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CC.PP.071: Evaluation and Management Services Billed with Treatment Rooms

March 18, 2022
 
Dear Provider,
 
Thank you for your continued partnership with Home State Health. As you know, we continually review and update our payment and clinical policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of a new payment policy our Medicare plans will be implementing effective 6/18/2022.

Policy  Number Policy Name Policy Description Line of Business 
 CC.PP.071  Evaluation and Management Services Billed with Treatment Rooms Disallows E&M services in treatment rooms as this does not represent a treatment type of service. Medicare
 
For detailed information about these policies, please refer to our websites: 
 
And for questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at the numbers listed below.

 

 

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Last Updated On: 3/18/2022
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