NC Medicaid Personal Care (PCS) will be billed using different HCPCS/modifier codes starting Jan 1.
What do I need to do?
STEP 1:
Go to Codes > Rates > Job Codes, call up each PCS job code. Click on Add a New Rate Date, change the date to 1/1/2013, fill in the new rate (15.52 or higher), and click Save Job Code and Rate. You'll see in the rate panel that both the current and new rates are there, with their respective start dates. Repeat for all PCS job codes. No other changes are needed, and this can be done now, since it won't take effect until Jan 1. The software will change the HCPCS code from S5125 to 99509, and keep the HA and HB modifiers, for services Jan 1 2013 and after - this change is built into the software, so no changes to the HCPCS codes is needed.
STEP 2:
Plan to create billing batches thru Monday Dec 31, and separate batches that start on Tuesday Jan 1. Do NOT not have any batches that cross over the end of the year, since they typically can’t handle a claim that has both old and new codes on it.