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​Provider Quick Tips

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Doc Num ⇧Title ⇳Provider ⇳Filter2 ⇳Field1 ⇳Field2 ⇳
  01 - General Information Long Term ProviderChoice 1  
  02 - UB-04 Questions and Answers Long Term ProviderChoice 1  
  03 - Billing Questions and Answers Long Term ProviderChoice 1  
  04 - Medicare Questions and Answers Long Term ProviderChoice 1  
  05 - PES (Provider Electronic Solutions Software) Long Term ProviderChoice 1  
  07 - Are You Puzzled by Your Remittance Advice Statement General ProviderChoice 1  
  10 - ePEAP (electronic Provider Enrollment Automation Project) General ProviderChoice 1  
  100 - ANSI v5010 NCPDP D.0 Recertification General ProviderChoice 1  
  102 - As DHS Moves from DRG to APR DRG General ProviderChoice 1  
  103 - 1099-MISC - Information for Providers General ProviderChoice 1  
  104 - 2-25-11 APR-DRG Implementation DELAYED General ProviderChoice 1  
  105 - APR-DRG Implementation to Begin on 3-4-11 General ProviderChoice 1  
  106 - PES Software Upgrade General ProviderChoice 1  
  107 - Medical Assistance Health Information Technology Initiative Electronic Health Record Incentive Program General ProviderChoice 1  
  108 - Pediatric Palliative and Hospice Care Task Force General ProviderChoice 1  
  109 - Is it Necessary to Certify for X12 v5010 Transactions General ProviderChoice 1  
  11 - The Eligibility Verification System (EVS) General ProviderChoice 1  
  110 - Medical Assistance Dental Benefit Changes General ProviderChoice 1  
  111 - Discontinued Mailing of Medical Assistance Bulletins General ProviderChoice 1  
  112 - Reprocessing Procedure Code 90999 Claims General ProviderChoice 1  
  113 - Changes to Diagnosis Code Edits General ProviderChoice 1  
  114 - Fee-For-Service Relative Weight Adjustment General ProviderChoice 1  
  115 - Medical Assistance Inpatient Hospital Claims Secondary to Medicare Include 3 Day (72 hour) Payment Rule General ProviderChoice 1  
  116 - Compliance Date for ANSI X12 v5010 NCPDP vD.0 IS January 1, 2012; Pennsylvania will Implement January 1, 2012 General ProviderChoice 1  
  117 - Medical Assistance (MA) Phone Number Changes General ProviderChoice 1  
  119 - PROMISe™ Internet Adjustments, Voids and Resubmissions Beginning January 1, 2012 General ProviderChoice 1  
  12 - Do You Need to Send an Attachment for an Electronic Claim General ProviderChoice 1  
  120 - Waiving of the Certification Requirements for ANSI X12 v5010 and NCPDP D.0 for current electronic claim submitters General ProviderChoice 1  
  121 - Certification Renewal Required for MA Providers Dispensing Hearing Aid Supplies revised Feb 2019 General ProviderChoice 1  
  122 - Medical Assistance (MA) Outpatient Online Fee Schedule General ProviderChoice 1  
  125 - Reporting Ambulance Pick-up Drop-Off Point of Service General ProviderChoice 1  
  126 - HealthChoices is Expanding to your County in 2012 General ProviderChoice 1  
  127 - Provider Electronic Solutions (PES) Software v3.59 replaces v3.58 General ProviderChoice 1  
  138 - MA Providers and MCOs Must Ensure Continuity of Care During CHC Expansion General ProviderChoice 1  
  145 - The ACCESS Card is not Going Away General ProviderChoice 1  
  15 - Copayments for Prescription Drugs General ProviderChoice 1  
  164 - Most Common Billing Errors for Drugs Covered Under the Medical Assistance (MA) Program General ProviderChoice 1  
  17 - Scope of Coverage of Pharmacy Services Medical Assistance Dual Eligibles General ProviderChoice 1  
  190 - Announcing the Electronic Provider Enrollment Application General ProviderChoice 1  
  21 - You Can Stop Receiving Paper Remittance AS (RAs) General ProviderChoice 1  
  212 - Medicare and Medicare Advantage Crossover Claims for Certified RNP CRNP and PA General ProviderChoice 1  
  222 - New Electronic Benefit Transfer Card General ProviderChoice 1  
  223 - Availability of the Provider Directory on the Department of Human Services Website General ProviderChoice 1  
  23 - Federal Medicaid Citizenship and Identity Eligibility Requirements General ProviderChoice 1  
  24 - NPI and Paper Claim Forms General ProviderChoice 1  
  25 - Access Plus Referral Requirements Effective November 1, 2006 General ProviderChoice 1  
  26 - Securing National Provider Identifier (NPI) Numbers for Subparts General ProviderChoice 1  
  27 - National Provider Identifier (NPI) Taxonomy Codes General ProviderChoice 1  
  31 - New Option on ePeap! General ProviderChoice 1  
