by Medical Billing | Jul 1, 2019 | CPT modifiers
INITIAL COMPREHENSIVE EVALUATION The Initial Comprehensive Evaluation is performed during the CSHCS client’s first visit to the CMDS clinic. The medical team integrates assessments and recommendations and works with the family/beneficiary in the development of a...
by Medical Billing | Jun 7, 2019 | CPT modifiers
Expanded Model Fact Sheet Overview of MDPP The MDPP expanded model includes an evidence-based set of services aimed to help prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of prediabetes. MDPP services will be available to eligible...
by Medical Billing | May 23, 2019 | CPT modifiers
COVERAGE OUT OF STATE A member, who is temporarily out of the state but still a resident of Arizona, is entitled to receive AHCCCS benefits under any of the following conditions: 1. Medical services are required because of a medical emergency. Documentation of the...
by Medical Billing | May 2, 2019 | CPT modifiers
Define Medical necessity: Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code. It would not be medically necessary or appropriate to bill a higher level of evaluation and management service...
by Medical Billing | Mar 29, 2019 | CPT modifiers
ARIZON HEALTH CARE COST CONTAINMENT SYSTEM FEE-FOR-SERVICE PROVIDER BILLING MANUALGENERAL INFORMATIONAll Arizona residents can apply for AHCCCS services or the Arizona Long Term Care System (ALTCS) program. There are many programs that individuals may qualify for in...
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