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AHC CCS Categories of Service, Form Types, Provider Types This section includes: Category of Service codes and descriptions as defined by the AHC CCS Administration. Form type codes and descriptions
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What is ahcccs categories of service?
AHCCCS categories of service refer to the different types of healthcare services that are covered by the Arizona Health Care Cost Containment System (AHCCCS). These categories include medical, dental, behavioral health, pharmacy, and other related services.
Who is required to file ahcccs categories of service?
Providers who participate in the AHCCCS program are required to file the categories of service for the healthcare services they provide to AHCCCS members. This includes hospitals, clinics, physicians, dentists, and other healthcare professionals.
How to fill out ahcccs categories of service?
To fill out the AHCCCS categories of service, providers need to submit claims and encounter data electronically through the AHCCCS online portal or using approved methods such as HIPAA-compliant electronic data interchange (EDI). The required information includes patient demographics, service details, diagnosis codes, and provider information.
What is the purpose of ahcccs categories of service?
The purpose of AHCCCS categories of service is to ensure that healthcare providers are appropriately reimbursed for the services they deliver to AHCCCS members. It also helps AHCCCS manage and monitor the healthcare services being provided, track utilization, and ensure compliance with program requirements.
What information must be reported on ahcccs categories of service?
Providers need to report various information on AHCCCS categories of service, including patient demographics (such as name, date of birth, gender), service details (such as date and type of service), diagnosis codes (ICD-10), procedure codes (CPT), provider information (name, NPI), and any other required supporting documentation.
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