Aetna Medical Billing Guidelines

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Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public …

Clinical Policy Bulletins - Aetna

https://qawww.aetna.com/health-care-professionals/clinical-policy-bulletins.html

Aetna Clinical Policy Bulletins Our Clinical Policy Bulletins (CPBs) explain the medical, dental and pharmacy services we may or may not cover. They are based on objective, …

Office Manual - Health Insurance Plans | Aetna

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/office-manual-hcp.pdf

Office Manual - Health Insurance Plans | Aetna

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/300_399/0325.html

Policy. Aetna considers physical therapy (PT) medically necessary when this care is prescribed by a chiropractor, DO, MD, nurse practitioner, podiatrist or other health …

Billing and Claims Quick Reference Guide 4 - Aetna

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/provider/Billing%20and%20Claims%20Quick%20Reference%20Guide_4.pdf

All Ambulatory Surgery Centers billing on a UB-04 for services should use type of bill 08XX and not the 013X used for outpatient facilities. Type of Facility First Digit …

Ultrasound Guidance – Selected Indications - Medical …

https://www.aetna.com/cpb/medical/data/900_999/0952.html

Policy. Aetna considers ultrasound (US) guidance medically necessary for the following procedures (not an all-inclusive list): Adductor canal nerve block; Arterial line placement; …

Clinical guidelines and policy bulletins - Aetna

https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html

Guidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These …

Clinical Practice Guidelines - Aetna

https://www.aetnabetterhealth.com/ny/providers/manual/clinical

Clinical Practice Guidelines To help provide our members with consistent, high-quality care that uses services and resources effectively, we have chosen certain clinical guidelines …

Routine Foot Care - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/1_99/0046.html

Jan 12, 2023

Aetna E&M Policy | Medical Billing and Coding Forum

https://www.aapc.com/discuss/threads/aetna-e-m-policy.166130/

Their new policy states FOR ALL PLANS "We allow 1 of this group of codes per patient per day across all providers based on CMS guidelines." CPT codes 99234 …

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Medical Clinical Policy Bulletins - Aetna

Clinical Policy Bulletins - Aetna

Office Manual - Health Insurance Plans | Aetna

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

Billing and Claims Quick Reference Guide 4 - Aetna

Ultrasound Guidance – Selected Indications - Medical …

Clinical guidelines and policy bulletins - Aetna

Clinical Practice Guidelines - Aetna

Routine Foot Care - Medical Clinical Policy Bulletins | Aetna

Aetna E&M Policy | Medical Billing and Coding Forum

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