Claims Editing Rules

Posted on May 28, 2022

As a reminder, Health New England implements National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) to align our claims payment system against accepted industry rules and coding guidelines. The following edit rules will be in place May 2022: Urine Culture, Bacterial (190.12) – Effective May 23, 2022 Prothrombin Time (PT) (190.17) – Effective May […]