Reimbursement Policy |
Revision |
Add-On Codes |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Anesthesia, Professional And Facility |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Bundling Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Co-Surgeon, Assistant Surgeon, Team Surgeon And Assistant-At-Surgery Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Consistency Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Diagnosis Validity & Code Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Evaluation And Management Services |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Facility Billing Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Global Surgery |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Immunization Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Maximum Units Of Service |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Multiple Cardiovascular, Radiology, And Ophthalmology Services |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Modifier Guidelines |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
NCCI Editing |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Observation |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Once In A Lifetime |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Outpatient Code Editor (OCE) Edits |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Partial Hospitalization And Intensive Outpatient Programs |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Place Of Service |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Preadmission And Preoperative Services |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Pricing And Adjudication Principles |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Revenue Codes Requiring Procedure Codes, Facility |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Split Surgical Package |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Status Codes |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Supply And Equipment Reimbursement |
New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |