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
V

A
- Acupuncture
- Add-On Codes
- Allergy Testing
- Ambulance Services
- Ambulatory Surgery Center
- Anatomical Modifiers
- Anesthesia
- Assistant Surgeon
Back to top
B
- Behavioral Health Readmissions
- Bilateral Procedures
- Bundling (Status B, P, T)
Back to top
C
- Cardiology Services .pdf
- Cerumen Removal
- Chiropractic Services
- Chronic Pain Management .pdf
- Co-Surgeon
- Colonoscopy .pdf
- Cost Outlier Payment
Back to top
D
- Dermatology
- Diagnosis Procedure Age Guidelines
- Diagnosis Procedure Code Gender Guidelines
- Dialysis Services (Facility)
- Discarded Drugs and Biologicals
- Discontinued Procedures (Modifier 53)
- Distinct Procedural Service (Modifier 59, X )
- Duplicate Services
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Back to top
E
- EPSDT
- Electromyography and Electroencephalogram
- Electronic Visit Verification
- Evaluation and Management
Back to top
F
- Federally Qualified Health Center
- Frequency
Back to top
G
- Genetic Testing
- Global Surgical Package and Split Surgery
Back to top
H
- Health Care-Acquired Conditions
- Home Health Services
Back to top
I
- Implants, Devices, Skin Substitutes
- In-Office Stat Labs
- Inappropriate Diagnosis Coding
- Incident To
- Infertility Diagnosis and Treatment
- Investigational-Experimental Procedures
- Itemized Bill Review
Back to top
K
- KX Modifier
Back to top
L
- Laboratory and Pathology
- Locum Tenens
- Lung Cancer Screening
Back to top
M
- Maximum Units
- Medically Unlikely Edit
- Modifier 78
- Multiple Procedure Payment Reduction
Back to top
N
- National Correct Coding Initiative (NCCI)
- New Patient Visit
- Non-Participating Provider Reimbursement
Back to top
O
- Observation Services
- Obstetrics
- Once-Per-Lifetime Procedures
- Ophthalmology Services
- Overlapping Services While Inpatient
Back to top
P
- Place of Service
- Post Payment Review
- Preventive Services
- Procedure Code Guidelines
- Professional Technical Components
- Provider Administered Drugs-National Drug Code (NDC)
Back to top
Q
- Quantitative and Qualitative Drug Testing
Back to top
R
- Radiation Oncology
- Readmissions
- Repeat Procedure Modifiers 76 and 77 .pdf
- Request for Medical Records
- Revenue Code
- Review for Potential Upcoding of Services
Back to top
S
- Significant-Separately Identifiable Evaluation and Management Service (Modifier 25)
- Sleep Studies
- Split Billing Guidelines
- Submission of Claims
Back to top
T
- Team Surgery
- Telehealth
- Termination of Pregnancy
- Three-Day Payment Window
- Thyroid Testing
- Transcranial Magnetic Stimulation
Back to top
V
- Vaccine
- Vision Services
- Vitamin D Testing
Back to top