Reimbursement Policy | Revision |
---|---|
Diagnosis Validity MA | Added “CMS instruction” to correct diagnostic coding in Reimbursement Guidelines. Medical Director Approved. Notification on 7/18/2023 for effective date 9/18/2023. |
Drug and Biologicals MA | Modifier JZ added to Billing and Coding. Instruction for drugs with multiple administration routes added to Reimbursement Guidelines. Medical Director approved. Notification on 7/18/2023 for effective date 9/18/2023. |
Global Surgery MA | Non-physician practitioners reimbursement of a Major Procedure (90 day) language added to Reimbursement Guidelines. Medical Director approved. Notification on 7/18/2023 for effective date 9/18/2023. |
Modifier Guidelines MA | Added Erythropoiesis stimulating agent (ESA), GY, GZ, PI, and Q0 Modifiers. Added language regarding deceased modifiers and set up of portable x-ray equipment. Medical Director approved. Notification on 7/18/2023 for effective date 9/18/2023. |
Status Codes MA | Added Status Code “I” to Reimbursement Guidelines. Medical Director approved. Notification on 7/18/2023 for effective date 9/18/2023. |