![]() Date billed must be represented in box 45 of the UB with correct codes this will stop a span date from being used if not listed.May NOT claim more than 1 overhead per date of service billed.Enter span dates in fields 35a-36b (up to 4 spans).Enter individual dates in box 31a-34b to claim overhead reimbursement (8 dates).If you enter the To date, you will receive an error, and it will not let you continue without removing that date.You may then add the next 61 with next date of service in From field and select Add (for a total at this time of 4 lines).Enter the 61 occurrence code with the Date of Service in the From field, then select Add.Span dates are currently being reviewed for future use. Occurrence codes billed on the portal are currently limited to 4 dates.How should home health services be processed? Please retain the initial negative balance EOP until the negative balance is $0, as overpaid claims information will not be repeated on future EOPs. The provider will also receive an EX code to indicate why we are recouping along with the payment amount to be recouped. It will list the claim number along with the service line or lines that caused the take back. ![]() The initial EOP will show the claim/claims that will be recouped. (Negative balance is satisfied at this point). ![]() Member C – DOS 1/18/16, provider should be paid $40 EOB will reflect – $40. Member B – DOS 1/15/16, provider should be paid $60 EOB will reflect -$60. Member A – DOS 1/1/16, overpaid claim by $100 This could be done on one claim or over multiple claims depending upon the total dollar amount of the recoupment and the claims processed. The next claim processed for the provider (for any member) will reduce the payment amount until the $100 is satisfied. The recoupments are reflected as a negative balance, and therefore will be carried over to subsequent EOPs until overpayment is satisfied. For example, Member A’s claim with a provider was overpaid by $100. If MHS overpays a claim, we may choose not to recoup the overpayment, but to reduce future claim payments to the provider until the overpayment is satisfied. ![]()
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