Guam Medicaid and MIP Providers:
In January 2023 the CY 2023 Medicare Physician Fee Schedule (MPFS) was updated. Thus, the Guam Medicaid and MIP program is announcing the opportunity for providers to submit appeal claims electronically to make the necessary adjustments. The program does have a one-year billing limitation from the date of service.
The process to submit appeal claims are as follows:
1. Ensure initial CY 2023 claims received by Guam Medicaid and MIP within the one-year billing limitation from the date of service, with service date effective January 1, 2023, through December 31, 2023.
2. Submit Appeal Claims after December 31, 2024, with supporting documents.
You may download a copy of of this notice and CY 2023 Medicare Physician Fee Schedule here.
Should you have any questions, please contact Ms. Janet B. Cruz, Acting Human Services Program Administrator at (671) 735-7471 or via email at janet.cruz@dphss.guam.gov.
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