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42 - Eligibility Verification System (EVS) Reminder
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43 - Now Receive Medical Assistance (MA) Bulletin Notifications Via Email!
| General Provider | Choice 1 | | |
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44 - Correctly Reporting Value Codes on the UB-04 Claim Form to Ensure Smooth Claims Processing
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45 - National Provider Identifier (NPI) Legacy Dual Strategy
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46 - Attention, New Healthcare Providers Requesting Medical Assistance (MA) Enrollment
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47 - Attention DME Suppliers, Independent Labs, and Mobile X-Ray Providers
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51 - Dental Behavior Management Billing Reminders
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52 - MA Recipient Drug Prescriptions Must be Written on Tamper-Resistant Prescription Pads
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53 - Electronic Funds Transfer (EFT) Sign Up Today!!
| General Provider | Choice 1 | | |
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55 - Federal Requirements for Outpatient Drug Prescriptions for MA Recipients
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56 - Most Common Errors Made On the Prior Authorization MA 97 Form
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59 - Information For Healthy Beginnings Providers
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60 - Place of Service Review (PSR) requests for Short Procedure Units (SPUs)
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62 - NPI and Paper Claim forms CMS-1500 (Professional) and UB-04 (Institutional)
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63 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Billing Assistance
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64 - For Medical Assistance (MA) Providers Submitting MA Claims For Prior Authorized Services
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65 - (EPSDT) Billing Assistance for FQHCs
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67 - Prior Auth. Requirements for Effective Non-Fee Schedule Surgical Procedures Effective Aug. 1, 2008
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68 - Using the 50 Modifier on Medical Assistance Claims
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69 - Medical Assistance (MA) Claims for Advanced Radiologic Imaging Services
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71 - The Department of Human Services (DHS) Encourages Providers to go Electronic and Support the Go Green Initiative!
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72 - National Provider Identifier (NPI) Requirements For Electronic Claims
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74 - Diagnosis Codes are Required on Most Medical Assistance Claims
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75 - Pennsylvania PROMISe - 835 Remittance Advice Companion Guide
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76 - Reporting Diagnosis Codes for Immunization Administration
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77 - Medicaid Integrity Contractor (MIC) Audits
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79 - ICD-9 Codes E849.0 - E849.9 (Place of Occurrence)
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80 - Attention All Healthy Beginnings Plus Providers
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81 - Copayment Desk Reference Clarification
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82 - Reminder to Medical Assistance (MA) Providers Filing National Provider Identifier (NPI) Electronic Claims
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84 - HCBP 15 SelectPlan for Women Provides Limited Coverage
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85 - Department of Human Services (DHS) Breast and Cervical Cancer Prevention and Treatment Program (updated February 2019)
| General Provider | Choice 1 | | |
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87 - Medical Assistance (MA) Providers are reminded to make sure MA contact information is up to date
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89 - HIPAA Upgrades to ANSI X12 v5010 and NCPDP D.0 are coming
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91 - PROMISe Certification for ANSI 5010 and NCPDP D.0
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94 - Pennsylvania PROMISe ANSI X12 v5010 Companion Guides
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95 - Clarification on the Change in Protocol for Certain Provider Appeals
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96 - New Web Site Coming in October!
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98 - Providing Services for Recipients who are Locked-In to a Physician, Pharmacy or Hospital
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66 - EPSDT and Error Status Code 771
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224 - Billing for Tobacco Cessation Counseling Services proivded by Pharmacists
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