Policy Updates Reimbursement PoliciesCommercialJune 19, 2018

Review of reimbursement policies – professional

The following professional reimbursement policies were reviewed and may have minor language changes; however, the changes do not cause significant changes to the policies’ position or criteria:

 

  • Documentation Reporting Guidelines for Consultations
  • Duplicate Reporting of Diagnostic Services
  • Frequency Editing
  • Overhead Expense for Office Based Surgery and Diagnostic Testing
  • Sleep Studies and Related Bundled Services & Supplies
  • Unit Frequency Maximums for Drugs and Biologic Substances