AHCCCS Claims Clues
Claims Clues is a newsletter produced periodically by the AHCCCS Claims Department for Fee-For-Service (FFS) providers. It provides information about the following:
- Changes to the program
- System changes and updates
- Billing policies and requirements
Additional information can be found in the Encounter Keys newsletter.
2017
- Fee For Service NEMT Authorization Update June 2017
- FFS Behavioral Health NEMT Updates and Reminders
- FFS Billing Specialty NF & HCBS Rate Increase Effective 1-1-17
- AHCCCS Targeted Investment Program
- Federal Emergency Services Program (FESP)
- Paper Claims Submission Font Issue
- BH PA Process Training notice
- DFSM Training Schedule
- Article on TRBHAs and List of TRBHAs
- DFSM Training Schedule
- AHCCCS Contacts and links
- Overpayments
- Fee-For-Service (FFS) Prior Authorization Information and Reminders
- DFSM Training Schedule
- UPDATE: AHCCCS - Constant Contacts replaces ListServ
- Claim Reminders
- UB Medical Review - Suggested Documentation
- AHCCCS Contacts, Links and Resources
- Reminder: AHCCCS will be closed February 20, 2017 (Monday) to observe President’s Day
- Fee-For-Service (FFS) Prior Authorization Reminder
- Behavioral Health NEMT Updates and Reminders
- DFSM Training Schedule
- AHCCCS Contacts and links
2016
- Reminder: AHCCCS will be closed January 2, 2017 (Monday) to observe New Year’s Day.
- Non-Emergency Medical Transportation (NEMT)
- DFSM Training schedule
- AHCCCS Contacts and links
- Week of December 12, 2016 Fee-For-Service Payments and Remits Will Be Delayed One Day
- Reminder: AHCCCS will be closed December 26, 2016 (Monday) to observe Christmas Day.
- Non-Emergency Medical Transportation (NEMT)
- DFSM Training schedule
- AHCCCS Contacts and links
- Genetic Testing Prior Authorization – Correction
- Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist
- Reinstatement : ALTCS Dental
- Third Party Liability (TPL)
- Non-Emergency Medical Transportation (NEMT)
- AHCCCS Contacts and Links
- Reminder: AHCCCS will be closed Monday, October 10, 2016
- Long Acting Reversible Contraceptive (LARC)
- Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist
- ALTCS Dental Benefit
- Referrals for NEMT Trips Beyond "nearest facility"
- Dental Review Process for Deep Sedation/General Anesthesia
- Prior Authorization Request Timeframes
- Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA)
- New Provider Type: Free-Standing Emergency Departments (FrEDs)
- Proposed Reinstatement: ALTCS Dental Benefit
- Reinstated: Coverage of Podiatry Services Performed by a Licensed Podiatrist
- KidsCare is Reinstated Effective September 1, 2016
- Reminder: Tribal Regional Behavioral Health Authority Provider Notification
- Paper Claim Submission Issues
- KidsCare is Re-Instated Effective September 1, 2016
- Prior Authorization Request Timeframes
- Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA)
- UM/CM Unit Name Change to CMSU Effective 7/1/2016
- Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA)
- Provider Records Retention Requirements
- Provider "Going Out of Business" Process
- Genetic Testing Requires Prior Authorization
- Tribal Regional Behavioral Health Authority Provider Notification
- Dental Review Process Change for Deep Sedation/General Anesthesia
- Claims Customer Service Tips
- Tribal Regional Behavioral Health Authority Provider Notification
- Dental Review Process Change For Deep Sedation/General Anesthesia
- APR-DRG On Interim Claims
- Submitting Medical Records For An EDI Claim
- When Your Claim Is Denied For Medical Documentation
- NEMT Providers - Provider Registration Records Update
- AHCCCS Provider Participation Terminated For Inactivity
- DFSM Claims Customer Service Reminders
- Are You Signed Up for Important Provider Notices?
- Hospital Presumptive Eligibility HPE
- DFSM Claims Customer Service Tips
- Are You Signed Up for Important Provider Notices?
- Provider Records Retention Requirements
- Provider "Going Out of Business" Process
- Claims Customer Service Tips - Using AHCCCS Online
- Inpatient Outlier Review Process
- Attention Providers: Claim Submission System Downtime
- AHCCCS Webpage Has a New Look!!
- When Other Coverage is Primary
- NEMT Providers: Provider Registration Records Update
- Referrals for NEMT Trips Beyond "nearest facility" for AIHP
- Behavioral Health Fee Schedule
- Reminder: FREE Online Services for AHCCCS Providers
2015
- NEMT Coverage & Limitations
- Prior Authorization Submission
- Continuous Glucose Monitoring (CGM)
- Home Infusion of Inotropic Medications
- Provider Training Email Address
- Mandated Hospice Rate Changes Effective 01/01/2016
- Fee-For-Service Claims Payment Questions?
- Greater Arizona Integrated Care Update
- Reminder: Transition from ICD-9 to ICD-10 on 10/01/2015
- ICD-10 Diagnosis Code on ADA Form - Correction
- ICD-10 Implementation and Prior Authorization Changes
- Reminder: Claims Received 9/28/15 and 9/29/15
- Delayed: Changes to AHCCCS Covered Behavioral Health Services
- Dental Service Requirements for IHS and Tribal 638 Providers
- Reminder: Transition from ICD-9 to ICD-10 on 10/01/2015
- Adult Orthotic Benefit Change Effective 8/1/2015
- Significant Changes to AHCCCS Covered Behavioral Health Services
- Visiting the AHCCCS Administration Office?
- Claims Submitted 9/28/15 and 9/29/15
- Coding/POS Updates
- NEMT Trip Report Issues
- Reminder: Revised Trip Report & Instructions
- Billing FQHC/RHC Claims with a Primary Payer - Correction
- Reminder: FREE Online Services for AHCCCS Providers
- Are You Signed Up for Important Provider Notices?
