Premium Essay

Advantages

In: Computers and Technology

Submitted By mesha1
Words 6485
Pages 26
Therapy Billing Tips
Provider Reference Supplement

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HP Enterprise Services, Arkansas Title XIX
Document Date: 5/12/2010

HP Enterprise Services
Arkansas Title XIX Account
500 President Clinton Avenue, Suite 400
Little Rock, Arkansas 72201
(501) 374-6608

HP Enterprise Services and the HP Enterprise Services logo are registered trademarks of HP Enterprise Services.
All other logos, trademarks or service marks used herein are the property of their respective owners.
HP Enterprise Services is an equal opportunity employer and values the diversity of its people.
© 2010 HP Enterprise Services.
All rights reserved.

Contents
Introduction 3
Eligibility 4 Restricted Aid Categories 4 All Arkansas Medicaid Aid Categories 6
Therapy Benefits 10
Program Coverage 12
Prior Authorization Request Procedures for Augmentative Communication Device (ACD) 15 Evaluation 15
Contact List for Reviews, Managed Care and Authorizations 16
National Place of Service Codes 18
Quick Tips for Submitting Claims 19 Introduction to Billing 19 CMS-1500 Billing Procedures - Occupational, Physical, Speech Therapy Procedure Codes 19 Augmentative Communication Device (ACD) Évaluation 22 Billing Instructions - Paper Only 22 Completion of the CMS-1500 Claim Form 22 Special Billing Procedures 29 Common Billing Errors 30
Brief Overview of Benefits 31
Contact Information 32

Introduction

This Billing Tips document serves as a training supplement for Arkansas Medicaid providers but does not supersede official program documentation including: Arkansas Medicaid provider manuals, Official Notices and transmittal letters published by the Division of Medical Services and distributed by HP Enterprise Services.

This document focuses on Arkansas Medicaid eligibility and billing issues and incorporates the following quick reference items

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