Notification of Reimbursement Policy Revisions Effective June 1, 2022 (Posted March 31, 2022)

Reimbursement Policy	Revision
Add-On Codes	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Anesthesia, Professional and Facility	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Bundling Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Co-Surgeon, Assistant Surgeon, Team Surgeon and Assistant-at-Surgery Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Consistency Guidelines	Policy language updated throughout. Age group definitions updated. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Diagnosis Validity & Code Guidelines	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Evaluation and Management Services	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Facility Billing Guidelines	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Global Surgery	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Guidelines for Global Maternity Reimbursement	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Immunization Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Maximum Units of Service	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Modifier Guidelines	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
NCCI Editing	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Observation	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Once in a Lifetime	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Outpatient Code Editor (OCE) Edits	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Partial Hospitalization and Intensive Outpatient Programs	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Place of Service	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Pricing and Adjudication Principles	Policy renamed from “Pricing and Adjudication Principles for Professional Providers” to “Pricing and Adjudication Principles”. Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Radiation Therapy Services	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Revenue Codes Requiring Procedure Codes, Facility	New policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Split Surgical Package	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Status Codes	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Supply and Equipment Reimbursement	Policy language updated throughout. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.

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