Reimbursement Policies
RM-002 Lesser of Billed Charged – ALL PROVIDERS
RM-008 Maximum Units for Reimbursement/Medically Unlikely Edits (MUE)
RM-009 Claims Timely Filing - COMMERCIAL
RM-011 Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy
RM-014 Claims Payment Recovery/Recoupment
RM-018 Serious Adverse Events (Never Events & Hospital Acquired Conditions)
RM-027 Transgender Billing Guidelines
RM-033 Medicare Advantage Plans Telehealth Services
RM-034 Commercial Telehealth Services
RM-038 Refractive Vision Services
RM-041 Anesthesia Qualifying Circumstances
RM-042 Facility Routine Services, Supplies and Medical Equipment\
RM-044 Pre-Episode, Same Day, and Post Episode Services
RM-045 Robotic Surgical Systems
RM-046 3D Printed Models, Implants, Surgical Navigation Systems, and Cardiac Mapping Systems