A Request for Proposal (RFP) for medical bill review services was issued on November 1, 2017. All submitted proposals received have been reviewed. MSF is currently in the final selection process and will update providers once a decision has been made. As stated before, MSF will work to make the process as seamless as possible as we transition to the new Bill Review vendor.
If you have further questions, contact Michele Fairclough at 406-495-5362.
On June 28, 1996, the Workers’ Compensation Court entered findings of fact, conclusions of law and judgment denying Petitioner/Appellant Joe Yarborough (Yarborough) compensation and medical benefits for an alleged work-related injury aswell as attorney fees, costs and a penalty. Yarborough appeals only that portion of the judgment denying him compensation and medical benefits for his alleged work-related injury. Read more.
Please do not use a highlighter to draw attention to pertinent information as it turns black during the scanning process. Use a black or blue pen and “star”, circle or underline to indicate the information that is being referenced. Do not use a red pen as the scanner drops anything that is in red or pink. We appreciate your help on this.
CORRECTED BILLS
When submitting a corrected bill (CMS 1500 or UB04), please mark the bill “CORRECTED BILL” to indicate that there has been a change to the original billing. Please include a copy of the EOR and any records to support the charges.
RESUBMISSIONS
If multiple services were billed on a CMS 1500 but not all services were paid, please resubmit the original bill with the additional information or reason that you are requesting reconsideration. Do not bill those lines on a new bill or add them to a new billing. This will maintain the integrity of the original billing and reduce denials for duplicate charges. Submit your request with a copy of the EOR and records or information to support the request.
ADDITIONAL RECORDS
When submitting additional records, please attach a copy of the bill, the EOR and the request for reconsideration and mail to:
MONTANA STATE FUND
PO BOX 4759
HELENA, MT 59604
ICD-10 diagnosis codes are extremely important to MSF for a variety of reasons. We continue to receive bills with incomplete codes. ICD-10 codes are 3-7 characters (alpha and numeric). Some codes require a 6th or 7th character in order to be complete. Codes that require additional characters in order to be complete are indicated in the ICD-10 manual with a check mark inside a red box. Make sure when submitting your bills that the complete ICD-10 code has been chosen.
Evidence Based Medicine: New Opportunities to Improve Outcomes is the theme for Montana State Fund’s 18th annual medical conference, May 31 – June 1, 2018 in Helena.
Topics for the event include:
Continuing education credits, continuing medical education (CME) and other continuing education credits will be available.
Registration costs include:
For more details, or to register, go to medical conference website.
If you need additional information please contact, Shannon Hadley, Provider Relations Specialist or call 406-495-5245
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