Payment Integrity Policies

Title Download (PDF)
Annual Fee Schedule Updates – CMS and Medicaid Download (PDF)
Claims Review Program
Download (PDF)
Coding Validation  New - effective 8/30/2022 Download (PDF)
Hospital Inpatient - Routine Supplies & Services Download (PDF)
Pre/Post Claims Payment Reviews Download (PDF)
Sepsis Coding - Pre/Post Claims Review Download (PDF)