Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.08-037 - Ambulatory Surgical Centers Provider Manual Update Transmittal #108
Current through Register Vol. 49, No. 9, September, 2024
Section II
Ambulatory Surgical Center
Covered outpatient surgical procedures are assigned to one of four groups for reimbursement purposes. Billing instructions are in Section 242.110.
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 beneficiary.
A Medicaid claim may contain only one billing provider's charges for services furnished to only one Medicaid beneficiary.
Section III of this manual contains information regarding Provider Electronic Solutions (PES) and other available options for electronic claims submission.
When multiple surgical procedures are performed on the same date of service, all charges except lab, x-ray and machine tests must be billed using the most complex procedure code.