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Issue Resolved: Erroneously Issued Resubmission Turnaround Documents
On July 31, 2015, Xerox State Healthcare, LLC (Xerox) resolved the system issue that caused some providers to receive an erroneous Resubmission Turnaround Document (RTD) (Form 65-1) with Remittance...
View ArticleCA-MMIS Health Enterprise: CHDP PM 160 Information Only Reporting
The Department of Health Care Services (DHCS) will soon be implementing the next phase of the CA-MMIS Health Enterprise (HE) system. The current Confidential Screening/Billing Report (PM 160) claim...
View ArticleEXCITING NEW SERVICE FOR MMHCS
MMHCS is excited to share our Peer review service offerings by our well qualified and trained physicians. We provide these unique services to Federally Qualified Health Centers (FQHC) which is led by...
View ArticleCA-MMIS Health Enterprise: Release Update
Since the mid-October announcement of the delay of CA-MMIS Health Enterprise (HE) Release 2.0 provider registration and applicant enrollment for Presumptive Eligibility (PE) programs, the Department of...
View ArticleReminder: ICD-10 Indicator Required
Effective October 1, 2015, all claims submitted with dates of service/dates of discharge on or after October 1, 2015, with ICD-10-CM/PCS codes are required to include an ICD-10 indicator. Providers...
View ArticleCHDP Gateway Presumptive Eligibility Enrollment Limitation
In July 2015, a Title XIX State Plan Amendment (SPA) took effect stipulating that individuals 19 years of age or younger may only receive up to two Presumptive Eligibility (PE) enrollment periods in a...
View Article2016 CPT-4 and HCPCS Codes Not Yet Adopted
Medi-Cal, Every Woman Counts (EWC) and Planning, Access, Care and Treatment (Family PACT) Program have not yet adopted the 2016 updates to the Current Procedural Terminology – 4th Edition (CPT-4) and...
View ArticleICD-10-CM Diagnosis Codes Erroneously Denied for Radiology Claims
The Department of Health Care Services (DHCS) identified a claims processing issue causing some radiology claims to erroneously deny.Claims are being erroneously denied for CPT-4 code 76514 (ophthalmic...
View ArticleErroneously Denied Antenatal Screening Claims
The Department of Health Care Services (DHCS) has identified and corrected an issue causing claims billed with CPT-4 code 76805 (ultrasound, pregnant uterus, real time with image documentation, fetal...
View ArticleNew Opening at MMHCS!
We are currently looking for a Biller and Claims Specialist to join our staff at Macman Management Healthcare Services.We are looking for an applicant to work closely with our Revenue Cycle (RC) team...
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