May 30, 2018 • Policy Updates / Reimbursement Policies

Bundled Services and Supplies

We are updating our policy to move the Section 1 code list that is currently within the policy to a separate document titled “Bundled Services and Supplies Section 1 Coding.”

 

Review of Reimbursement Policies

The following professional reimbursement policies received a review and may have minor language changes; however, the changes do not cause significant changes to the policies’ position or criteria:

  • Documentation Reporting Guidelines for Consultations 
  • Duplicate Reporting of Diagnostic Services
  • Frequency Editing
  • Overhead Expense for Office Based Surgery and Diagnostic Testing 
  • Sleep Studies and Related Bundled Services & Supplies
  • Unit Frequency Maximums for Drugs and Biologic Substances 


Featured In:
June 2018 Empire Provider Newsletter