Payment Integrity Policies
| Title | Download (PDF) |
|---|---|
| Annual Fee Schedule Updates – CMS and Medicaid | Download (PDF) |
| Claims Review Program |
Download (PDF) |
| Coding Validation | Download (PDF) |
| CPT/HCPCS New Code Updates | Download (PDF) |
| Device, Implant and Skin Substitutes Coding Guidelines (Facilities) | Download (PDF) |
| Hospital Inpatient - Routine Supplies & Services | Download (PDF) |
| Laboratory Benefit Management Program | Download (PDF) |
| Pre/Post Claims Payment Reviews | Download (PDF) |
| Sepsis Coding - Pre/Post Claims Review | Download (PDF) |