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Notification of Reimbursement Policy Revisions Effective February 1, 2025 (Posted December 1, 2024)
| Reimbursement Policy | Revision |
|---|---|
| Bundling Guidelines Notification (PDF) | Added 3D radiology bundling rules for facility and professional services. RPOC Approved. Notification on 12/1/24 for effective date 2/01/25 |
| Facility Billing Guidelines Notification (PDF) | PTA and OTA Modifier CO and CQ reimbursement reduction added. Notification on 12/01/2024 for effective date 02/01/25 |
| Pricing and Adjudication Principles Notification (PDF) | Postpay medical record request technical denial language added. RPOC approved. Added coding accuracy in guidelines section. Notification on 12/01/2024 for effective date 2/01/2025. |
| Radiation Therapy Services Notification (PDF) | Maximum units and frequency language updated throughout policy. RPOC approved. Notification on 12/01/2024 for effective date 2/01/2025. |
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