Updated Payment Reimbursement Policies

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Updated Payment Reimbursement Policies

07/13/2022

The following three payment reimbursement policies have been updated for both EmblemHealth and ConnectiCare:

  • Medicare Preventive Grid – Additional diagnosis codes were added to the Bone Mass Measurement section to align the policy with CMS’ guidelines. (ConnectiCare and EmblemHealth)
  • The COVID-19 Vaccine and Monoclonal Antibody Infusions Policy was updated to include a new code (0074A) effective May 17, 2022. (ConnectiCare and EmblemHealth)
  • The Evaluation and Management (E&M) Services Reimbursement Policy was updated to include Initial Hospital Care/Subsequent Hospital Care – same-day guidelines. (ConnectiCare and EmblemHealth)
Provider Update