Forum - Questions & Answers

May 16th, 2018 - anitac

Arkansas Medicaid capitation CPT code

Help please, I bill for a Nephrologist and I am trying to find the capitation CPT code for billing Arkansas Medicaid. Any help/suggestions would be very much appreciated.

Jun 5th, 2018 - ChrisW   256  1 


You can use Find-A-Code to enter the zip code for any location and find Medicare pricing, there are also resources on the TOPIC page on Find-A-Code pertaining to Medicaid. Payments which include capitated payments are contractual agreements, You need to get the fee schedule for the State you are reporting to and see what their fees and payable codes are. In addition, if you are setting your fees you should not be setting your fee schedule according to any one particular payer.

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