hamburger-menu
To search for an exact phrase, you should enclose the entire phrase in quotation marks. For example, "patient care".
Filter

State

Payment Issues

Network Issues

Contract Changes / Disputes

Coverage / Utilization Review

Claims Processing

Search Results

Ama Policy

Exclusion of Preoperative Services from Surgical Global Fee H-70.948

10/18/2019
Payment Rules
Ama Policy

Postoperative Care of Surgical Patients D-475.997

10/18/2019
Payment Rules
Ama Policy

Medicare Global Surgical Guidelines D-385.993

10/16/2019
Payment Rules
Ama Policy

Reimbursement for Diagnostic Studies Identified as Surgical Procedures H-390.977

10/15/2019
Payment Rules
Ama Policy

Non- Medicare Use of the RBRVS D-400.999

10/15/2019
Fee Schedules, Payment Edits, Payment Rules
Ama Policy

Assistants at Surgery H-385.969

10/14/2019
Payment Rules
Ama Policy

Requiring Third Party Reimbursement Methodology be Published for Physicians H-185.975

03/13/2019
Amendments, Fee Schedules, Payment Edits, Payment Rules, Rental Networks
State Law

California Code of Regulations Title 28-Managed Health Care Division 1-The Department of Managed Health Care Chapter 2-Health Care Service Plans Article 8. Self-Policing Procedures

05/08/2025 California Section 1300.71

Claims Settlement Practices

Amendments, Fee Schedules, OON-Payment Issues, Overpayments / Recoupments, Payment Edits, Payment Rules, Prompt Payment Deadlines, Retroactive Denial
State Law

Business and Professions Code-Division 2-Chapter 1-Article 1.5. Advocacy for Appropriate Health Care

07/28/2023 California Section 511.4

Contracting agent’s disclosure obligations to providers

Fee Schedules, Payment Edits, Payment Rules
State Law

Insurance Code-Division 2-Part 2-Chapter 1. The Contract-Article 2. Transfer

07/31/2023 California Section 10133.66

Claims filing-overpayment-health insurers’ payment dislosure obligations

Amendments, Claims Filing Deadlines, Fee Schedules, Overpayments / Recoupments, Payment Edits, Payment Rules