Reimbursement Policies

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.pdf
- Co-Surgeon
- Colonoscopy .pdf
- Cost Outlier Payment
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D
- Dermatology
- Diagnosis Procedure Age Guidelines
- Diagnosis Procedure Code Gender Guidelines
- Discarded Drugs and Biologicals
- Discontinued Procedures
- Distinct Procedural Service (Modifier 59, X )
- Duplicate Services
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
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E
- EPSDT
- Electromyography and Electroencephalogram
- Electronic Visit Verification
- Evaluation & Management Services Billed with Treatment Room Revenue Codes
- Evaluation and Management
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F
- Family Planning
- Federally Qualified Health Center
- Frequency
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G
- Global Surgical Package and Split Surgery
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H
- Health Care-Acquired Conditions
- Home Health Services
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I
- Implants, Devices, Skin Substitutes
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
- Incident To
- Increased Procedural Service (Modifiers 22 and 63)
- Infertility Diagnosis and Treatment
- Investigational-Experimental Procedures
- Itemized Bill Review
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K
- KX Modifier
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L
- Laboratory and Pathology
- Locum Tenens
- Lung Cancer Screening
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M
- Maximum Units
- 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
- New Patient Visit
- NonParticipating Provider Reimbursement
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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
- Provider Administered Drugs-National Drug Code (NDC)
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Q
- Quantitative and Qualitative Drug Testing
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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
- Termination of Pregnancy
- Three-Day Payment Window
- Thyroid Testing
- Transcranial Magnetic Stimulation
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U
- Unlisted Procedures
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V
- Vaccine
- Vision Services
- Vitamin D Testing
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