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Mutual News October 2024 Bulletin

Medical Mutual of Ohio·OH·Mutual News Bulletin
Effective date
Nov 22, 2024
We identified it
Jun 20, 2026
Days to comply
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Summary

Medical Mutual is implementing six new and revised reimbursement policies affecting clinic charges, anesthesia, hospital lab services, diabetes testing supplies, replacement claims, and durable medical equipment. These policies take effect on two different dates in November 2024 and January 2025.

Action Required

Action needed
By November 22, 2024: Billing team must review and implement updated reimbursement policies for Diabetes Testing Supplies (RP-202401), Replacement Claims (RP-202304), and Durable Medical Equipment Rental, Purchase, Replacement, and Repair (RP-202411). By January 24, 2025: Review and implement new reimbursement policies for Clinic Charges (RP-202501), Anesthesia (RP-202502), and Hospital Non-Patient Laboratory Services (RP-202503). Access all policies at MedMutual.com/Provider under Policies and Standards > Reimbursement Policies to understand specific billing requirements and payment changes.

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