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