PCS Claim Reprocessing FAQs

 

Yes, you can. However, we will only apply the funds that remain due after the checkwrite cycle. For example: The PCS letter says $1,000 due and the Provider sends $1,000; but during the checkwrite cycle $750 was recouped from paid claims, so only $250 is needed from the Provider. Some Providers want to prepay for the entire amount. We can only apply funds AFTER the recoupment checkwrite as the claims have to be reprocessed first.

Yes, you can. However, the amount on the letter is just an estimate and the checkwrite cycle must run first before we can determine how much is remaining. If you decide to "pay" for all 8 months in advance you can do that. CSC will apply funds to the System Negative Balance after each PCS reprocessing. Once all PCS reprocessing is complete, any funds remaining on the check will be returned to the Provider.

Please send a copy of the PCS letter you received and a check for the amount you wish to send. The address to send the payment is "Misc. Medicaid Payments, PO Box 602885, Charlotte, NC 28260-2885."  The check should be made out to "Misc. Medicaid Payments."

No.  The PCS claims must be reprocessed to correct claims history in the system.

Recoupments can not be completed until the scheduled date. For items in 2015, those reprocessing dates will be available after the 2015 checkwrite schedule has been approved by DMA.

No. Providers will not receive amended 1099s for 2013. This activity will be reported in the current year 1099.