Highmark Health Emergency Billing Guidelines
Listing Websites about Highmark Health Emergency Billing Guidelines
RP-037 Emergency Evaluation and Management Coding …
(1 days ago) WEBHighmark Reimbursement Policy Bulletin Bulletin Number: RP-037 Subject: Emergency Evaluation and Management Coding Guidelines Effective Date: August 27, 2018 End Date: Issue Date: January 15, 2024 Revised Date: January 2024 Date …
https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-037.pdf
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Highmark Updates Tied to End of Public Health Emergency
(1 days ago) WEBOn January 30, 2023, the federal government announced that the COVID-19 public health emergency (PHE) would expire on May 11, 2023. In response to the COVID-19 …
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Provider Manual - Highmark Health Options
(9 days ago) WEB1.1 Highmark Health Options Overview • Introduction 11 -Emergency Services 43-Situations When Emergency Care is Typically Not Needed 43-Hospital Guidelines …
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Documentation Guidelines for Evaluation and Management …
(7 days ago) WEBNursing Facility Service codes (99304-99310, 99315, 99316) Home or Residence Service codes (99341, 99342, 99344, 99345, 99347-99350) Except for Emergency Department codes (99281-99285), providers may choose the appropriate E/M level of care based on either Time or Medical Decision Making (MDM). Emergency …
https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Documentation-Guidelines-for-EM-Services
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Public Health Emergency Ending: Updates for Providers
(5 days ago) WEBOn January 30, 2023, the federal government announced that the COVID-19 public health emergency (PHE) will expire on May 11, 2023.. In response to the COVID-19 pandemic …
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Highmark Reimbursement Policy Bulletin
(1 days ago) WEBHighmark Reimbursement Policy Bulletin Bulletin Number: Subject: RP-057 • Emergency Department codes (99281 - 99285) • Nursing Facility service codes (99304 …
https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-057.pdf
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EE-0222-2022 FQHC Billing Guidelines 042522 - Highmark …
(5 days ago) WEBProviders will be reimbursed for one encounter code per day, with the exception of a medical and a mental health encounter billed on the same day on a separate claim …
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Highmark Provider Manual - Provider Resource Center
(Just Now) WEBHighmark Provider Manual. We have redesigned the Highmark Provider Manual to make it easier for you to view and find important information, policies, and procedures for all …
https://hbs.highmarkprc.com/Education-Manuals/Highmark-Provider-Manual
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Clinical Practice Guidelines - Highmark Health Options
(3 days ago) WEBClinical Practice Guidelines. Clinical Practice Guidelines can be used to help direct care based on best available evidence based practices in order to reduce inappropriate …
https://www.highmarkhealthoptions.com/providers/guidelines-resources.html
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New and Updated Reimbursement Policies
(9 days ago) WEBUPCOMING. IMPORTANT: With the public health emergency (PHE) coming to an end, the following reimbursement policies (RPs) will have Telehealth and Virtual Health …
https://hbcbs.highmarkprc.com/pnews/pn-4-2023/new_and_updated_reimbursement_policies.html
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Reimbursement Policy - Highmark Health Options
(1 days ago) WEBHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 A. Emergent Criteria – Emergency Department criteria requires the …
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Highmark Reimbursement Policy Bulletin
(1 days ago) WEBHighmark Reimbursement Policy Bulletin Bulletin Number: RP-020 Subject: Preventive Medicine and Office/Outpatient Evaluation and Management Services …
https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-020.pdf
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Reimbursement Policy - Provider Resource Center
(7 days ago) WEBEach reimbursement policy includes information pertaining to all Highmark markets as indicated in the header, with state specific variations indicated within the policy bulletin. …
https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Reimbursement-Policy
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Medical Policy - Provider Resource Center
(1 days ago) WEBThe Medical Policy Department, in collaboration with physician specialists, develop and maintain medical necessity and coverage guidelines for all medical …
https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Medical-Policy
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Public Health Emergency Highmark
(5 days ago) WEBFederal Public Health Emergency FAQ. The Federal Public Health Emergency ends on May 11, 2023. On January 30, 2023, the Biden administration …
https://newtenv3.highmark.com/resources/answers/faq/public-health-emergency
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Highmark Reimbursement Policy Bulletin
(1 days ago) WEBPage 4 of 11 *Note: If mandated by your OPPS payment methodology for reporting clinic visits. Note: Revenue code 780 should be used when billing Q3014. …
https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf
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New and Updated Reimbursement Policies
(7 days ago) WEBOnce redirected to the Provider Resource Center, choose CLAIMS, PAYMENT & REIMBURSEMENT from the left menu then Reimbursement Policy. This policy is being …
https://hbs.highmarkprc.com/pnews/pn-2-2023/new_and_updated_reimbursement_policies.html
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No Surprises Act - Highmark
(1 days ago) WEBNo Surprises Act. For consumers who get coverage through their employer (including a federal, state, or local government), through the Health Insurance Marketplace ® or directly through an individual health plan, beginning January 2022, these rules will protect you from surprise billing or balance billing when you receive emergency care or get
https://www.highmark.com/no-surprises-act
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New and Updated Reimbursement Policies
(9 days ago) WEBPopulation Health University Emergency Department Utilization Module Now Available; Mental Health Awareness Month; Highmark Seeking Members for the Medical Review …
https://hbcbs.highmarkprc.com/pnews/pn-2-2022/new_and_updated_reimbursement_policies.html
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CHAPTER 7: CLAIMS, BILLING, AND REIMBURSEMENT
(8 days ago) WEBHealth Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional services and upon receipt of a correctly completed UB-04 for hospital/facility expenses. A description of each of the required fields for each form is identified later in this unit.
https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/HOPM/hopm-chapter7-unit1.pdf
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Provider Resource Center
(8 days ago) WEBPlease see Highmark’s Provider Manual, Chapter 2, Unit 5 for more information regarding the services that may be provided through this modality and other guidelines. For …
https://hbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits
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About Us - Hackensack Meridian Health
(7 days ago) WEBPalisades Medical Center is one of 18 hospitals in the Hackensack Meridian Health Network. Located on the Hudson River waterfront in North Bergen, N.J., Hackensack …
https://www.hackensackmeridianhealth.org/en/locations/palisades-medical-center/about-us
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