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Payment Policies

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

Medicare Payment Policies:
Facility Emergency Department Payment Policy
Cataract Removal Reimbursement Policy -Cataract Removal Questionnaire
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
Facility Emergency Department Payment Policy
Heparin Flush Policy
ICD-10-CM Excludes Notes Policy
Inpatient vs Observation- Payment Policy -Revised Observation Policy Imaging Limits Policy
Intravenous Immunoglobulin (IVIG)- Medical Pharmacy Prior Authorization Policy
Maximum Units of Service - Claims Payment Policy
Medicaid Revised Observation Policy
Medical Policy - Oncotype DX
NDC Codes
Observation Frequently Asked Questions
Preventative Visits and Sick Visits on the Same Day
Remicade- Medical Pharmacy Prior Authorization Policy
Scanning Computerized Ophthalmic Diagnostic
Telemedicine Services

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