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<p class=MsoNormal><b><u><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial;font-weight:bold'>Attention: MaineCare Providers of
Targeted Case Management Services<o:p></o:p></span></font></u></b></p>
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<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>An earlier list serve message advised TCM providers to
re-bill claims for procedure codes Z9422 and Z9423 that were denied for
“case management limit exceeded”. Some of these denials are
proper, such as when two case management providers have billed for the same
date of service. Therefore, not all claims denied for “limit
exceeded” should be re-billed. <o:p></o:p></span></font></p>
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font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>Providers should re-bill claims with dates of service after
8/31/2008 that have denial code #119. This denial code was recently
corrected. Claims with this denial code may have been improperly
denied. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>Please contact your MaineCare Provider Relations Specialist
at 800-321-5557, option 8 with any questions.<o:p></o:p></span></font></p>
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11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><i><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial;font-style:italic'>Is your mailing address up to date with
MaineCare? Please keep MaineCare up to date so your Remittance Statements
and checks arrive on time. Call Provider Enrollment at 1-800-321-5557
Option #6. <o:p></o:p></span></font></i></p>
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font-family:Arial;font-style:italic'><o:p> </o:p></span></font></i></p>
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font-family:Arial;font-style:italic'>If you would rather not get these e-mails,
visit <a href="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml"
title="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml">MaineCare's
Listserv Subscription</a> page to unsubscribe.<o:p></o:p></span></font></i></p>
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font-family:Arial;font-style:italic'> <o:p></o:p></span></font></i></p>
<p class=MsoNormal><i><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial;font-style:italic'>This is a one-way communication. Do
not reply to this e-mail. Your e-mail will not receive response. If
you have questions, please call 1-800-321-5557. <o:p></o:p></span></font></i></p>
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