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Payment Policies



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


Medicare Payment Policies:
JULY 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:
SEPT 2017 Medicaid Revised Observation Policy Notice for October 15, 2017 Effective Date
SEPT 2017 Maximum Units of Service - Claims Payment Policy
JULY 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
JULY 2015 Facility Emergency Department Payment Policy
JUNE 2015 Intravenous Immunoglobulin (IVIG)- Medical Pharmacy Prior Authorization Policy
JUNE 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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