They were created in response to providers' most commonly asked questions. We have used these billing tip sheets as part of our training programs for some time and they have received positive feedback. They may be downloaded and printed and are useful as a training tool for your staff.
Documents
Acute Hospitals - Billing Instructions for Carve-out Drugs PDF | Word
Billing Instructions for LARC Devices Implanted Inpatient, Immediate Postpartum, Effective March 1, 2018 PDF | Word
Billing Instructions for Acute Inpatient Hospitals PDF | Word
Billing Tips for Methadone Code Changes PDF | Word
Nursing Facility Rate Add-Ons Billing Guidance Effective 10/1/2023 PDF | Word
Request for All Nursing Facility Rate Add-Ons DFF | Word
Contact Information for MassHealth Claim Questions PDF | Word
Correcting Errors 3120 and 3121 PDF | Word
Electronic Claim Submission PDF | Word
Home Health Billing Tips for Services Provided to Members Enrolled in a MassHealth MCO PDF | Word
Hospice Billing Tips PDF | Word
Hospice Billing Tips for Room and Board Charges When a Member is in a Long-Term Care Facility PDF | Word
All Provider Bulletin 256: The Overpayment Disclosure Process PDF | Word
Suspense Edits for Nursing Facility Claims - Claim Conflict Suspense Edits PDF | Word
Suspense Edits for Nursing Facility Claims - Level of Care Suspense Edits PDF | Word
Suspense Edits for Nursing Facility Claims - Member Eligibility Suspense Edits PDF | Word
Tracking Claims Pended for Fiscal Reasons PDF | Word
Understanding Accounts Receivable PDF | Word
Using Remittance Advance(s) to Reconcile Your Accounts PDF | Word