New and updated billing policies now available

We publish billing policies to offer transparency and help providers bill claims more accurately to reduce delays in processing claims, as well as avoid rebilling and additional requests for information. 

The following billing policies were recently published to or updated in our Provider Manual. See each individual policy for details.

• Ambulatory surgical centers (new)
• Balance billing (new)
• DME POS (updated)
• DME refill requirements (new)
• Drugs administered by providers for FDA-approved or medically accepted off-label uses (new)
• Genetic testing (updated)
• Hospice care (new)
• Ordering / referring provider requirements (new)
• Surgical dressings (updated)