Get the free AHCCCS Billing Manual for IHS/Tribal Providers - azahcccs
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This manual provides guidelines and policies for billing individual practitioner services by IHS/Tribal Providers under AHCCCS, including coding requirements, limitations, coverage of medical services,
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How to fill out ahcccs billing manual for
How to fill out AHCCCS Billing Manual for IHS/Tribal Providers
01
Obtain a copy of the AHCCCS Billing Manual for IHS/Tribal Providers from the official website or contact your IHS/Tribal clinic for a physical copy.
02
Familiarize yourself with the format and structure of the manual, including all sections and appendices.
03
Refer to the specific coding guidelines outlined in the manual for various services and procedures.
04
Ensure you have the necessary documents and information before you start filling out the billing forms, including patient information and service details.
05
Accurately enter the patient demographic data, service codes, and billing amounts as instructed in the manual.
06
Include appropriate attachments as required by the manual, such as supporting documentation for the services rendered.
07
Review the completed billing form for accuracy and completeness.
08
Submit the billing form following the submission process outlined in the manual, ensuring it is sent to the correct AHCCCS address.
Who needs AHCCCS Billing Manual for IHS/Tribal Providers?
01
IHS (Indian Health Service) and Tribal healthcare providers who bill for services provided to eligible members under the AHCCCS program.
02
Administrative staff working in IHS/Tribal healthcare settings responsible for preparing and submitting billing claims.
03
Healthcare professionals seeking to understand the proper billing procedures for AHCCCS services.
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People Also Ask about
What is the American Indian payer ID for AHCCCs?
American Indian Health Program (AIHP) (Health Plan ID #999998)
Does AHCCCs accept paper claims?
Original claim forms must be used for any paper claims submitted to AHCCCS. claim form. To ensure the successful processing of a paper claim form: Claim forms with labels and stamps will not be accepted, as that is considered an alteration of the claim.
What can AHCCCs cover?
The CMS 1500 form and the UB-04 form are two different types of medical claim forms used for submitting claims to insurance companies. While they serve similar purposes, they are designed for different types of healthcare providers and services.
Does Medicare accept paper claims?
Pregnancy Care. Surgery Services. Physical Exams. Behavioral Health. Family Planning Services. Dialysis. Glasses, including replacements (for children under age 21) Vision Exams (for children under age 21)
What is the timely filing limit for Ahcccs claims?
- Fee-for-Service claims are considered timely if the initial claim is received by AHCCCS no later than 6 months from the date of service. - IHS/638 claims should be submitted within 12 months from the date of service.
How do I contact AHCCCS provider services?
Our Provider Services representatives are skilled to provide help to many basic claims questions. To reach Provider Services call (602) 417-7670. Provider Services Operation Hours: Monday-Friday from 8:00 A.M. - 5:00 P.M.
What is the timely filing limit for Ahcccs claims?
- Fee-for-Service claims are considered timely if the initial claim is received by AHCCCS no later than 6 months from the date of service. - IHS/638 claims should be submitted within 12 months from the date of service.
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What is AHCCCS Billing Manual for IHS/Tribal Providers?
The AHCCCS Billing Manual for IHS/Tribal Providers is a comprehensive guide designed for Indian Health Service and tribal healthcare providers to facilitate the accurate billing of services covered by the Arizona Health Care Cost Containment System (AHCCCS).
Who is required to file AHCCCS Billing Manual for IHS/Tribal Providers?
IHS/Tribal healthcare providers who provide services to AHCCCS members are required to follow the guidelines established in the AHCCCS Billing Manual for accurate billing and reimbursement.
How to fill out AHCCCS Billing Manual for IHS/Tribal Providers?
To fill out the AHCCCS Billing Manual for IHS/Tribal Providers, providers should follow the detailed instructions within the manual, which include completing billing forms accurately, ensuring correct coding of services, and submitting required documentation in accordance with AHCCCS policies.
What is the purpose of AHCCCS Billing Manual for IHS/Tribal Providers?
The purpose of the AHCCCS Billing Manual for IHS/Tribal Providers is to provide clear guidelines and standards for billing practices to ensure that IHS and Tribal providers receive proper reimbursement for healthcare services provided to eligible members.
What information must be reported on AHCCCS Billing Manual for IHS/Tribal Providers?
The AHCCCS Billing Manual for IHS/Tribal Providers requires healthcare providers to report specific information including patient demographics, service codes, provider information, date of service, and any additional documentation necessary to support the billing.
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