';
CLOSE
Tags Posts tagged with "Billing"

Billing

0 191
Photo by Markus Winkler on Unsplash

Due to delays in Individual Support Plan revisions and other factors impacting provider billing, ODP has extended the time period for providers to submit claims for services.

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024-2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

This is a reminder to all providers to bill for any services rendered from July 1, 2024, through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024, through September 30, 2024. ODP anticipates processing gross adjustments on Remittance Advices dated Monday, December 23, 2024, to ensure all billing for dates of service July 1, 2024, through September 30, 2024, has been completed. Paid claims data in Remittance Advices between July 1, 2024, and November 18, 2024, will be used as the basis for the gross adjustment.

For questions on how to resolve billing errors for services, contact ODP Claims Resolution.

0 679

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024-2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

This is a reminder to all providers to bill for any services rendered from July 1, 2024, through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024, through September 30, 2024. ODP anticipates processing gross adjustments at the end of November 2024 to ensure all billing for dates of service July 1, 2024, through September 30, 2024, has been completed. Paid claims data in Remittance Advices between July 1, 2024, and November 4, 2024, will be used as the basis for the gross adjustment.

For questions on how to resolve billing errors for services, contact ODP Claims Resolution.

0 761

The Pennsylvania Department of Human Services released Medical Assistance Bulletin 99-24-03 on May 28, 2024, detailing updates to the Medical Assistance (MA) Program Fee Schedule based on the 2024 Healthcare Common Procedure Coding System (HCPCS) changes. These updates include new codes such as 90867, 90868, and 90869 for transcranial magnetic stimulation (TMS) treatment billing, along with additional modifications to other procedure codes, setting of limitations, fee adjustments, and new prior authorization requirements effective from the same date. This bulletin applies to all providers serving MA beneficiaries under the Fee-for-Service system and those in the MA Managed Care system should contact their respective organizations for specific billing guidance.

For more detailed information, read the full bulletin here.

If you have any other questions, please contact RCPA COO and Policy Director Jim Sharp.

0 628
Image by Dirk Wouters from Pixabay

The Centers for Medicare and Medicaid Services (CMS) is conducting a study to help them improve your experience with Medicare program and billing resources. Share your thoughts with them by taking this survey today. Responses are confidential, and the survey should take about 15 minutes to complete.

CMS thanks you for your time and valuable feedback.

0 761

The Office of Developmental Programs (ODP) recently shared a One Page Reference for Supports Coordination (SC) Billing for Cross-Systems Meetings. The reference document was developed to help Supports Coordinators in determining when to bill for a multi-agency meeting. If the SC facilitates the meeting, it is a billable activity. If the SC is not the facilitator of the meeting but provides information about resources or ODP services in order to better serve the individual and their support needs for more than 15 minutes, they can bill for the time that they were providing information.

0 1040

ODP Announcement 22-052 announces that the Office of Developmental Programs (ODP) is prepared to begin making Gross Adjustments to providers for the ODP waiver services billed at old fee schedule rates during the months of January and February 2022. It is their intention to do one Gross Adjustment per MPI, which will be applied to the provider’s highest billing service location.

Please complete a brief survey to advise ODP of the status of your January and February billing. The link to the QuestionPro survey can be found here. The survey will remain open until May 15.

  • If your January and February billing was complete as of May 1, 2022, ODP will process the Gross Adjustment during May.
  • If your January and February billing was not completed by May 1, 2022, ODP will wait until June to process the Gross Adjustment.
  • If ODP does not receive your response to the QuestionPro survey, they will process your Gross Adjustment in June.
© 2021 - Rehabilitation & Community Providers Association