{"id":8597,"date":"2024-09-09T16:09:33","date_gmt":"2024-09-09T16:09:33","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=8597"},"modified":"2024-09-09T17:26:54","modified_gmt":"2024-09-09T17:26:54","slug":"new-payment-policies-9-24","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/new-payment-policies-9-24\/","title":{"rendered":"New Payment Policies (September 2024)"},"content":{"rendered":"<p><strong>Unlisted Procedures &amp; Services:<\/strong><\/p>\n<ul>\n<li><em>Billing &amp; Documentation Requirements Section<\/em>\n<ul>\n<li>Added block for Anesthesia Services<\/li>\n<li>Unlisted coded within the range of 00100 \u2013 01999 along with documentation requirements.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Medical Health Policies:<\/strong><\/p>\n<ul>\n<li><em>Non-Emergent Transportation<\/em>\n<ul>\n<li>Effective 11\/2\/2024<\/li>\n<li>Medicaid\/BeHealthy transportation is directly covered by MassHealth &#8211; policy does not apply.<\/li>\n<li>For Medicare Advantage, will continue to follow guidance from CMS.<\/li>\n<li>Criteria for Commercial LOB in policy.<\/li>\n<li>Will continue to cover the following transports with no authorization:<\/li>\n<li>Hospital to Hospital<\/li>\n<li>Hospital to Acute Rehabilitation or Skilled Nursing Facility<\/li>\n<li>Acute Rehabilitation or Skilled Nursing Facility to Hospital<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Unlisted Procedures &amp; Services: Billing &amp; Documentation Requirements Section Added block for Anesthesia Services Unlisted coded within the range of 00100 \u2013 01999 along with documentation requirements. &nbsp; Medical Health Policies: Non-Emergent Transportation Effective 11\/2\/2024 Medicaid\/BeHealthy transportation is directly covered by MassHealth &#8211; policy does not apply. For Medicare Advantage, will continue to follow guidance [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8597","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2eF","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8597","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8597"}],"version-history":[{"count":3,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8597\/revisions"}],"predecessor-version":[{"id":8608,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8597\/revisions\/8608"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8597"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}