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)