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Outpatient Hospital Fee Schedule

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  • For dates of service on and after 7/1/2005, AHCCCS reimburses in-state, non-IHS hospitals for outpatient services billed on a UB claim form (Refer to Exhibit 1) using the AHCCCS Outpatient Hospital Fee Schedule. The Outpatient Hospital Fee Schedule will provide rates at the procedure code level, and Surgery/Emergency Department (ED) services will be bundled similar to Medicare for payment purposes (Refer to Exhibit 2). For more information on outpatient hospital billing requirements, refer to the AHCCCS FFS Provider Manual, Chapters 6 and 11.

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    Outpatient Hospital Fee Schedule

    This section contains technical information related to the AHCCCS Outpatient Claim Reimbursement Project Clicking on the respective links will open the related documents in your browser. To return to this page, please use your browser's "Back" button.

    You are invited to e-mail us at AHCCCSOutpatientHospitalFeeSchedule@azahcccs.gov to provide suggestions for Agenda items for future meetings, to provide comments following review of newly published information, or with any questions.

     

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