PAYER POLICY CHANGES

G2014 Insurance Policy Changes

HCPCS G2014 is officially defined as "Limited (30 minutes) care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)." HCPCS G2014 is referenced in 2 tracked payer policy changes from Medical Mutual of Ohio and Indiana Medicaid (IHCP). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G2014 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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