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Recommended Policies

Telehealth services for PCP visits   Telehealth services for specialist and other healthcare professional visits  Telehealth services for physical therapy …
Policy # MA00.036i
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth
Attachment A: Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus - CPT/HCPCS Codes to MA00.037l Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
The individual has a face-to-face or telehealth encounter with a professional provider or … face to face, by phone, as a telehealth service including audio and/or video communication …
Policy # MA00.006n
​NTINUOUS GLUCOSE MONITORING SYSTEM (CGMS) AND SUPPLIES … The individual is on an intensive … professional provider has an in-person or telehealth visit with the individual to evaluate …
Policy # MA00.002p
The Company reserves the right to reimburse only those services that are furnished in the most appropriate and cost-effective setting that is appropriate to the member's medical …
Policy # MA12.010b
TO STOP SMOKING OR TOBACCO USE (SMOKING AND TOBACCO USE CESSATION … Individuals who use tobacco regardless of whether they exhibit signs or symptoms of tobacco-related disease …
Attachment C: Therapy and Counseling to MA00.003aa Preventive Care Services
The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19 …
News & Announcements
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Telehealth services for PCP visits   Telehealth services for specialist and other healthcare professional visits  Telehealth services for physical therapy …
Policy # MA00.036i
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth
Attachment A: Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus - CPT/HCPCS Codes to MA00.037l Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
The individual has a face-to-face or telehealth encounter with a professional provider or … face to face, by phone, as a telehealth service including audio and/or video communication …
Policy # MA00.006n
​NTINUOUS GLUCOSE MONITORING SYSTEM (CGMS) AND SUPPLIES … The individual is on an intensive … professional provider has an in-person or telehealth visit with the individual to evaluate …
Policy # MA00.002p
The Company reserves the right to reimburse only those services that are furnished in the most appropriate and cost-effective setting that is appropriate to the member's medical …
Policy # MA12.010b
TO STOP SMOKING OR TOBACCO USE (SMOKING AND TOBACCO USE CESSATION … Individuals who use tobacco regardless of whether they exhibit signs or symptoms of tobacco-related disease …
Attachment C: Therapy and Counseling to MA00.003aa Preventive Care Services
The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19 …
News & Announcements
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