Billing Information

• DPW Fee Schedules

• EDI Questions and Answers

• 2012 CMS NDC-HCPCS Crosswalk Information (PDF)

• 2012 Updated Claims Filing Instructions (PDF)

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April 08, 2013
CMS-1500 Required Fields (PDF)

April 08, 2013
UB-04 Required Fields (PDF)

September 21, 2012
Remittance Advice Rejection Code and Billing Reminder (PDF)

August 09, 2012
Submitting COB claims via EDI for Practitioners (PDF)

August 09, 2012
Submitting COB claims via EDI for Facilities (PDF)

April 30, 2012
Outpatient Hospital Services Billing Reminder (PDF)

January 23, 2012
Important HIPAA 5010 and POA billing instruction update (PDF)

August 04, 2011
Reporting Abnormal Birth Weight (PDF)

June 29, 2011
Changes to billing procedures for CT of abdomen and pelvis during the same session (PDF)

December 08, 2010
Factor Drug Carve-Out: Provider Submission Instructions (PDF)

December 08, 2010
Tips for Accurate Diagnosis Coding (PDF)

November 09, 2010
Outpatient Lab Reminder & STAT Lab Exception Code List (PDF)

July 22, 2009
Remittance Advice Instructions (PDF)

April 10, 2009
UB04 (TYPE 26) Billing Guidelines for Nursing Facilities (PDF)

April 10, 2009
UB04 (TYPE 65) Billing Guidelines for ICF/MR, ICF/OR and State MR Centers (PDF)

November 05, 2008
Present on Admission (POA) Guidance (PDF)

July 01, 2008
Ambulance Billing Change (PDF)

December 22, 2006
Observation Stay Auth Change (PDF)

March 06, 2006
Home Health Billing Update (PDF)

December 27, 2005
DME Billing Update (PDF)

November 29, 2005
Dialysis Coding Update (PDF)

October 10, 2005
DME Coding Update (PDF)

July 01, 2005
DME Prior Authorization Change (PDF)

May 25, 2005
Upgrades to Your Remittance Advice (PDF)

June 11, 2004
Anesthesia Billing Update (PDF)

January 06, 2003
Crosswalk of Remark/Denial Code Reasons (PDF)

 

Claim Processing Address:

Keystone Mercy Health Plan
Claim Processing Department
P.O. Box 7115
London, Kentucky 40742