  32 - Atypical Providers General ProviderChoice 1  
  35 - The PROMISe Outpatient Fee Schedule is Online General ProviderChoice 1  
  38 - Attention, All Healthcare Providers You MUST Register an NPI Number with DHS General ProviderChoice 1  
  39 - Provider Data Elements Expected on HIPAA-Covered Transactions General ProviderChoice 1  
  40 - New Downloadable Outpatient Fee Schedule General ProviderChoice 1  
  42 - Eligibility Verification System (EVS) Reminder General ProviderChoice 1  
  43 - Now Receive Medical Assistance (MA) Bulletin Notifications Via Email! General ProviderChoice 1  
  44 - Correctly Reporting Value Codes on the UB-04 Claim Form to Ensure Smooth Claims Processing General ProviderChoice 1  
  45 - National Provider Identifier (NPI) Legacy Dual Strategy General ProviderChoice 1  
  46 - Attention, New Healthcare Providers Requesting Medical Assistance (MA) Enrollment General ProviderChoice 1  
  47 - Attention DME Suppliers, Independent Labs, and Mobile X-Ray Providers General ProviderChoice 1  
  51 - Dental Behavior Management Billing Reminders General ProviderChoice 1  
  52 - MA Recipient Drug Prescriptions Must be Written on Tamper-Resistant Prescription Pads General ProviderChoice 1  
  53 - Electronic Funds Transfer (EFT) Sign Up Today!! General ProviderChoice 1  
  55 - Federal Requirements for Outpatient Drug Prescriptions for MA Recipients General ProviderChoice 1  
  56 - Most Common Errors Made On the Prior Authorization MA 97 Form General ProviderChoice 1  
  59 - Information For Healthy Beginnings Providers General ProviderChoice 1  
  60 - Place of Service Review (PSR) requests for Short Procedure Units (SPUs) General ProviderChoice 1  
  62 - NPI and Paper Claim forms CMS-1500 (Professional) and UB-04 (Institutional) General ProviderChoice 1  
  63 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Billing Assistance General ProviderChoice 1  
  64 - For Medical Assistance (MA) Providers Submitting MA Claims For Prior Authorized Services General ProviderChoice 1  
  65 - (EPSDT) Billing Assistance for FQHCs General ProviderChoice 1  
  67 - Prior Auth. Requirements for Effective Non-Fee Schedule Surgical Procedures Effective Aug. 1, 2008 General ProviderChoice 1  
  68 - Using the 50 Modifier on Medical Assistance Claims General ProviderChoice 1  
  69 - Medical Assistance (MA) Claims for Advanced Radiologic Imaging Services General ProviderChoice 1  
  71 - The Department of Human Services (DHS) Encourages Providers to go Electronic and Support the Go Green Initiative! General ProviderChoice 1  
  72 - National Provider Identifier (NPI) Requirements For Electronic Claims General ProviderChoice 1  
  74 - Diagnosis Codes are Required on Most Medical Assistance Claims General ProviderChoice 1  
  75 - Pennsylvania PROMISe - 835 Remittance Advice Companion Guide General ProviderChoice 1  
  76 - Reporting Diagnosis Codes for Immunization Administration General ProviderChoice 1  
  77 - Medicaid Integrity Contractor (MIC) Audits General ProviderChoice 1  
  79 - ICD-9 Codes E849.0 - E849.9 (Place of Occurrence) General ProviderChoice 1  
  80 - Attention All Healthy Beginnings Plus Providers General ProviderChoice 1  
  81 - Copayment Desk Reference Clarification General ProviderChoice 1  
  82 - Reminder to Medical Assistance (MA) Providers Filing National Provider Identifier (NPI) Electronic Claims General ProviderChoice 1  
  84 - HCBP 15 SelectPlan for Women Provides Limited Coverage General ProviderChoice 1  
  85 - Department of Human Services (DHS) Breast and Cervical Cancer Prevention and Treatment Program (updated February 2019) General ProviderChoice 1  
  87 - Medical Assistance (MA) Providers are reminded to make sure MA contact information is up to date General ProviderChoice 1  
  89 - HIPAA Upgrades to ANSI X12 v5010 and NCPDP D.0 are coming General ProviderChoice 1  
  91 - PROMISe Certification for ANSI 5010 and NCPDP D.0 General ProviderChoice 1  
  94 - Pennsylvania PROMISe ANSI X12 v5010 Companion Guides General ProviderChoice 1  
  95 - Clarification on the Change in Protocol for Certain Provider Appeals General ProviderChoice 1  
  96 - New Web Site Coming in October! General ProviderChoice 1  
  98 - Providing Services for Recipients who are Locked-In to a Physician, Pharmacy or Hospital General ProviderChoice 1  
  66 - EPSDT and Error Status Code 771 General ProviderChoice 1  
  224 - Billing for Tobacco Cessation Counseling Services proivded by Pharmacists General ProviderChoice 1