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Claims, Coding, Payment

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

9/15/21 Pneumatic compression pumps and limb compression devices
9/15/21 COVID-19 temporary fee schedule update
8/23/21 Billing guideline for ACA preventive services updated
8/9/21 Reimbursement update for A9587: Gallium GA-68
7/27/21 Trigger point injection medical policy reminder
7/16/21 Philips voluntarily recalls BPAP, CPAP, mechanical ventilators
7/13/21 Anesthesia Payment Policy reminder
7/1/21 Third quarter hospital outpatient drug fee schedule posted
7/1/21 Updated payment policies now available
6/23/21 Risk adjustment documentation & coding resource
5/11/21 Reminder about PC/TC indicator 3 codes
5/1/21 Labs related to outpatient surgery not separately reimbursed
4/30/21 Medicare sequestration suspended through December 31, 2021
4/29/21 Replacement claim reminder
4/21/21 Medical providers: Join our May 27 life cycle of a claim webinar
4/1/21 Second quarter hospital outpatient drug fee schedule posted
4/1/21 Updated payment policies now available
3/26/21 Revised reimbursement for COVID-19 vaccination administration codes available
3/5/21 Updates to vaccine and pharmaceutical treatment codes for COVID-19
2/3/21 Reminder: Remember to bill correctly for observation services
2/1/21 Telehealth and telephonic codes billing reminder
1/1/21 Updated payment policies now available
12/23/20 Prolonged service, visit complexity code update, E/M guideline update
11/20/20 Claims with COVID diagnoses require positive test in chart
11/18/20 Lab service claims should include ordering clinician NPI
11/2/20 When members have more than one insurer
10/28/20 Part III: Avoiding common dental claim rejections
10/21/20 COVID-19: Use appropriate diagnoses when billing for COVID testing
10/1/20 Fourth quarter hospital outpatient drug fee schedule posted
10/1/20 Updated payment policies now available
9/23/20 Advanced Bionics and Med-EL are in-network for cochlear implant supplies