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NC Medicaid Health Checks

  1. Default NC Medicaid Health Checks
    Medical Coding Books
    Help please - we have Medicaid patients who are presenting for health checks - these pts are under 21 - Medicaid is denying for "all components were not rendered". Any ideas?
    Thanks!

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Ohh...Bless you. When I did billing, Medicaid was one of my accounts. You may already have this but just in case....

    http://www.ncdhhs.gov/dma/bulletin/H...gGuide0507.pdf

    Medicaid is very particular about the way claims are submitted. There are some good examples towards the end. GOOD LUCK
    Last edited by RebeccaWoodward*; 09-12-2008 at 03:31 PM.

  3. #3
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    yes, all the components of the C&TC need to be done and billed out for MA to pay. Preventive E/M, plus 9940x, V5008/92551, 99173, 96110 .
    if the S0302 code is added, claims will be denied.
    Rebecca is correct - MA is very particular...
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

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