Reimbursement Policies

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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
- Ambulatory Surgery Center
- Audiology and Hearing Aids
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B
- Bilateral Procedures
- Bundling
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C
- Cardiology Services
- Cerumen Removal.pdf
- Chiropractic Services
- Colonoscopy .pdf
- Cost Outlier Payment
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D
- Dermatology
- Diagnosis Procedure Age Guidelines
- Diagnosis Procedure Code Gender Guidelines
- Discontinued Procedures
- Distinct Procedural Service
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
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E
- EPSDT
- 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
- Home Health Services
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I
- Implants and Devices
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
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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
- Modifier 78
- Multiple Procedure Payment Reduction
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N
- National Correct Coding Initiative
- New Patient Visit
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O
- Obstetrics
- Ophthalmology Services
- Overlapping Services While Inpatient
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P
- Procedure Code Guidelines
- Professional Technical Components (Modifiers 26, TC)
- Provider Administered Drugs-National Drug Code (NDC) .pdf
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Q
- Quantitative and Qualitative Drug Testing
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R
- Radiation Oncology
- Review for Potential Upcoding of Services
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S
- Significant-Separately Identifiable Evaluation and Management Service
- Sleep Studies
- Split Billing Guidelines
- Submission of Claims .pdf
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T
- Team Surgery
- Termination of Pregnancy
- Three-Day Payment Window
- Thyroid Testing
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U
- Unlisted Procedures
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V
- Vaccine
- Vitamin D Testing
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