The three KanCare MCOs hosted fall training sessions in October and November. These training sessions provide a great way to keep up with billing issues with KanCare. Some of the main issues they discussed were:
- Timely filing – providers need to make sure they are following the timely filing period defined in their contract with the applicable MCO.
- MS 2126 issues – the Clearinghouse has acknowledged to the MCOs that they are behind on processing 2126 forms. Providers that have an issue with this should contact their provider representative at the MCO to get them to assist with this. The MCOs now have a spreadsheet similar to the one used by LTC providers that they use to communicate issues with the Clearinghouse, so they can advocate on your behalf to assist with this issue. It was also pointed out that 2126 forms need to be filled out correctly. The form instructions state that section 3 is optional, however it really isn’t. Section 3 contains important information that the MCO needs, so please fill it out.
- Denials for unacceptable principal diagnosis codes – MCOs are currently seeing an increased number of denials for this. The policy for these codes was updated for claims with a date of service on or after July 12, 2016. The first bulletin, #16117, mainly applied to professional providers. An additional bulletin, #16161, was issued in late October that applied to institutional providers, so if you are seeing new denials related to the principal diagnosis code, check these bulletins.
