{"id":8810,"date":"2025-12-03T21:57:32","date_gmt":"2025-12-03T21:57:32","guid":{"rendered":"https:\/\/hnetalk.com\/provider\/?p=8810"},"modified":"2025-12-03T21:57:32","modified_gmt":"2025-12-03T21:57:32","slug":"payment-policy-updates-december-2025","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/payment-policy-updates-december-2025\/","title":{"rendered":"Payment Policy Updates (December 2025)"},"content":{"rendered":"<p>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<a href=\"https:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>.<\/p>\n<p><em><strong>The following policies were reviewed and updated:<\/strong><\/em><\/p>\n<table width=\"738\">\n<tbody>\n<tr>\n<td width=\"192\"><strong>Updates<\/strong><\/td>\n<td width=\"114\"><strong>\u00a0Effective Date<\/strong><\/td>\n<td width=\"432\"><strong>Notes<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"192\">Emergency Department<\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"114\">11\/01\/2025<\/td>\n<td width=\"432\">\n<ul>\n<li>All LOBs<\/li>\n<li>Updated policy<\/li>\n<li>Replaced language to provide better clarity around Outpatient procedures<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"192\">Robotics-Assisted Surgery<\/td>\n<td width=\"114\">12\/01\/2025<\/td>\n<td width=\"432\">\n<ul>\n<li>Created payment policy to document existing operational practices<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"192\">Updated \u2013 Evaluation &amp; Management<\/td>\n<td width=\"114\">02\/01\/2026<\/td>\n<td width=\"432\">\n<ul>\n<li>Commercial Line of Business<\/li>\n<li>G2211 no longer reimbursed for Commercial<\/li>\n<li>Updated language regarding 99451<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"192\">Computer-Assisted Surgery<\/td>\n<td width=\"114\">02\/01\/2026<\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"432\">\n<ul>\n<li>New Policy<\/li>\n<li>All LOBs<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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\u202fhealthnewengland.org\/Providers\/Resources. The following policies were reviewed and updated: Updates \u00a0Effective Date Notes Emergency Department \u00a0 11\/01\/2025 All LOBs Updated policy Replaced language [&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-8810","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-2i6","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8810","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=8810"}],"version-history":[{"count":3,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8810\/revisions"}],"predecessor-version":[{"id":8838,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8810\/revisions\/8838"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8810"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}