Reimbursement Policies
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A
- Acupuncture
- Add-On Codes
- Allergy Testing
- Ambulance Services
- Ambulatory Surgery Center
- Anatomical Modifiers
- Anesthesia
- Assistant Surgeon
- Audiology and Hearing Aids
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B
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C
- Cerumen Removal
- Chiropractic Services
- Chronic and Transitional Care Management.pdf
- Co-Surgeon
- Colonoscopy
- Corrected Claims
- Cost Outlier Payment
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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
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E
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F
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G
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H
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I
- Implants, Devices, Skin Substitutes
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
- Incident To
- Investigational-Experimental Procedures
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K
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L
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M
- Maximum Units
- Medical Nutrition Therapy.pdf
- Medically Unlikely Edit (MUE)
- Modifier 57-Decision for Surgery
- Multiple Procedure Payment Reduction
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N
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O
- Observation Services
- Obstetrics
- Once-Per-Lifetime Procedures
- Ophthalmology Services
- Overlapping Services While Inpatient
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P
- Place of Service
- Post Payment Review
- Preventive Services
- Procedure Code Guidelines
- Professional Technical Components
- Prospective Claims Editing .pdf
- Provider Administered Drugs-National Drug Code (NDC)
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Q
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R
- Radiation Oncology
- Repeat Procedure Modifiers 76 and 77 .pdf
- Request for Medical Records
- Revenue Code
- Review for Potential Upcoding of Services
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S
- Significant-Separately Identifiable Evaluation and Management Service (Modifier 25)
- Sleep Studies
- Split Billing Guidelines
- Submission of Claims .pdf
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T
- Team Surgery
- Telehealth
- Therapy Assistant Services, Modifiers CO and CQ
- Three-Day Payment Window
- Thyroid Testing
- Transcranial Magnetic Stimulation
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U
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V
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