Billing and Reimbursement

Advanced Practice Provider

Ambulance Services

Ambulatory Infusion Center (AIC)

Ambulatory Surgery Center

Anesthesia Guidelines

Bilateral Procedures

Billing for Sepsis

Birthing Centers

Blood Sugar Monitoring Billing Guidelines

Breastfeeding Support Supplies and Lactation Counseling

Canceled Procedure

Case Management/Care Plan Oversight Services

Casts and Strapping

Catheterization

Cerumen (Earwax) Removal

Chemotherapy

Consultation Codes

Contrast Media

Critical Care Codes

Developmental Testing

Dialysis

Discontinued Services

Evening Weekend or Holiday Office Hours

Facility Reimbursement Information

Genetic/Molecular Test Coding

Home Health Care

Home Infusion Billing Guidelines

Home Medical Equipment

Hospice (Inpatient/Outpatient)

Hospital-Acquired Conditions (HAC) and Never Events

Injectable Drug

Injection Place of Service Restrictions

Intensive Outpatient/Day Treatment/Partial Care

Interim Billing

Intraoperative Monitoring

Leave of Absence

Medical/Surgical Supplies

Modifier-22

Obstetrical/Maternity Service Guidelines

Outpatient Surgical Encounters – Multiple Procedures

Outpatient and Emergency Room Services

Oximetry

Pathology

Physical Rehabilitation

Pricing Methodology

Professional Surgery Guidelines

Prolonged Physician Services

Radiology

Rapid Flu Test

Reconsideration of Unlisted Code Allowances

Reduced Services

Resident Students

Robotic Assistance

Rural Health Clinics

Site of Service for Professional Reimbursement

Smoking Cessation

Therapy

Transplant Services

Unlisted Procedure or Service - Billing and Reimbursement

Shop Plans
Member Support
Partner Resources
About Us