Get Related Mln Matters Article # Mm5835 Date Posted April 17, 2008 Related Cr # 5835 - Cms

This guide provides you with comprehensive instructions on how to fill out the Related MLN Matters Article # MM5835 form, which was posted on April 17, 2008. Follow these clear steps to ensure accurate submission of necessary National Drug Codes and quantities on the CMS-1500 paper claims.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it using the provided tool.
2. Review the instructions on the effective date and implementation date, both of which are April 7, 2008. Ensure you are aware of these key points before proceeding.
3. Identify the claims you need to submit using the CMS-1500 paper claims form, ensuring they are for services provided to dually eligible patients for Medicaid and Medicare.
4. Locate the red shaded portion of the detail line item on the form. In this section, you must input the NDC code. Remember, include the qualifier 'N4' before the 11-digit NDC code (e.g., N499999999999).
5. Next, input the quantity of the physician-administered drugs in positions 17 through 24 in the same red shaded portion. Make sure to precede the quantity with the appropriate qualifier, which could be UN (units), F2 (international units), GR (gram), or ML (milliliter).
6. If your quantity consists of fewer than six digits, left-justify the entry, filling the remaining positions with spaces.
7. Once all necessary information has been entered correctly, review the form for accuracy before proceeding to save your changes, download it, print it, or share it as required.

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