Payment Policies

All Gateway Products Payment Policies:
Hot and Cold Packs- Payment Policy
Sepsis-3

Medicare Payment Policies:
Diabetic Retinal Eye Exam
Maximum Units of Service - Claims Payment Policy - Outpatient
Maximum Units of Service - Claims Payment Policy - Professional
Opioid Treatment Providers (OTP)
Readmission for DRG Based Providers- Payment Policy

PA Medicaid Payment Policies:
Durable Medical Equipment (DME) – Maximum Units of Service - Payment Policy
Durable Medical Equipment (DME) - Medical Prior Authorization Policy
Heparin Flush Policy
ICD-10-CM Excludes Notes Policy
Inpatient vs Observation- Payment Policy -Revised Observation Policy Imaging Limits Policy
Maximum Units of Service - Claims Payment Policy - Outpatient
Maximum Units of Service - Claims Payment Policy - Professional
Medicaid Revised Observation Policy
NDC Codes
Preventative Visits and Sick Visits on the Same Day
Remicade- Medical Pharmacy Prior Authorization Policy
Telemedicine Services
Use of CMS NCDs and LCDs

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