What does ACOM mean in CONTRACTORS
ACOM is an acronym for the “AHCCCS Contractor Operations Manual”. This manual is used by contractors of the Arizona Health Care Cost Containment System (AHCCCS) to understand operational processes, procedures, and standards related to contracts with AHCCCS. This manual provides a comprehensive source of information on the operations of AHCCCS, which includes financial information, rules and regulations applicable to the contract, and other guidelines. The manual also addresses communications between contractors and AHCCCS staff, as well as dispute resolution issues that may arise between both parties.
ACOM meaning in Contractors in Business
ACOM mostly used in an acronym Contractors in Category Business that means AHCCCS Contractor Operations Manual
Shorthand: ACOM,
Full Form: AHCCCS Contractor Operations Manual
For more information of "AHCCCS Contractor Operations Manual", see the section below.
» Business » Contractors
Definition
ACOM stands for the “AHCCCS Contractor Operations Manual”. This document serves as the official guideline for all contractual agreements between contractors and the Arizona Health Care Cost Containment System (AHCCCS). It contains a wide range of information related to financial aspects of contracts in accordance with AHCCCS rules, regulations, and guidelines. The document covers such topics as payment processing; dispute resolution; eligibility verification requirements; quality management expectations; stakeholders relations protocol; data exchange protocols; reporting obligation guidelines; records maintenance guidelines; communication policies between the contractor and AHCCCS staff; and any modifications made to existing contracts.
Outcome
The ACOM is an important tool that helps ensure that contractors of the Arizona Health Care Cost Containment System are in compliance with applicable laws and regulations when it comes to providing services under their agreement. This document provides crucial details on how contractors should interact with AHCCCS staff regarding any contract disputes or modifications they may be required to make during their agreement period. In addition, this manual offers guidance in handling financial matters of agreed-upon terms, eligibility verification requirements, quality-management expectations from stakeholders involved in the process, data exchange protocols for reporting obligations on contractual agreements, record maintenance guidelines for communication policies between all parties involved in contracts administered by AHCCCS. All these components ensure that all transactions between contractors and AHCCCS remain compliant with legal requirements while keeping accountability in check.
Essential Questions and Answers on AHCCCS Contractor Operations Manual in "BUSINESS»CONTRACTORS"
What is an AHCCCS Contractor Operations Manual?
The Arizona Health Care Cost Containment System (AHCCCS) Contractor Operations Manual provides detailed instructions to contractors and their representatives on how to effectively manage health care services for Arizona residents. It includes guidelines on provider enrollment and utilization management, as well as information about billing, coding, compliance, and other topics related to contracting with AHCCCS.
Who should use the AHCCCS Contractor Operations Manual?
The AHCCCS Contractor Operations Manual is intended for use by all contracted parties who are providing healthcare services through the AHCCCS system in Arizona. This includes providers, representatives of managed care organizations, and county health plans.
What types of information can be found in the AHCCCS Contractor Operations Manual?
The manual contains detailed information on services covered by both Fee-for-Service (FFS) and Managed Care Organizations (MCOs), as well as how to enroll, utilize resources, bill correctly, code medical records accurately, comply with requirements regarding fraud prevention and detection, and more.
Is there an online version of the Contractor Operations Manual?
Yes. The latest version of the manual can be accessed online at http://azahcccs.gov/OperationsManual/.
How often should I update my understanding of the Contractor Operations Manual?
AHCCCS periodically updates its contractor operations manual. It is recommended that users review the most up-to-date version at least once a year to make sure they are following current procedures when dealing with claims or services provided through AHCCCS.
Does the Contractor Operations Manual cover appeals processes for appealed decisions?
Yes. The Appeals section outlines how to appeal denied claims or rejected applications from providers or managed care organizations for coverage under AZAHCCS services or reimbursement decision made by an MCO.
How does the Contractor Operations Manual help me fulfill my responsibilities when submitting claims?
The manual provides instruction on correct submission methods as well as proper documentation that must accompany each claim submitted via paper or electronic forms. Furthermore, it tells users which codes should be used for different types of illnesses and treatments so that accurate payments can be made upon claim acceptance.
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