Notification of Reimbursement Policy Revisions Effective June 1, 2022 (Posted March 31, 2022)
| Reimbursement Policy | Revision |
|---|---|
| Add-On Codes | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
Anesthesia, Professional and Facility | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Bundling Guidelines | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Co-Surgeon, Assistant Surgeon, Team Surgeon and Assistant-at-Surgery Guidelines | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Consistency Guidelines | Policy language updated throughout. Age group definitions updated. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Diagnosis Validity & Code Guidelines | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Evaluation and Management Services | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Facility Billing Guidelines | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Global Surgery | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Guidelines for Global Maternity Reimbursement | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Immunization Guidelines | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Maximum Units of Service | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Modifier Guidelines | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| NCCI Editing | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Observation | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Once in a Lifetime | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Outpatient Code Editor (OCE) Edits | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Partial Hospitalization and Intensive Outpatient Programs | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Place of Service | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Pricing and Adjudication Principles | Policy renamed from “Pricing and Adjudication Principles for Professional Providers” to “Pricing and Adjudication Principles”. Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Radiation Therapy Services | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Revenue Codes Requiring Procedure Codes, Facility | New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Split Surgical Package | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Status Codes | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
| Supply and Equipment Reimbursement | Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022. |
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