Reimbursement policy update: Claims Requiring Additional Documentation policy (Facility)

In the May and August 2020 editions of the Provider News, we announced the following change to our Claims Requiring Additional Documentation policy (Facility) that was scheduled to take effect on October 1, 2020.  

• Outpatient facility claims reimbursed at a percent of charge with billed charges above $20,000 will require an itemized bill to be submitted with the claim.

Please be advised we are delaying the implementation of the above policy change until further notice.

 

729-1020-PN-GA