DMAP 505 Billing Tutorial

DMAP 505Claim form billing instructions for the Department of Human Services 1OverviewThis step-by-step presentation is intended to provide information to assist those who bill the Division of Medical Assistance Programs (DMAP) for Medicaid/Medicare services complete the DMAP 505 billing form correctly the first time. If applicable, this presentation is to be used in conjunction with General Rules, your provider guidelines and supplemental information.We hope you find this tutorial helpful.~ DHS ~2????MMISThe federal government requires DHS to process Medicaid claims through an automated claim processing system known as the Medicaid Management Information System (MMIS).This system is a combination of people and computers working together to process claims.This system performs daily edits for presence and validity of data. DHS staff only reviews claims that MMIS cannot make a payment decision on based on the information submitted.3????Claims ProcessingPaper claims submitted by mail go to DHS Office of Document Management (ODM) Imaging Unit. ODM processes hardcopy claims using Optical Character Recognition (OCR) scanning. Make sure your claim form meets OCR specifications.A Remittance Advice (RA) listing all claims adjudicated is mailed to the provider (with payment if appropriate). 4??Crossover When you submit your CMS 1500 claim form to Medicare, Medicare transmits the billing information to ...