You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
FAQ’s Cont.<br />
<br />
Member Program Codes to watch for<br />
Z-QMB Only-<strong>Medicaid</strong> only allows after Medicare, so if Medicare<br />
denies, <strong>Medicaid</strong> will deny.<br />
ZJ, ZK, ZL, ZQ Buy-In Member-<strong>Medicaid</strong> is only paying the<br />
Medicare Premiums. No <strong>Medicaid</strong> coverage.<br />
<br />
<br />
<br />
For Ambulatory Surgery Centers only:<br />
The 59 modifier is ONLY for implants. These must be billed on<br />
paper with the invoice attached and the billed amount must match<br />
the invoice dollar amounts.<br />
Rendering ARNP/CRNA cannot be billed along with the<br />
physician group.<br />
Billing for a Physician Assistant: In field 10d, enter the PA’s NPI<br />
number. In field 24d enter the U1 modifier. In field 24j, enter the<br />
supervising Physician’s NPI.<br />
Cabinet for Health and Family Services<br />
28
Change language