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016.06.3-241.000. Introduction to Billing

AR ADC 016.06.3-241.000Arkansas Administrative CodeEffective: July 1, 2020

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 3. Ambulatory Surgical Center Provider Manual (Refs & Annos)
Section 240.000. Billing Procedures
Effective: July 1, 2020
Ark. Admin. Code 016.06.3-241.000
016.06.3-241.000. Introduction to Billing
Currentness
Ambulatory Surgical Center providers use the Uniform Billing form CMS-1450 (UB-04) to bill the Arkansas Medicaid Program on paper. Each claim may contain charges for only one (1) beneficiary.
A Medicaid claim may contain only one (1) billing provider's charges for services furnished to only one (1) Medicaid beneficiary.
Section III of this manual contains information regarding available options for electronic claims submission.
All details billed (electronically or on paper) by an ASC provider require the modifier SG, “Ambulatory Surgical Center (ASC) facility service.” See Section 242.100 for Dental billing.
National Correct Coding Initiative (NCCI) editing applies to all claim submissions.
Arkansas Medicaid accepts claims that include national modifiers.

Credits

Eff. Nov. 1, 2008; Nov. 1, 2007; May 1, 2007; July 1, 2007. Amended March 7, 2014; July 1, 2014; July 1, 2020.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.3-241.000, AR ADC 016.06.3-241.000
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