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CommercialApril 1, 2025
Clarification to reimbursement policy: Incident to Services and Billing — ProfessionalCommercialFebruary 1, 2025
New reimbursement policy: Place of Service — ProfessionalCommercialFebruary 1, 2025
Medical records needed for accurate payment of certain facility inpatient claimsCommercialDecember 1, 2024
New reimbursement policy: Trauma Activation — FacilityCommercialNovember 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesMedicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialAugust 1, 2024
New reimbursement policy: Intraoperative Neuromonitoring — ProfessionalCommercialAugust 1, 2024
Reimbursement policy update: Professional Anesthesia ServiceMedicare AdvantageAugust 1, 2024
Reimbursement policy update: Modifier 78CommercialAugust 1, 2024
Reimbursement policy update: Modifiers 26 and TC — ProfessionalCommercialAugust 1, 2024
Reimbursement policy update: Outpatient Facility Revenue Code Billing Requirements — FacilityMedicaidAugust 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesMedicare AdvantageAugust 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesCommercialAugust 1, 2024
Reimbursement policy update: Bundled Services and Supplies — FacilityCommercialJuly 1, 2024
Reimbursement policy update: Incident to Services — ProfessionalCommercialJuly 1, 2024
Reimbursement policy update: Frequency Editing — ProfessionalCommercialJune 1, 2024
Implant — Facility Editing updateCommercialApril 1, 2024
Reimbursement policy update: Virtual Visits — Professional and FacilityCommercialMarch 1, 2024
Reimbursement policy update: Ambulance Transportation – ProfessionalCommercialFebruary 1, 2024
New reimbursement policy: Modifier Usage — FacilityCommercialFebruary 1, 2024
Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityCommercialDecember 1, 2023
Reimbursement policy update: Pharmaceutical Waste – Professional and FacilityCommercialOctober 1, 2023
Reimbursement policy update: After-Hours, Emergency, and Miscellaneous E/M Services – ProfessionalMedicare AdvantageOctober 1, 2023
Genetic Tests: Once per LifetimeMedicaidOctober 1, 2023
Genetic Tests: Once per LifetimeCommercialSeptember 1, 2023
Reimbursement policy update: Documentation Standards for Episodes of Care — ProfessionalCommercialSeptember 1, 2023
Clarification to reimbursement policy update: Prolonged Services – ProfessionalCommercialSeptember 1, 2023
Reimbursement policy update: Place of Service – FacilityCommercialAugust 1, 2023
Reimbursement policy update: Virtual Visits — Professional and FacilityMedicaidAugust 1, 2023
Technology Assisted Surgical ProceduresMedicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresCommercialAugust 1, 2023
New reimbursement policy: Split Care Surgical Modifiers — ProfessionalCommercialJune 30, 2023
Reimbursement policy update: Prolonged Services — ProfessionalCommercialJune 30, 2023
New reimbursement policy Multiple Procedure Payment Reduction — ProfessionalCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies policy – ProfessionalCommercialMay 31, 2023
New reimbursement policy: Provider Preventable Conditions – Professional and FacilityCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies — ProfessionalCommercialMay 1, 2023
Reimbursement policy update: Robotic Assisted Surgery – ProfessionalCommercialMay 1, 2023
New Reimbursement policy: Bundled Supplies and Services - FacilityCommercialMarch 31, 2023
Reimbursement policy update: Bundled Services and Supplies - ProfessionalCommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - Professional