Reimbursement Policies
Navigate directly to a letter:
-
A
- Acupuncture
- Add-On Codes
- Allergy Testing
- Ambulance Services
- Ambulatory Surgery Center
- Anatomical Modifiers
- Anesthesia
- Assistant Surgeon
- Audiology and Hearing Aids
-
B
Back to top ↑ -
C
- Cardiology Services .pdf
- Cerumen Removal
- Chiropractic Services
- Chronic and Transitional Care Management .pdf
- Co-Surgeon
- Colonoscopy
- Corrected Claims .pdf
- Cost Outlier Payment
-
D
- Dermatology
- Diagnosis Procedure Age Guidelines
- Diagnosis Procedure Code Gender Guidelines
- Discarded Drugs and Biologicals
- Discontinued Procedures (Modifier 53, 73 and 74)
- Distinct Procedural Service (Modifier 59, X )
- Duplicate Services
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
-
E
Back to top ↑ -
F
Back to top ↑ -
G
Back to top ↑ -
H
Back to top ↑ -
I
- Implants, Devices, Skin Substitutes
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
- Incident To
- Investigational-Experimental Procedures
- Itemized Bill Review
-
K
Back to top ↑ -
L
Back to top ↑ -
M
- Maximum Units
- Medical Nutrition Therapy .pdf
- Medically Unlikely Edit (MUE)
- Modifier 57-Decision for Surgery
- Modifier 78 .pdf
- Multiple Procedure Payment Reduction
-
N
- National Correct Coding Initiative (NCCI)
- New Patient Visit
- Non-Participating Provider Reimbursement
-
O
Back to top ↑ -
P
- Place of Service
- Post Payment Review
- Preventive Services
- Procedure Code Guidelines
- Professional Technical Components (Modifiers 26, TC)
- Prospective Claims Editing
- Provider Administered Drugs-National Drug Code (NDC)
-
Q
Back to top ↑ -
R
- Radiation Oncology
- Readmissions
- Repeat Procedure Modifiers 76, 77 and 91
- Request for Medical Records
- Revenue Code
- Review for Potential Upcoding of Services
-
S
- Significant-Separately Identifiable Evaluation and Management Service (Modifier 25)
- Sleep Studies
- Split Billing Guidelines
- Submission of Claims .pdf
-
T
- Team Surgery
- Telehealth
- Termination of Pregnancy
- Therapy Assistant Services, Modifiers CO and CQ
- Three-Day Payment Window
- Thyroid Testing
- Transcranial Magnetic Stimulation
-
U
Back to top ↑ -
V
Back to top ↑
H0738_001_002_128711_M