Reimbursement Policies

Navigate directly to a letter:

A
B
C
D
E
F
G
H
I
K
L
M
N
O
P
Q
R
S
T
U
V

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
- Bilateral Procedures
- Bundling (Status B, P, T)
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C
- Cardiology Services .pdf
- 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
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
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E
- Electromyography and Electroencephalogram
- Evaluation and Management
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F
- Family Planning
- Federally Qualified Health Center
- Frequency
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G
- Genetic Testing
- Global Surgical Package and Split Surgery
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H
- Health Care-Acquired Conditions
- Hemodialysis .pdf
- Home Health Services
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I
- Implants, Devices, Skin Substitutes
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
- Incident To
- Investigational-Experimental Procedures
- Itemized Bill Review
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K
- KX Modifier
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L
- Laboratory and Pathology
- Lipid Testing
- Locum Tenens
- Lung Cancer Screening
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M
- Maximum Units
- Medical Nutrition Therapy .pdf
- Medically Unlikely Edit (MUE)
- Modifier 57-Decision for Surgery .pdf
- Modifier 78
- Multiple Procedure Payment Reduction
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N
- National Correct Coding Initiative (NCCI)
- New Patient Visit
- NonParticipating Provider Reimbursement
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O
- Observation Services
- Obstetrics
- 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 (Modifiers 26, TC)
- Prospective Claims Editing .pdf
- Provider Administered Drugs-National Drug Code (NDC)
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Q
- Quantitative and Qualitative Drug Testing
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R
- Radiation Oncology
- Readmissions
- Reduced Services (Modifier 52)
- Repeat Procedure Modifiers 76, 77 and 91
- 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
- Termination of Pregnancy
- Therapy Assistant Services, Modifiers CO and CQ
- Three-Day Payment Window
- Thyroid Testing
- Transcranial Magnetic Stimulation
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U
- Unlisted Procedures
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V
- Vaccine
- Vision Services
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