Tag Archives: payment policies

Claims Edit Reminder

Posted on November 18, 2019

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 […]

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New Sleep Study Payment Policy

Posted on September 12, 2016

Health New England has contracted with eviCore Healthcare to preauthorize specific sleep diagnostic procedures and PAP therapy devices and supplies. This new authorization program began on February 1, 2016. The program has been going well and our Provider Relations team continues to work daily with both providers and facilities to ensure this transition continues to […]

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