The Adjust/Void process was
developed by CNYRIC in conjunction with New York State DOH and Computer Science
Corporation (CSC). This process is
designed to give the provider a mechanism to make changes to, or delete claims,
that have been submitted to Medicaid for payment and have been paid.
·
An
adjustment transaction corrects the number of units previously submitted and
paid for a particular rate code.
The
processing of adjustments and voids can be achieved through the current
software package you are using or through the new MEDWEB Site. Please refer to your software manual or
contact your software support person for any processing questions.
If a claim for a rate code being
reimbursed by a monthly fee was submitted for only one service delivery, the
claim would not be billed because CNYRIC edits claims to ensure that a minimum
of two services are claimed in order to engage the monthly service rate codes. The actual number of claims that should have
been billed must be submitted as an adjustment.
Adjust/Void transactions can be submitted to CNYRIC at
anytime. If the Adjust/Void
transactions impact on service claims two years or older, then the submission
of those claims for billing will be delayed.
Claims submitted within the two-year statute of limitations will be
processed upon submission.