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Frequently Asked Questions

How do I get access to view the Managed Care Contract Information System (MCCIS)?
Click here to request access.  You will be sent an e-mail questionnaire which   will need to be completed prior to gaining access.
 
How will I know if my request for access has been approved?
You will be notified by email. The notification will also include instructions on how to link to the Managed Care Contract Information System and the Fee Schedule Database.

Is the information listed on the profiles applicable to Arkansas Children’s Hospital and the AHEC system?
Not necessarily.  Check with the billing entities for those associations for specific details.  Usernames and passwords listed for websites may be used by any employee with access to MCCIS.
 
What is a Fee Schedule?
A Fee Schedule is a listing of CPT Codes and allowables a specific payor will reimburse a physician for a specific procedure. A Fee Schedule is NOT a list of physician or department charges for a specific procedure or code.

Who should have access to view the Physician Fee Schedules?
Not everybody will need to access the Fee Schedule data base. Those who would benefit from having access are Dept Business Managers, Billers, Coders, Physicians and others engages in a department’s clinic financial operations.

Why do I not see the button “Search for Physician Reimbursement? ”
Presently, you do not see a button to allow you to search for Physician Fee  Schedule because your current security level does not permit you access to the Fee Schedule data base.

How do I get access to view the Physician Fee Schedule?
Due to the STRICT CONFIDENTIALITY of Physician Fee Schedule Data, special permission must be granted to access the Physician Fee Schedule Database. If you are an employee of UAMS and your job responsibilities require you to have this information, you may contact us to request authorization.

Do I have to agree to the Confidentiality Statement in order to get access to the Fee Schedule Database?
Yes.

How many Fee Schedules could be found in the Fee Schedule Data Base?
There are over 30 Fee Schedules found in the Database.  We try to keep at least two years worth of Fee Schedule for each payor. However, if you should need a fee schedule from earlier years, please contact us because we may have what you are looking for on our archived folders.

How often is the Physician Fee Schedule Data Base updated?
New Annual Year Fee Schedules are posted when the payor releases it to our department. Periodic updates are posted upon major changes in the Fee Schedule throughout the year. Please refer to the Payor Fee Schedule title/heading for the last date the Fee Schedule was updated.

Where do you get the Fee Schedule?

The source of the Fee Schedules varies. It could come directly from the payor; it could be downloaded from the payor’s website; or it could come from Faculty Group Practice Billing Office.

What are the search options available on the Fee Schedule DB, and how do I know which would best meet my information needs?
First Option: The first option, “Single Search,” is ideal for a quick physician reimbursement look-up of a specific code, for a specific payor. This is a printable version.

Second Option: The second search option will allow you to enter a specific payor and retrieve the entire Fee Schedule in excel format. This option is best if your fee schedule question concerns how a payor may impact the various procedures offered by your department or physicians. This option also allows for exporting the complete fee schedule to your PC. This is a printable version; but note this option will use a lot of paper, as much as 200+ pages per payor.

Third Option: The third option is the “Multiple Payor Comparison”. This is designed to compare CPT allowables for up to 4 payors. This will provide the user capability to compare allowables by payor for a given procedure. Or this option may be used to compare allowables for the same Payor, for different years, i.e. 2004 vs. 2005. This is also a printable version.

What are the common modifiers used on the Fee Schedules?

Some of the most common Modifiers utilized by payors on the Fee Schedules are 26 and 28. Modifier 26 means only the Professional Component is considered in the allowable price. Modifier 28 means both the Professional Component and Technical Component are considered in the allowable price. This complete allowable for both the Professional and Technical Component of a procedure is also known as “Global” Component, and may sometimes be referred to as such in the Payor Fee Schedules.

 


University of Arkansas for Medical Sciences
Business Development and Managed Care
4301 W. Markham St., Little Rock, AR 72205  Slot#613
Phone: (501) 614-2124
Fax: (501) 296-1093