Payment Policies



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


Medicare Payment Policies:
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

Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.

Questions?

Contact our Provider Services.

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