{"id":8711,"date":"2025-07-02T19:55:41","date_gmt":"2025-07-02T19:55:41","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8711"},"modified":"2025-07-02T19:55:41","modified_gmt":"2025-07-02T19:55:41","slug":"payment-policy-updates-new-policy-july-2025","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-new-policy-july-2025\/","title":{"rendered":"Payment Policy Updates\/New Policy (July 2025)"},"content":{"rendered":"

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\u202f<\/span>healthnewengland.org\/Providers\/Resources<\/span><\/b><\/a>.<\/span>\u00a0<\/span><\/p>\n

The following policies were reviewed and updated:<\/span><\/i><\/b>\u00a0<\/span>\u00a0<\/span><\/p>\n\n\n\n\n\n\n
Policy<\/span><\/i><\/b>\u00a0<\/span><\/td>\nEffective Date<\/span><\/i><\/b>\u00a0<\/span><\/td>\nSummary of Changes<\/span><\/i><\/b>\u00a0<\/span><\/td>\n<\/tr>\n
Facility Routine Services, Supplies and Equipment <\/span><\/td>\n\u00a09\/1\/2025<\/span><\/b>\u00a0<\/span><\/td>\n\n
    \n
  • All LOBs<\/li>\n
  • Updated with current codes<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Re-admission to Inpatient Level Care (60 Day Notification) <\/span><\/td>\n9\/1\/2025<\/span><\/b>\u00a0<\/span><\/td>\n\n
    \n
  • All LOBs<\/li>\n
  • Changed the Purpose<\/li>\n
  • Changed the Readmission Review Definition<\/li>\n
  • Adjusted Indications to Pre & Post Payment review and added Planned Readmission (Leave of Absence)<\/li>\n
  • Adjusted the Claims Processing section to reflect Pre & Post Payment review<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
Audit Program (60 Day Notification) <\/span>\u00a0<\/span><\/td>\n9\/1\/2025<\/span><\/b>\u00a0<\/span><\/td>\n\n