Same Day, Multiple Units Billing Reminder

Medicaid billers are reminded to use a single claim line per CPT code, and to provide a total number of reported units on that line. Claims with multiple units of the same procedure code for the same recipient, on the same date of service, by the same provider must be billed on one claim line with the total number of units reported. The criteria for same provider (billing or rendering) is based on provider type. Claims submitted with multiple claim lines, whether on a single claim or multiple claim forms, are considered duplicates for claims processing purposes will be denied.