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State of North Carolina <br />.Department of Environment, <br /> Health and Natural Resources <br /> <br />James B. Hunt, Jr., Governor <br />Jonathan B. Howes, Secrefary <br />Ronald Levine, MD, MPH, State Health Director <br /> <br />TO: <br /> <br />FROM: <br /> <br />August 18, 1993 <br /> <br />Local and District Health Departments <br /> Health Directors, <br /> Nursing Supervisors/Directors <br /> Management Support Staff/Finance and Billing <br /> <br />Assistant State Health Director <br /> <br />SUBJECT: Approved Medicaid Services and Reimbursement Rates <br /> <br />I am elated to share with you the attached revised schedule of Medicaid rates <br />for the approved services effective for July 1, 1993. The rates are the result <br />of the Medicaid Cost Study for Local Health Departments performed by the School <br />of Public Health at the University of North Carolina at Chapel Hill. <br /> <br />Please note that some rates have been revised and you will need to adjust the <br />medicaid billing with respect to your accounts receivable. The adjustment <br />methodology should be as follows: <br /> A. Claims submitted for July dates of service will be paid at the new <br /> rates. <br /> B. To adjust your accounts receivable, determine the difference in the <br /> amount entered and the amount paid: <br /> (a) Multiply by the number of paid claims and make an adjustment <br /> entry for each paid procedure. For an example: <br /> 1. Your receivable for Family Planning Initial visit (Y2001) is <br /> $93.72. <br /> 2. Ten (10) claims will be paid at $136.38. <br /> 3. Adjustment entry would equal an additional $426.60 ($136.38- <br /> $93.72 X 10) for Family Planning Initial visit. <br /> <br />(b) <br /> <br /> 1. <br /> 2. <br /> <br />Conversely, your accounts receivable adjustment for ultra sound <br />(Y2135) is reduced. <br />Ten claims will be paid at $38.14 or a total of $381.40. <br />Your accounts receivable should be reduced also by a total of <br />$104.20 ($~8.56 -$38.14 = $10.42 X 10 ) to align the account <br />for the ultra sound visit. <br /> <br />The attached charge schedule has been revised to assLst with non-medicaid <br />eligible fee charges. <br /> <br /> P. O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone 919-715-4125 <br />An Equal Oppodunit¥ Affirmative Action Employer 50% recycled/10% post-consumer paper <br /> <br /> <br />