ProviderMatters

Payment Policy (July 2024)

Posted on July 2, 2024

Health New England is committed to reviewing our internal procedures, and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources.

Discarded Drugs & Biologicals Effective 6/1/2024
  • Reviewed with no changes
Evaluation & Management Professional Services Effective 6/1/2024
  • Removal of expired codes
  • Removal of Inter-professional Telephone, Internet and Electronic Health Record Consults section
Serious Reportable Events Effective 6/1/2024
  • Added additional language to support what falls under SRE categories
  • Added modifiers for Hospital Inpatient Claims
Timely Filing Effective 6/1/2024
  • Correction to the filing limit typo of 90 days to 365 days in the paragraph for Medicare Participating and Non-Participating Providers
Modifier Effective 3/1/2024
  • Added clarifying billing requirements for SA Modifier

If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. You may also send an email to providerrelations@hne.com.

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