RA Messages for August 18, 2011


PHARMACY PROVIDERS, PLEASE NOTE!!!

If you are unsure about the coverage of a drug product, please contact the PBM help desk at 1-800-648-0790.

Please file adjustments for claims that may have been incorrectly paid. Only those products of the manufacturers which participate in the Federal Rebate Program will be covered by the Medicaid program. Participation may be verified in Appendix C, available at www.lamedicaid.com


ATTENTION ALL PROVIDERS

The checkwrite schedule for the month of August 2011 is as follows:

Thursday August 4, 2011
Wednesday August 10, 2011 (Long Term Care and all other combined)
Thursday August 18, 2011
Thursday August 25, 2011

EDI cut-off is 10:00 AM on the Thursday preceding the check write date.


ATTENTION PROFESSIONAL SERVICE PROVIDERS
PHYSIATRISTS MANAGING INTRATHECAL BACLOFEN THERAPY

Effective with date of service August 1, 2009, Louisiana Medicaid reimburses physiatrists for intrathecal baclofen pump management. Services that may be provided by a physiatrist include pump analysis, programming, refill, and maintenance. Providers are encouraged to refer to the Current Procedural Terminology manual for instructions on how to bill for these services.

Please contact the Molina Provider Relations unit at (800) 473-2783 or (225) 924-5040 with questions concerning this issue.


ATTENTION ALL PROVIDERS OF DURABLE MEDICAL EQUIPMENT

All providers who provide Durable Medical Equipment (DME) that are not exempted from accreditation should submit their documentation for accreditation by July 31, 2011. DME providers without certificate of accreditation on file by August 31, 2011, will have their provider numbers closed on that date.

Closed DME providers will have three months, or 90 days, to submit the documentation and retain their enrollment status in Louisiana Medicaid. After the 90 day period, a new enrollment packet will need to be submitted along with the accreditation documentation to reinstate their provider numbers.


ATTENTION PROFESSIONAL SERVICE PROVIDERS
BILLING DIAGNOSTIC HEART CATHETERIZATIONS

It has been brought to the Department's attention that clarification is needed regarding the billing of a therapeutic cardiovascular intervention on the same date of service as a coronary angiography. This message is intended to provide clarification for providers who perform and bill for these services.

Coronary angiography without concomitant left heart catheterization should not be billed to report catheter introduction and position within the vessel when performing a therapeutic cardiovascular intervention (such as balloon angioplasty and intracoronary stent placement). This is considered an integral part to the primary procedure; therefore, it should not be reported separately.

The only instance when it would be appropriate to report coronary angiography without concomitant left heart catheterization on the same date of service as a therapeutic cardiovascular intervention would be if a true diagnostic angiography was performed, and documentation supports the performance and necessity for the procedure. Instances which would be appropriate for separate reimbursement include occasions in which no previous angiographic study is available, insufficient previous angiography, or a change in the patient's condition. In order to appropriately bill for both of these services on the same date of service, providers should append the coronary angiography with the appropriate modifier to identify it as a distinct procedural service.

Providers are reminded that the medical record acts as the only means to support services billed. If the medical record does not support the necessity and performance of a true diagnostic angiography, the claim for the angiography will be determined as an overpayment and is subject to recoupment.

Please contact the Molina Provider Relations unit at (800) 473-2783 or (225) 924-5040 with questions concerning this issue.