Claims Editing – August 2020
Posted on August 5, 2020
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 on the guidelines and what is changing, please refer to the Lab National Coverage Determinations (NCDs).
Most recently changed:
• Thyroid Testing
• Lipid Testing (Vitamin D Assay & Visual Field Testing)
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