Reimbursement Policy Updates

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Reimbursement Policy Updates

12/15/2022

Same Policy, New Look

The CPT and HCPCS Billing Guidelines (Commercial and Medicaid) reimbursement policy has a new look, but the rules remain the same. Whenever possible, please convert all HCPCS codes to the applicable CPT code prior to submitting claims to EmblemHealth and ConnectiCare.

Revised Policies        

The following reimbursement policies have been updated. See the Revision History sections for updates and effective dates:

 

Reminders

Starting Jan. 1, 2023, we are introducing the following updates to our reimbursement policies:

Provider Update