Medicaid Provider Billing Policy Manuals

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