May 2011 Bulletin Archive

17 Alpha Hydroxyprogesterone Caproate
Description: In February 2011, The Food And Drug Administration (FDA) Issued Approval For Makenatm, A Commercially Produced 17-Alpha Hydroxyprogesterone Caproate (17-P) Product.
Posted: 5/20/2011 4:43:45 PM

Home Health Policy Update And Training
Description: The South Carolina Department Of Health And Human Services Will Offer Provider Training On The Home Health Program And Provider Manual.
Posted: 5/18/2011 11:50:58 AM

I   Prior Authorization (PA) For High Tech Radiology Services
Description: As part of the South Carolina Department of Health and Human Services (SCDHHS) continuing efforts to provide cost-effective care for its recipients, we are implementing a radiology management program for outpatient radiology scans in partnership with MedSolutions.

II   Training Schedule For High Tech Radiology Services
Description: SCDHHS and MedSolutions will be providing training for providers on the PA process.
Posted: 5/18/2011 11:47:15 AM

 

Providers Indicated
Description: Reporting Patient Liability On Cms-1500/837p Claims
On December 10, 2010, the South Carolina Department of Health and Human Services (SCDHHS) issued a bulletin, notifying providers of warning edits related to patient responsibility that were to be effective with claims and provider error correction forms (ECFs) received on or after January 10, 2011. Implementation of these warning edits was delayed. They will be implemented for claims and provider ECFs received on or after June 15, 2011.
Posted: 5/11/2011 12:55:20 PM

SC Dentist Admits Medicaid Fraud; Pays Back $800,000
Description: Columbia, S.C. - A South Carolina Pediatric Dentist Will Pay Back $800,000 In Taxpayer Money After Admitting To Billing Medicaid For Children's Dental Procedures He Never Actually Performed, The South Carolina Department Of Health And Human Services (Scdhhs) Announced Thursday.
Posted: 5/5/2011 3:55:15 PM

SCDHHS Offers Free Provider Workshops
Description: Attached Is A Schedule Of The Free Workshops Offered By The SCDHHS To Include Medicaid Basics, Comprehensive Web Tool, Overview of Third Party Liability And Overview of Claim-Level Adjustments.
To attend these training sessions, you may register through the South Carolina Medicaid Provider Outreach website at www.scmedicaidprovider.org or by calling the South Carolina Medicaid Provider Service Center at 1-888-289-0709. Select menu option 1 for the Electronic Data Interchange (EDI) Support Center.
Posted: 5/4/2011 11:42:15 AM

Report Fraud