May 15, 2020

State of Alabama
Press Release: Medicaid

Adjusting Hospice Claims Reprocessed Due to Increase Per Diem Rate for Nursing Facilities Related to COVID-19 Health Emergency

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TO:                Hospice and Nursing Home Providers

 

RE:                Adjusting Hospice Claims Reprocessed Due to Increase Per Diem Rate for Nursing Facilities related to COVID-19 Health Emergency

 

Due to a claims processing rule that Medicaid will not pay more than the submitted charges on the claim, some hospice claims for procedure code T2046-SE, reprocessed due to the increased per diem rate, did not pay the increased rate. Therefore, hospice providers will need to initiate an adjustment for claims paid between March 1, 2020 and the April 17th checkwrite.

 

The billed amount on the adjusted claims must include the $20 per diem increase. Either the original claim or the adjusted claim, processed by DXC, can be used to initiate the adjustment. If you have any further questions, you may contact a DXC Provider Representative for assistance at 1-855-523-9170 then the seven-digit extension below. 

 

DXC Technology Provider Representatives

 

   Aleetra Adair-Smith

Ext. 1121064 

   Lauryn Morgan

Ext. 1121048

   Gayle Simpson-Jones

Ext. 1121065

   Emily Cook

Ext. 1121047 

   Suzi Taylor

Ext. 1121110 

   BreAnna Hall

Ext. 1121153 

   Krysta Cook

Ext. 1121058 

   Jacquelyn Thomas

Ext. 1121077 

   Tori Nix, Supervisor

(334) 215-4247 

 

Please contact Robin Arrington at (334) 353-4754 or Robin.Arrington@medicaid.alabama.gov only if DXC cannot resolve your billing issues.



 



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