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SUBJECT
PROVIDER TYPE(S)
CYCLES
ALERT
DATED
Billing for Beneficiaries in Managed Care All 52, 01 06/12/2013
PROMISe™ Provider Internet Virtual Classroom Training – Medical Assistance Program Fee Increase for Select Primary Care Services 31/316, 322 and 345 48, 49, 50 05/24/2013
Name Change for AmeriHealth Mercy Health Plan and Keystone Mercy Health Plan All 47, 48 05/17/2013
Date of Death Recovery All 46 05/10/2013
Fee-for-Service Relative Weight Adjustment 01/010 46, 47, 48 05/10/2013
ICD-10 Provider Readiness Survey All 43, 44, 45 04/19/2013
Reprocessing CCR (County Mental Health programs) Claims that Paid in Error under the Fee-For-Service Program 08/110, 184, 083, 074, 075, 084, 080, 810; 11/114,
115, 076; 14/140; 17/170; 18/180; 19/549, 559; 21/222 and 31/All
41 03/29/2013
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program 07, 08, 09, 24, & 31 41, 42, 43, 44 03/29/2013
PROMISe™ Provider Internet Virtual Classroom Training – Medical Assistance Program Fee Increase for Select Primary Care Services 31/316, 322 and 345 38, 39, 40, 41, and 42 03/15/2013
Duplicate Medicare Crossover Claim Adjustments
Provider IDs and Locations Affected
Claim Type B
37 03/08/2013
Certification Renewal Required for Dispensing Hearing Aid Supplies—Reminder 01, 20, 24, 25, 31 36, 37, 38 03/01/2013
Reprocessing of Dental Paper Claims that may have had the Billing and Rendering NPI Number Switched 27 34 02/18/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 2, 2nd Quarter) 03; 030, 040 and 382 34 02/15/2013
Provider Enrollment Fax Number Change Effective February 16, 2013 All 34, 35, 36, 37, 38, 39 02/15/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 1, 2nd Quarter and Group 2, 1st Quarter) 03; 030, 040 and 382 31 01/25/2013
The HealthChoices Physical Health Mandatory Managed Care Program Is Expanding to Twenty-Two Counties in Northeast and North Central PA on March 1, 2013 All 31, 32, 33, 34, 35, 36, 37 01/25/2013
Billing for Multiple Surgical Services - Reminder 14, 27, 31 31, 32, 33, 34 01/25/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 1, 1st Quarter) 03; 030, 040 and 382 29 01/11/2013
Provider Enrollment Application Requirement effective January 21, 2013 All 29, 30, 31, 32 01/11/2013
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program 07, 08, 09, 24, & 31 26, 27, 28, 29 12/21/2012
Reprocessing Procedure Code 99291 and 99292 Claims 01/017 26 12/21/2012

SUBJECT	PROVIDER TYPE(S)	CYCLES	ALERT DATED
Billing for Beneficiaries in Managed Care	All	52, 01	06/12/2013
PROMISe™ Provider Internet Virtual Classroom Training – Medical Assistance Program Fee Increase for Select Primary Care Services	31/316, 322 and 345	48, 49, 50	05/24/2013
Name Change for AmeriHealth Mercy Health Plan and Keystone Mercy Health Plan	All	47, 48	05/17/2013
Date of Death Recovery	All	46	05/10/2013
Fee-for-Service Relative Weight Adjustment	01/010	46, 47, 48	05/10/2013
ICD-10 Provider Readiness Survey	All	43, 44, 45	04/19/2013
Reprocessing CCR (County Mental Health programs) Claims that Paid in Error under the Fee-For-Service Program	08/110, 184, 083, 074, 075, 084, 080, 810; 11/114, 115, 076; 14/140; 17/170; 18/180; 19/549, 559; 21/222 and 31/All	41	03/29/2013
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program	07, 08, 09, 24, & 31	41, 42, 43, 44	03/29/2013
PROMISe™ Provider Internet Virtual Classroom Training – Medical Assistance Program Fee Increase for Select Primary Care Services	31/316, 322 and 345	38, 39, 40, 41, and 42	03/15/2013
Duplicate Medicare Crossover Claim Adjustments	Provider IDs and Locations Affected Claim Type B	37	03/08/2013
Certification Renewal Required for Dispensing Hearing Aid Supplies—Reminder	01, 20, 24, 25, 31	36, 37, 38	03/01/2013
Reprocessing of Dental Paper Claims that may have had the Billing and Rendering NPI Number Switched	27	34	02/18/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 2, 2nd Quarter)	03; 030, 040 and 382	34	02/15/2013
Provider Enrollment Fax Number Change Effective February 16, 2013	All	34, 35, 36, 37, 38, 39	02/15/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 1, 2nd Quarter and Group 2, 1st Quarter)	03; 030, 040 and 382	31	01/25/2013
The HealthChoices Physical Health Mandatory Managed Care Program Is Expanding to Twenty-Two Counties in Northeast and North Central PA on March 1, 2013	All	31, 32, 33, 34, 35, 36, 37	01/25/2013
Billing for Multiple Surgical Services - Reminder	14, 27, 31	31, 32, 33, 34	01/25/2013
Processing of 2012-2013 Nursing Facility Rate Adjustments (Group 1, 1st Quarter)	03; 030, 040 and 382	29	01/11/2013
Provider Enrollment Application Requirement effective January 21, 2013	All	29, 30, 31, 32	01/11/2013
Revisions to Participating Drug Company list for Medicaid Drug Rebate Program	07, 08, 09, 24, & 31	26, 27, 28, 29	12/21/2012
Reprocessing Procedure Code 99291 and 99292 Claims	01/017	26	12/21/2012

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