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Medicaid Provider Billing Manual

Medicaid provider manuals are now consolidated into two (2) manuals - (1) a  provider policy manual and (2) the provider billing manual found on this page.
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Bulleted item ProviderBilling Handbook Cover
Bulleted item TABLE OF CONTENTS
Bulleted item COVER LETTER
Bulleted item Section 0.1 - Introduction to Billing Manual
Bulleted item Section 0.2 - Quick Reference Billing Tips
Bulleted item Section 1.0 - General Billing Information
Bulleted item Section 1.1 - Mississippi Medicaid
Bulleted item Section 1.2 - Fiscal Agent
Bulleted item Section 1.3 - EDI
Bulleted item Section 1.4 - HSM 2008 final
Bulleted item Section 1.5 - HID
Bulleted item Section 1.6 - Prior Authorization
Bulleted item Section 1.7 - NPI
Bulleted item Section 1.8 - Benefits Limits
Bulleted item Section 1.9 - Copay and Exceptions
Bulleted item Section 1.10 - Eligibility
Bulleted item Section 1.11 - Newborns with Medicaid
Bulleted item Section 1.12 - Timely Filing
Bulleted item Section 1.13 - Fee Schedules
Bulleted item Section 1.14- Denied Claims
Bulleted item Section 2.0 - CMS 1500 Claim Instructions
Bulleted item Section 2.1 - CMS 1500 Billing Modifiers
Bulleted item Section 2.2 - Filing Xover B on CMS1500
Bulleted item Section 2.3 - Part B Crossover Instructions
Bulleted item Section 3.0 - UB-04 Claim
Bulleted item Section 3.1 - Filing Xover A on UB-04
Bulleted item Section 3.2 - Part A Crossover Instructions
Bulleted item Section 4.0 - Dental Claim Form
Bulleted item Section 5.0 - Pharmacy POS
Bulleted item Section 5.1 - Pharmacy Claim Instructions
Bulleted item Section 5.2 - Pharmacy Payor Sheet
Bulleted item Section 6.0 - TPL General
Bulleted item Section 6.1 - PPO
Bulleted item Section 6.10- Billing Medicare
Bulleted item Section 6.11- 3rd Party Sources
Bulleted item Section 6.2 - Billing 3rd Party Source
Bulleted item Section 6.3 - 3rd Party Maternity
Bulleted item Section 6.4 - Assignment of Benefits
Bulleted item Section 6.5 - Bene Denies Coverage
Bulleted item Section 6.6 - 3rd Party Pay or Denial
Bulleted item Section 6.7 - Receipt of 3rd Party & Mcaid Pymt
Bulleted item Section 6.8 - Hospital Retro Settlement
Bulleted item Section 6.9 - Exceptions to Cost Avoidance
Bulleted item Section 7.0 - RA Remit
Bulleted item Section 7.1 - RA Cover
Bulleted item Section 7.2 - RA Message Page
Bulleted item Section 7.3 - RA Header Page
Bulleted item Section 7.4 - RA Paid DENIED
Bulleted item Section 7.5 - RA Adjustment
Bulleted item Section 7.6 - RA suspened claims
Bulleted item Section 7.7 - RA legend
Bulleted item Section 8.0 - Adj Void Form
Bulleted item Section 8.1 - Claim Inquiry
Bulleted item Section 9.0 - Misc Information & Forms
Bulleted item Section 9.1 - Glossary Acronyms
Bulleted item Section 9.2 - Forms


Click here for a complete copy of the Billing Manual (12.8 MB)


Click here for Policy Manuals
 
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telephone: 601-359-6050 or toll free: 1-800-421-2408