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Medical payment policies - Provider Manual
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Table of contents
Introduction
Compliance: Federal and
state false claims acts
Privacy and confidentiality
FCHP products
Managing patient care
Provider relations
Peer review policy
Credentialing procedures
Member relations
Additional resources
Billing procedures
Medical payment policies
Forms
Medical policies
Medical payment policies
Ambulance service payment policy
(pdf, 109 KB)
Anesthesia payment policy
Current policy
(pdf, 73 KB)
Revised policy effective 7/1/2008
(pdf, 81 KB)
Assistant surgeon payment policy
(pdf, 59 KB)
Claims auditing software policy
(pdf, 60 KB)
Clinical trials payment policy
(pdf, 92 KB)
Coding analysis policy
(pdf, 55 KB)
Counseling/risk factor reduction intervention services payment policy
(pdf, 54 KB)
CRNA payment policy
(pdf, 62 KB)
Dermatology payment policy
(pdf, 78 KB)
Durable medical equipment capped rental payment policy
(pdf, 76 KB)
Emergency department payment policy
(pdf, 63 KB)
Evaluation and management payment policy
(115 KB)
Eye examinations and refraction payment policy
(pdf, 68 KB)
Global obstetrical services policy
(pdf, 86 KB)
Global surgical payment policy
(pdf, 82 KB)
Hearing aid and hearing aid exam payment policy
(pdf, 61 KB)
Home grown codes payment policy
(pdf, 51 KB)
Hospice and palliative medicine consult payment policy
(pdf, 67 KB)
Infertility/assisted reproductive technology services payment policy
(pdf, 209 KB)
Inpatient medical review and payment policy
(pdf, 75 KB)
Laboratory and pathology payment policy
(pdf, 55 KB)
Medical nutrition therapy payment policy
(pdf, 51 KB)
Medical supplies and surgical dressings payment policy
(pdf, 387 KB)
Member liability policy
(pdf, 54 KB)
Neonatal and pediatric critical care services payment policy
(pdf, 71 KB)
Nurse midwife payment policy
(pdf, 72 KB)
Nurse practitioner/physician assistant payment policy
(pdf, 84 KB)
Observation status payment policy
Current policy
(pdf, 63 KB)
Revised policy effective 7/1/2008
(pdf, 78 KB)
Obstetric anesthesia payment policy
(pdf, 79 KB)
Physician-owned diagnostic imaging center payment policy
(pdf, 50 KB)
Physician standby services policy
(pdf, 50 KB)
Physical therapy assistant payment policy
(pdf, 58 KB)
Preoperative autologous blood donation payment policy
(pdf, 89 KB)
Procedure code review policy
(pdf, 59 KB)
Radiology payment policy
(pdf, 65 KB)
Registered nurse first assistant payment policy
(pdf, 48 KB)
Special services, procedures and reports payment policy
(pdf, 61 KB)
Team conferences and telephone consults service payment policy
(pdf, 55 KB)
Timely filing payment policy
(pdf, 58 KB)
Transplant payment policy
(pdf, 94 KB)
Units of service edit payment policy
(pdf, 59 KB)
Unlisted surgical procedures and services for facilities
(pdf, 61 KB)
Unlisted surgical procedures and services for physicians
(pdf, 65 KB)
Vaccine reimbursement payment policy
(pdf, 172 KB)
Well baby/well child care visits payment policy
(pdf, 69 KB)