Reimbursement Policies
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A
- Acupuncture .pdf
- Add-On Codes
- Allergy Testing .pdf
- Ambulance Services
- Ambulatory Surgery Center
- Anesthesia .pdf
- Assistant Surgeon
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B
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C
- Cardiology Services .pdf
- Cerumen Removal.pdf
- Chiropractic Services .pdf
- Co-Surgeon
- Colonoscopy .pdf
- Cost Outlier Payment
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D
- Diagnosis Procedure Age Guidelines
- Diagnosis Procedure Code Gender Guidelines
- Discarded Drugs and Biologicals .pdf
- Discontinued Procedures
- Distinct Procedural Service (Modifier 59, X )
- Duplicate Services
- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
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E
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F
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G
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H
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I
- Implants and Devices
- 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
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L
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M
- Maximum Units
- Medically Unlikely Edit
- Modifier 57-Decision for Surgery.pdf
- Modifier 78
- Multiple Procedure Payment Reduction
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N
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O
- Observation Services
- Obstetric Ultrasound
- Obstetrics
- One-Day Payment Window
- Overlapping Services While Inpatient
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P
- Place of Service
- Post Payment Review .pdf
- Procedure Code Guidelines
- Professional Technical Components (Modifiers 26, TC)
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Q
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R
- Radiation Oncology.pdf
- Readmissions
- Repeat Procedure Modifiers 76 and 77 .pdf
- Request for Medical Records
- Revenue Code
- Review for Potential Upcoding of Services
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S
- Sexually Transmitted Infections Testing
- Significant-Separately Identifiable Evaluation and Management Service (Modifier 25)
- Sleep Studies .pdf
- Split Billing Guidelines
- Submission of Claims
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T
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U
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V
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