Federal Medical Billing Guidelines

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Medical Policies and Utilization Management Guidelines - FEP Blue

https://www.fepblue.org/legal/policies-guidelines

The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or …

Patient Billing Guidelines | AHA - American Hospital …

https://www.aha.org/standardsguidelines/2020-10-15-patient-billing-guidelines

The following guidelines outline how all hospitals and health systems can best serve their patients and communities. They underscore hospitals’ commitment to ensuring that conversations about financial …

Medical Provider | U.S. Department of Labor - DOL

https://www.dol.gov/agencies/owcp/FECA/medicalprovider

The Federal Employees Program periodically provides medical providers with information about the FECA program on topics to include medical authorization and bill processing …

Ending Surprise Medical Bills | CMS

https://www.cms.gov/nosurprises/Ending-Surprise-Medical-Bills

As of January 1, 2022, consumers have new billing protections when getting emergency care, non-emergency care from out-of-network providers at in-network …

- Blue Cross and Blue Shield's Federal Employee Program

https://www.fepblue.org/guidelines

The policies contained in the FEP Utilization Management (UM) Guidelines are developed to assist in administering contractual benefits and do not constitute medical advice. …

Compliance Guidance | Office of Inspector General

https://oig.hhs.gov/compliance/compliance-guidance/

OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, …

Regulations & Guidance | CMS

https://www.cms.gov/Regulations-and-Guidance/Regulations-and-Guidance

Emergency Medical Treatment & Labor Act (EMTALA) Freedom of Information Act (FOIA) Legislative Update Paperwork Reduction Act (PRA) of 1995 Regulations & Policies CMS …

Federal Policy Guidance | Medicaid.gov

https://www.medicaid.gov/federal-policy-guidance/index.html

Federal Policy Guidance. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to …

OWCP Medical Fee Schedule | U.S. Department of …

https://www.dol.gov/agencies/owcp/regs/feeschedule/fee

CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes (to include Category II and III), and modifiers for reporting medical services and …

Billing and Coding Guidance | Medicaid

https://www.medicaid.gov/resources-for-states/coronavirus-disease-2019-covid-19/other-agency-guidance/billing-and-coding-guidance/index.html

Fact sheet: Medicare Telemedicine Healthcare Provider Fact Sheet Medicare Telehealth Frequently Asked Questions MLN Matters article: Medicare Fee-for-Service (FFS) …

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