Medical Policy Updates

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Reimbursement Policy Update for July 26, 2022

Reimbursement Guidelines Reason for Update
Drug Wastage New policy developed. Medical Director approved. Notification on 5/17/2022 for effective date 7/26/2022.
Evaluation and Management Services Added “Physical, Occupational, and Speech Therapy Providers” section to Reimbursement Guidelines. Medical Director approved. Notification on 5/17/2022 for effective date 7/26/2022.
Multiple Procedure Payment Reduction Guidelines Policy renamed from “Multiple Cardiovascular, Radiology, and Ophthalmology Services” to “Multiple Procedure Payment Reduction Guidelines”. Addition of Endoscopy and Therapy Services into Policy and Guidelines Section.
NDC Requirements New policy developed. Medical Director approved. Notification on 5/17/2022 for effective date 7/26/2022.