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Reimbursement Policy | Revision |
|---|---|
| Add On Codes | Labor epidural language added. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Drug and Biologicals | Added coding guidance to Reimbursement Guidelines for reimbursement of administration fees. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Evaluation and Management | Removed language regarding codes 99381 – 99397. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Nonpayment for Serious Adverse Events | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Opioid Treatment Program Reimbursement | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Pricing and Adjudication Principles | Bullets added for CMS rationale for reimbursement and reimbursement for denied or non-covered codes. Medical Director Approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Reduced and Discontinued Services | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Supply and Equipment | Lymphedema Gradient Compression Garments added. No change to policy intent. |
| Telehealth | Removed language regarding codes 99381-99397. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
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