Posted on December 5, 2018
As you may or may not know, Health New England has an automated review of claims against accepted industry rules and coding guidelines. The sources for coding rules and edits may include but are not limited to the following: CPT, ICD, CMS and Health New England Payment Policies. This automated update and review takes place quarterly.
For more information, please reference our payment policy at: http://healthnewengland.org/Portals/_default/Shared%20Documents/providers/ClaimsEditing.pdf