- Reminder: Fee for Service (FFS) Provider Payment Changes
- Digital X-rays
- Billing FQHC/RHC Claims with a Primary Payor
- Still Submitting Paper Claims to AHCCCS FFS?
- Fee For Service Provider Payment Changes
- Still Submitting Paper Claims to AHCCCS FFS?
- Provider Registration Changes for Provider Type 40 - Update
- Medically Unlikely Edits (MUEs)
- Revised NEMT Trip Report and Instructions
- Reminder: Paper Claim Submissions
- Provider Registration Changes for Provider Type 40
- Coding Changes/Updates
- FQHC / RHC
- Reminder: Claim Status - Pending
- Reminder: Transition from ICD-9 to ICD-10 effective 10/1/2015
- Coding Changes/Updates
- Correction - Coding Changes Effective 01/01/2015
- Correction - Provider Training Email Address
- Claims Status - Pending
- Recipient Signature on NEMT Trip Report
- Reminder - FQHC/RHC Payment Process Change Delayed
2014
- FQHC/RHC Changes Delayed
- Coding Changes Effective 01/01/2015
- NEMT Provider Reminder
- New Provider Training Email Address
- IHS/638 Claim Audit Memo
- Re-enrollments for NEMT & Group Billing Providers
- FQHC AND RHC PAYMENT PROCESS CHANGE
- PERM Audit Reminder
- No Claims Load Into System 9/24 - 9/30/14
- Billing Reminder
- Did You Know...?
- When AHCCCS Requests Medical Documentation
- 2 Policy Changes for NEMT Providers
- REMINDER: Transition from ICD-9 to ICD-10 code sets delayed until 10/1/2015
- Billing Reminder
- Did You Know...?
- Timely Filing Denials
- Claims Process Definitions
- New Policy Changes for NEMT Providers
- Reminder - ICD-10 Transition Delay
- NEMT Policy - Tribal Business Licenses Required
- 2014 1st Quarter NEMT Quality Audits
- Reminder - Transition to ICD-10 Delayed
- Reminder - New ADA 2012 Version
- PERM 2014 Cycle "Save the Date" Webinars
- AZ DOC Special Edition Notice
- Billing Reminder
- UB04 Date Discrepancies
- NOTICE: Transition from ICD-9 to ICD-10 delayed until 10/1/2015
- New ADA form 2012 Version
- PERM 2014 Cycle CMS Provider Education
- Monthly NEMT Quality Audits
- Billing Reminders
- Note from Provider Registration
- PERM Cycle 3 Provider Education Webinar/Conference Calls
- Correction of February 2014 NEMT Article
- Billing Reminders
- NEMT Policy Changes Effective 4/1/2014
- PERM Cycle 3 Arizona
- PERM 2014 "Save The Date"
- OVER USE & MISUSE of 99285
- Submitting Claim Documentation
- NEMT (Provider Type 28) Policy Changes
- PERM 2014 CYCLE
- October 2013 NEMT Claim Audit
2013
- PERM 2014 CYCLE
- NEMT TRIP REPORT REVISED
- AHCCCS PROVIDER PARTICIPATION TO BE TERMINATED FOR INACTIVITY
- MEDICARE LIABILITY
- NEMT TRIP REPORT REVISED
- SEPTEMBER 2013 NEMT CLAIM AUDIT RESULTS
- REMINDERS FROM THE Care Management Systems Unit’S PRIOR AUTHORIZATION UNIT
- MEDICARE LIABILITY
- PAYMENT ERROR RATE MEASUREMENT (PERM)
- PRIOR QUARTER COVERAGE ELIGIBILITY
- REMINDERS FROM THE Care Management Systems Unit’S PRIOR AUTHORIZATION UNIT
October 2013 - Special Edition
- Prior Quarter Coverage Eligibility
- AHCCCS Fee for Service Non-Emergency Medical Transportation (NEMT) Changes
- CMS Approved Supplemental Waiver Payments for Option 1 & Option 2 Ends 12/31/13
- PERM Audit - Where do you stand?
- Reporting Vaccine Administration Codes with E/M Codes
- Important Arizona Department of Corrections (ADOC) Information
- General Reminders From the UM/CM's Prior Authorization Unit
- 2013 FFS Provider Training Schedule
- Payment Error Rate Measurement (PERM) 2014
- Reporting Vaccine Administration Codes with E/M Codes
- Important Arizona Department of Corrections (ADOC) Information
- Changes coming for Non-Emergency Transport Claims
- Reminders From the UM/CM's Prior Authorization Unit
- Enhanced Rates for Primary Care Services
- Changes coming for Non-Emergency Transport Claims
- Reminders From the UM/CM's Prior Authorization Unit
- Enhanced Rates for Primary Care Services
- Enhanced Rates for Primary Care Services
- General Care Management Systems Unit Reminders
- AHCCCS' Tribal Health Care Coordinator
- Update on Govenor Brewer's Medicaid Restoration Plan
- Information from The Office of The Inspector General
- Correction to January 2013 Article
- A Bit of Claims Trivia
- Reminders From the UM/CM's Prior Authorization Unit
- Primary Care Provider Enhanced Fee Attestation for AHCCCS Registered Providers
- Information from The Office of The Inspector General
- Claims Tips and Reminders
- PERM 2012 Errors
- Vaccine Administration Reporting Changes - Including the VFC Program
- New Requirements for Submission of Claims for Vaccine Administration - FAQ's
- General Reminders from the Care Management Systems Unit's PA Unit
- Enhanced Payments to Primary Care Providers
- Agency with Choice
- Reminders from UM/CM Prior Authorization