Connection supplemental articles and policies – November 2015
Supplemental articles
- There are no supplemental articles in this issue.
Payment policies
Effective January 1, 2016 - see all policies under Payment policies.
New payment policies
There are no new payment policies.
Revised payment policies
Details about the changes are indicated on the policies:
- Autism Services – Moved to new Plan template and updated Reimbursement section to reflect removal of copay.
- Diabetes Self-Management Education/Training – Moved to new plan template and updated Reimbursement section to define maximum limits.
- Inpatient Medical Review and Payment – Moved to new plan template and clarified language discussing inpatient routine services.
- Laboratory and Pathology – Match up confirmatory language with medical policy and panel testing exclusions.
- Nurse Midwife – Updated Reimbursement section and moved to new plan template.
Annual review
We have completed an annual review of the following policies and have reformatted them in our new plan template without any content changes:
- Ambulatory Surgery – Facility
- Ambulatory Surgery – Professional
- Anesthesia
- Gastroenterology
- Medical Nutrition Therapy
- Registered Nurse First Assistant
- Skilled Nursing Facility
- Special Services, Procedures, and Reports
- Team Conferences and Telephone Services
- Timely Filing
- Transplant
- Unlisted Procedures and Services
View these and all policies under Payment policies.