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Medicare Advantage Preferred Provider Organization (MA PPO)
Applicable to enrollees from other Blue Cross Blue Shield Medicare Advantage Plans who obtain health care services within the 5-county Philadelphia service area.
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Title
MPDocType
MPPolicyNumber
MPNotificationIssuedDate
MPEffectiveDate
MPReissuedDate
MPArchiveNotifEffDate
MPSALogCreatedOn
MPPolicyChangeTypeslt
MPRevisionDate
MPSiteActivityRemovedDate
STAT Laboratory Tests Performed in the Outpatient Hospital Setting for Health Maintenance Organization (HMO) and Point-of-Service (POS) Products
Reissue Policies
MA00.021b
1/1/2021
10/16/2024
10/16/2024
Coverage of Medical Devices
Reissue Policies
MA05.040b
11/4/2019
10/30/2024
10/30/2024
Durable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
Reissue Policies
MA05.028e
1/18/2021
10/30/2024
10/30/2024
Modifier 62: Two Surgeons
Coding Update
MA00.011t
10/1/2024
10/4/2024
Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS
Coding Update
MA00.015r
10/1/2024
10/4/2024
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
Coding Update
MA03.003o
10/1/2024
10/4/2024
Magnetic Resonance Imaging (MRI) Contrast Agents
Coding Update
MA09.010f
10/1/2024
10/9/2024
Durable Medical Equipment (DME)
Coding Update
MA05.044r
10/1/2024
10/10/2024
Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic Devices
Coding Update
MA05.062k
10/1/2024
10/10/2024
Always Bundled Procedure Codes
Coding Update
MA00.026v
10/1/2024
10/15/2024
PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
Coding Update
MA00.010aq
10/1/2024
10/16/2024
Reimbursement for Radiopharmaceutical Agents for Professional Providers
Coding Update
MA09.009u
10/1/2024
10/28/2024
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Compliance Details
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