Transcription of FEE-FOR-SERVICE PROVIDER
{{id}} {{{paragraph}}}
Example: barber
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.
Correct coding means billing for procedures with the appropriate comprehensive code. “Unbundling” is the billing of multiple procedure codes for services that are covered by a single comprehensive code. Some examples of incorrect coding include: o Fragmenting one service into components and coding each as if it were a separate service.
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: