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Payment Policies

All Gateway Products Payment Policies:
Apr 2015	Hot and Cold Packs- Payment Policy

Medicare Payment Policies:
Jul 2016	Facility Emergency Department Payment Policy
Feb 2016	Cataract Removal Reimbursement Policy -Cataract Removal Questionnaire
Dec 2015	Readmission for DRG Based Providers- Payment Policy

PA Medicaid Payment Policies:
Mar 2019	Preventative Visits and Sick Visits on the Same Day
Jul 2018	Telemedicine Services
Jun 2018	NDC Codes - June 26, 2018 Effective Date
Apr 2018	Heparin Flush Policy - April 26, 2018 Effective Date
Apr 2018	Scanning Computerized Ophthalmic Diagnostic Imaging Limits Policy - April 26, 2018 Effective Date
Feb 2018	ICD-10-CM Excludes Notes Policy - February 27, 2018 Effective Date
Sept 2017	Medicaid Revised Observation Policy Notice for October 15, 2017 Effective Date
Sept 2017	Maximum Units of Service - Claims Payment Policy
Jul 2016	Durable Medical Equipment (DME) – Maximum Units of Service - Payment Policy
Apr 2016	Medical Policy - Oncotype DX
Nov 2015	Observation Frequently Asked Questions
Sept 2015	Remicade- Medical Pharmacy Prior Authorization Policy
Jul 2015	Facility Emergency Department Payment Policy
Jun 2015	Intravenous Immunoglobulin (IVIG)- Medical Pharmacy Prior Authorization Policy
Jun 2015	Durable Medical Equipment (DME) - Medical Prior Authorization Policy
May 2015	Inpatient vs Observation- Payment Policy -Revised Observation Policy Notice for October 15, 2017 Effective Date

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