Policy Updates Reimbursement PoliciesCommercialJuly 31, 2019

Frequency Editing Reimbursement Policy update - professional

Our Frequency Editing policy applies frequency maximums per day and/or per date span within the same grouping which may be based on the CMS’s MUEs, industry standards, and/or code description. Beginning with dates of service November 1, 2019, maximum units per day may be based on claims data analysis.