Transcription of FEE-FOR-SERVICE PROVIDER
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FEE-FOR-SERVICE PROVIDER
FEE-FOR-SERVICE PROVIDER . BILLING MANUAL. CHAPTER 10 INDIVIDUAL PRACTITIONER. SERVICES. Revision Dates: 4/5/2018; 2/9/2018; 1/05/18; 12/29/17; 10/01/2017; 10/05/2016;. 03/30/2016; 12/21/2015; 11/13/2014; 09/30/2014; 04/07/2014. General Information Within limitations, AHCCCS covers medically necessary medical and surgical services performed in offices, clinics, hospitals, homes, or other locations by licensed physicians, dentists, and mid-level practitioners. Cosmetic surgery, experimental procedures, and unproven procedures are not covered. Physicians and mid-level practitioners must bill for services on the CMS 1500 claim form. Services must be billed using appropriate CPT and HCPCS codes and procedure modifiers, if applicable.
Social Determinants Social determinants of health are the conditions in which a person is born, grows, lives, works and ages. ICD-10 codes have been created to correspond with these social determinants. Social determinants of health take into account factors like the member’s education,
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