If there is no MDPP supplier in the new location, the beneficiary can attend virtual sessions through distance learning (e.g., a live virtual classroom), if offered. The beneficiary may also identify other MDPP suppliers that offer distance learning delivery of MDPP services.
MDPP suppliers should report Demonstration Code "82" in Item 19 on the CMS-1500 claim form or in the EDI equivalent 2300 REF01 P4 and 2300 REF02 82.
Electronic claims, 14 days; paper would be 29. Best practice is to wait 30 days for claim finalization prior to resubmitting.
CMS has developed billing and coding cheat sheets to assist with reporting. See the references listed below for more information.
References
MDPP suppliers must update changes to the coach roster in PECOS within 30 calendar days to avoid claims being rejected or denied.
Reference
CMS is responsible for sending the deactivation lists to the MAC. They could request for a provider to be deactivated for not billing any claims for six months or longer.
Below are quick steps for setting up and using the PC-ACE program after it has been installed. For instructions to download the...
Click on the word File from the PC-ACE Main Toolbar and click on Exit.
You will be prompted...
EDI Services generates multiple reports to assist you in easily tracking your electronic claims. These reports represent...
Once claims have been entered, the next step is to connect to First Coast. To do this, you will need a Network Service Vendor...
