A Message for MaineCare Providers on Void Functionality
During the first two weeks of October, more than 800 providers attended training on use of the void functionality in MeCMS. The Powerpoint presentations used for the training have now been posted to the MaineCare Services web site. These can be accessed at the link here under the “Void Functionality to be implemented in MeCMS” headline.
http://www.maine.gov/dhhs/bms/member/innerthird/mecms_portal_news.html
Providers can begin to submit voided claims not intended for re-billing on Monday, October 22.
Providers can initiate voided claims intended for re-billing on Monday, October 29.
Providers may submit re-bills once the voided claim appears on a Remittance Advice (RA).
Reminders:
What providers CAN do with Void functionality:
B Void an original paid claim document or paid claim line for which a void was not previously submitted and approved
A general rule of thumb is that if claims are currently paying correctly, a Void followed by a Re-bill should result in a proper payment. If a claim is NOT paying correctly due to a known issue, VOIDS AND RE-BILLS SHOULD NOT BE SUBMITTED because the claim will encounter the same issue. Examples of these are limits, edits processing failures (EPF) and co-pays.
Nursing, Custodial Care and Residential Care Facilities cannot void paid claim lines on documents with cost of care; spend downs, room and board or TPL. Please contact your Adjustment Specialist for instructions on how to handle these.
Hospitals and Psychiatric Hospitals cannot void paid claim lines on documents that include spend downs or TPL, and cannot void a line that has a revenue code of room and board unless the room and board line is the only line in the entire claim document. Please contact your Adjustment Specialist for instructions to handle these.
B Re-bill a Voided claim document or claim line once the Void appears on an RA
B Void multiple claim lines within a billing cycle
Each claim line must be submitted as a separate Void document
What Providers CANNOT do:
D . . .Void a DENIED claim document or claim line
D . . .Void an ADJUSTMENT claim document or claim line
D . . .Void a VOID claim document or claim line
D . . . Void a mixed DENIED and PAID claim document (must VOID individual paid claim lines)
D . . . Void a SUSPENDED claim
D . . . Void a claim held in Edits Processing Failure
D . . . Void a claim held in Fund Allocation Failure
D . . . Resolve a current outstanding billing issue by voiding and re-billing
D . . . Adjust a claim document or claim line (using Submission Reason/Frequency of 7)
Contacts for Questions:
Billing and Information 1-800-321-5557, Option 8
Adjustment Unit Contacts
Providers Billing on CMS1500 or Dental Forms:
Provider names
beginning with: Contact Person: Phone:
A-E Debbie Ladd 207-287-1780
F-N Jaime Hall 207-287-1778
O-Z Debbie or Jaime
Providers Billing on UB Forms:
Provider names
beginning with: Contact Person: Phone:
A-E Linda Harrington 207-287-1777
F-L + All MR Waivers Shavon Smith 207-287-6284
M-Z Nancy Haskell 207-287-1779 [return to top]
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