| Paper and Electronic Billing and Remittance Advice Instructions |
Word |
PDF |
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| Paper Billing Instructions: |
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| Assisted Living - Section 96 - Private Duty Nursing and Personal Care Services |
(.doc) |
(.pdf) |
| CMS 1500 New Form |
(.doc) |
(.pdf) |
| CMS 1500 New Form Sample |
(.TIF) |
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| CMS/HCFA 1500 (Old Form) Instructions |
(.doc) |
(.pdf) |
| Dental - 1999 Form |
(.doc) |
(.pdf) |
| Dental - 2006 Form |
(.doc) |
(.pdf) |
| Federally Qualified Health Centers |
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(.pdf) |
| Home Health Admit/Discharge Forms (Goes to the Office of Elder Services website) |
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| Managed Mental Health Care Special Billing Instructions |
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| Section 17 Community Support Services |
(.doc) |
(.pdf) |
| Section 65 Mental Health Services |
(.doc) |
(.pdf) |
| Crosswalk of New Codes Effective August 1, 2008 to Previous Codes |
(.doc) |
(.pdf) |
| Section 97 Private Non-Medical Institution Services (Updated 08/05/09) |
(.doc) |
(.pdf) |
| NDC Codes: Roster Billing Instruction for Maine Hospitals |
(.doc) |
(.pdf) |
| Rural Health Centers |
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(.pdf) |
| Targeted Case Management Services (Section 13) |
(.doc) |
(.pdf) |
| Telehealth requirements |
(.doc) |
(.pdf) |
| UB-04 |
(.doc) |
(.pdf) |
| UB-92 - General Instructions |
(.doc) |
(.pdf) |
| Revenue codes that require HCPCs |
(.xls) |
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| Back to Top |
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| ICD9 Diagnosis and Procedure (Surgical) Codes List: |
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| 2009: New, Changed or Deleted ICD9 Diagnosis and Procedure (Surgical) Codes |
(.doc) |
(.pdf) |
| 2010 ICD9 Diagnosis Code Title Changes |
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(.pdf) |
| 2010 ICD9 Procedure Code Title Changes |
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(.pdf) |
| 2010 ICD9 Diagnosis Codes deleted |
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(.pdf) |
| J-Code/NDC Code Crosswalk |
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| J-Code/NDC Code Crosswalk (leaving website, going to the CMS website) |
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| Code Set Updates |
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| National Uniform Billing Committee Codes Updates |
(.doc) |
(.pdf) |
| Claim Adjustment Reason Codes and Remittance Advice Remarks Codes Updates |
(.doc) |
(.pdf) |
| HCPC Codes discontinued as of 12/31/09 |
(.xls) |
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| HIPAA Compliant Code Cross Walks |
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| The following documents give the local procedure code and its HIPAA-compliant equivalent. When MaineCare's new claims system begins in 2010, providers will need to use HIPAA compliant codes only. |
| Ambulatory Care Clinics (Section 3) |
(.xls) |
| Children with Cognitive Impairments and Functional Limitations (Section 28) |
(.doc) |
| Consumer Directed Attendant Services (Section 12) |
(.xls) |
| Community Support Services (Section 17) |
(.xls) |
| Day Treatment Services (Section 41) |
(.xls) |
| Developmental and Behavioral Evaluation Clinic Services (Section 23) |
(.xls) |
| Family Planning Services (Section 30) |
(.xls) |
| Federally Qualified Health Centers (Section 31) |
(.xls) |
| Home and Community Based Services - Elderly and Adults with Disabilities (Section 19) |
(.xls) |
| Home and Community Based Services - Mental Retardation and Autistic Disorders (Section 21) |
(.xls) |
| Home and Community Based Services - Mental Retardation and Autistic Disorders (Section 29) |
(.xls) |
| Home and Community Based Services - Physically Disabled (Section 22) |
(.xls) |
| Home Health Services (Section 40) |
(.xls) |
| Occupational Therapy (Section 68) |
(.xls) |
| Physical Therapy (Section 85) |
(.xls) |
| Physician Services (Section 90) |
(.xls) |
| Private Duty Nursing and Personal Care Services (Section 96) |
(.xls) |
| Private Non-Medical Institution (PNMI) (Section 97) |
(.xls) |
| Rehabilitative Services (Section 102) |
(.xls) |
| Rural Health Clinics (Section 103) |
(.xls) |
| Speech and Hearing Services (Section 109) |
(.xls) |
| Transportation Services (Section 113) |
(.xls) |
| VD Screening Clinic Services (Section 150) |
(.xls) |
| Vaccinations |
(.xls) |
| Vision Services (Section 75) |
(.xls) |
| Void and Adjustment Instructions: |
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| Void Instructions |
(.doc) |
(.pdf) |
| Adjustments Instructions |
(.doc) |
(.pdf) |
| Billing and Adjustments Questions and Answers |
(.doc) |
(.pdf) |
| Back to Top |
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| Remittance advices: |
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| What Is A Remittance Advice (RA)? |
(.doc) |
(.pdf) |
Note:If you can not read the above files you can use these links to
access Word
Viewer for .doc files or Adobe
Acrobat for .pdf files.
