Tip: Arkansas Medicare and Arkansas Medicaid Fee Structures

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99MCR1, 99MCD1

Nov 17, 2020

Information about Arkansas Medicare and Medicaid standard fee structures.

The following links provide the data use information about base procedure/service fees from both Arkansas Medicare and Medicaid claims.

https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-information-for-providers/fee-schedules/ - This page includes an inventory of all fee schedule information for providers (including but not limited to professional services, inpatient, outpatient, ambulatory services, etc.) participating in Arkansas Medicaid plans.  Each fee schedule is segmented by procedure codes, or revenue codes modifiers. 

https://www.medicarehelp.org/cost-of-medicare/state/arkansas - This link takes the data user to a table listing the 100 most frequently charged procedures/diagnosis in Arkansas to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.

Note, this site has other useful Medicare, plan and cost information.

Medicaid/Medicare

Fee Structure

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