AHCCCS Claims Clues

2010 Editions

August 2010 [44KB]

• Important Information About Adult Recipient Benefit Changes
• AHCCCS Administration Offices to Close for Furlough Days
• AHCCCS FFS Develops New Process for Re-Reviews
• Proper Use of Non-Emergency Transportation
• Home Modifications
• Perm - Did You Know?
• Claims Tips and Reminders
• "Doc Talk"

July 2010 [180KB]

• Important Information About Adult Recipient Benefit Changes
• PERM - What's Next?
• Reminder Alert!
• Benefits of Using 275 Electronic Attachments
• "Doc Talk"
• Fee-For-Service Prior Authorization Medical Documentation Form
• Fee-For-Service Authorization Request Form
• Prior Authorization Correction Form

June 2010 [87KB]

• Important Information About Adult Recipient Benefit Changes
• Dental Benefit Changes - Date Correction
• 2010 OMB Rates Announced
• AHCCCS Administration Offices to Close for Furlough Days
• Important Information About State Fiscal Year 10 FFS Claims Payments
• Important Information About FQHC Quarterly Supplemental Payments
• Report Third Party Liability (TPL)
• New Prior Authorization Requirements
• Random Audits
• Claims Tips
• Payment Error Rate Measurement
• "Doc Talk"
• Fee-For-Service Prior Authorization Medical Documentation Form

May 2010 [82KB]

• Important Information About State Fiscal Year 10 FFS Claims Payments
• Important Information About FQHC Quarterly Supplemental Payments
• FFS Provider Training Scheduled
• AHCCCS Online Member Enrollment Verification System Information
• AHCCCS Medical Policy Updates
• Changes Made to AHCCCS On-line Claims Submission Manual
• Providers Find Using Electronic Attachments Useful
• What is PERM?
• AHCCCS FFS Develops New Policy for Re-Reviews
• Checking Status of Claim, Prior Authorization, or Member?
• Claims Tips & Reminders
• How to Handle Claim Overpayments
• Random Audits
• "Doc Talk"

April 2010 [199KB]

• Important Information About State Fiscal Year 10 FFS Claims Payments
• Important Information About FQHC Quarterly Supplemental Payments
• AHCCCS Benefit Changes
• AHCCCS Provider Participation to be Terminated for Inactivity
• PERM Update
• Returning Funds to AHCCCS?
• Immunotherapy to Require Prior Authorization
• New Prior Authorization Forms
• Claims Tips & Reminders
• "Doc Talk"
• Prior Authorization Correction Form
• Fee-For-Service Authorization Request Form
• Fee-For-Service Authorization Medical Documentation Form

March 2010 [132KB]

• Photo ID's For AHCCCS Members
• Electronic Claims Containing PWK Segments
• Perm Audit Update
• Help Avoid Prior Authorization Disputes
• Returning Funds to AHCCCS?
• Prior Authorization Web Portal Ready for Use
• AHCCCS Email LISTSERV for Providers
• "Doc Talk"
• Immunotherapy to Require Prior Authorization
• New Prior Authorization Forms
• Important AHCCCS Contact Information
• Prior Authorization Correction Form
• Fee-For-Service Authorization Request Form
• Fee-For-Service Authorization Medical Documentation Form

February 2010 [58KB]

• CCR Forms No Longer Accepted
• Eligibility & Enrollment Changes for Web Verifications Effective February 1, 2010
• AHCCCS FFS On-line Claims Submission Manual
• PERM Audits - Where Do You Stand?
• Billing Guidelines for Arizona Department of Corrections
• Hysterectomy vs. Sterilization
• Prior Authorization Web Portal Ready for Use
• Returning Funds to AHCCCS?
• Encounter Submissions for H1N1 and Seasonal Flu Given on the Same Day
• "Doc Talk"

January 2010 - Supplemental [20KB]

• CMS Changes to Consultation Codes for Medicare Beneficiaries

January 2010 - Amendment [20KB]

• Prior Authorization Web Portal Ready for Use
• AHCCCS Medical Policy Manual (AMPM) Updates
• Be Prepared for (PERM) 2011
• "Doc Talk"