Messages for Remittance Advices dated – May 23, 2013 – May 30, 2013

To: All Hospital and Physician Providers / Re: PROCEDURE CODE 95012
The fee schedule has been updated to reflect current policy regarding procedure code 95012, “Nitric oxide expired gas determination”. CPT code 95012 is considered an investigational procedure and was included in the fee schedule in error. Previous claims submitted for CPT code 95012 denied correctly.
To: MDs, RSPMI, RURAL HEALTH CENTERS / Re: Preparatory Reports for URI, Perinatal Care, ADHD, TJR and CHF Available
The next round of APII preparatory reports for service dates January 1, 2012 through December 1, 2012 are now available for download at www.paymentinitiative.org. These reports include episodes of care for URI, Perinatal Care, ADHD, TJR and CHF. Additionally, the first performance report is available for URI for service dates October 1, 2012 through December 31, 2012. ADHD reports will contain episodes that are both closed and open (e.g., ongoing episodes in the performance period). For ADHD, open episodes will appear in the Detail section of the informational reports.
to: Primary Care Providers / re: AMII report updated weekly
Effective May 31, 2013, the AMII (Arkansas Medicaid Information Interchange) report will be updated on a weekly basis. Currently, the data in AMII is refreshed quarterly based upon the most recent quarterly managed care fee payments. This change from a quarterly report to a weekly report will allow Primary Care Physicians to see the most recent claims data available. Only the Visits portion of the report data will be updated. Providers may access this report under Available Tools at www.medicaid.state.ar.us.

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Thank you for your participation in the Arkansas Medicaid Program. If you have questions regarding these messages, please contact the HP Provider Assistance Center at 1-800-457-4454 (toll-free) within Arkansas or locally and out-of-state at (501) 376-2211.

Remittance Advices cannot be forwarded. Notify the Arkansas Medicaid Program of any address change, indicating all provider numbers affected by the change. This notification must include the provider’s original signature (no facsimiles accepted).