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Reminders: Reimbursement Policies Effective Aug. 1, 2022

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Reminders: Reimbursement Policies Effective Aug. 1, 2022

07/13/2022

Starting Aug. 1, 2022, the following reimbursement policies are being introduced:

  • Durable Medical Equipment (DME) in Office / Non-Facility Place of Service (Commercial and Medicare) (EmblemHealth and ConnectiCare)
  • Durable Medical Equipment (DME) Rental vs. Purchase (Commercial and Medicare) (EmblemHealth and ConnectiCare)
  • The updated EmblemHealth’s Coding Edits Policy identifies the edits that will now apply to our PPO members with Medicare PPO and commercial PPO plans for both City of New York and non-City PPO members.
Provider Update

ALSO OF INTEREST

Durable Medical Equipment (DME) Additional Codes Require Preauthorization Effective Aug. 1, 2022 Starting Aug. 1: New Commercial Plan Site of Service Coverage Rules for Maintenance Infusions Reminders: New Reimbursement Policies Going into Effect in August 2022
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