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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.

05/06/2024 Clarifying our NOC code supporting documentation requirements
01/05/2024 Reminder: CPT and HCPCS modifiers
29/04/2024 Services related to outpatient surgery not separately reimbursed
01/04/2024 Updated payment policies now available
01/04/2024 Second quarter 2024 hospital outpatient drug fee schedule posted
21/03/2024 Do not bill dually eligible members
12/02/2024 Billing reminder: RSV vaccine for pregnant women
04/01/2024 Updated payment policies now available
13/12/2023 Preparing for HEDIS 2024 medical record collection
09/11/2023 CPT 97535 now reimbursable via telehealth
02/11/2023 COVID-19 payment policy updates
01/11/2023 Coming soon! January 1 monitored anesthesia care claim edits
01/11/2023 Reminder: Obstetric E/M services not separately reimbursed
31/10/2023 Reminder: Incidentals related to emergency room visit
18/10/2023 COVID-19 labs with outpatient surgery not separately reimbursed
02/10/2023 Updated payment policies now available
02/10/2023 Fourth quarter 2023 hospital outpatient drug fee schedule posted
29/09/2023 Billing guideline updated with HIV PrEP-related diagnosis code
06/09/2023 Reducing cost barriers to improve access to mental health care
01/09/2023 Revised medical necessity criteria for benign skin lesions
24/08/2023 Learn to use our CDT lookup tool in just 3 minutes
21/08/2023 How to request and bill for ketamine and esketamine
10/08/2023 Save time by looking up CDT codes online!
03/08/2023 Services related to outpatient surgery not separately reimbursed
01/08/2023 Reminder for January 1 monitored anesthesia care claim edits
01/08/2023 We will no longer reimburse specimen collection code 99001
01/07/2023 Third quarter 2023 hospital outpatient drug fee schedule posted
30/06/2023 Updated payment policies now available