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Mutual News May 2024 Bulletin

Medical Mutual of Ohio·Mutual News Bulletin
Effective date
Jun 14, 2024
We identified it
Jun 20, 2026
Days to comply
—

Summary

Medical Mutual is updating three reimbursement policies with staggered effective dates. Two policies affecting pre-episode/same day/post-episode services and observation status take effect June 14, 2024, while emergency department evaluation and management services policy changes take effect August 12, 2024.

Action Required

Action needed
By June 14, 2024: Billing team must review updated reimbursement policies RP-202405 (Pre-Episode, Same Day, and Post Episode Services) and RP-202004 (Observation Status) at MedMutual.com/Provider under Policies and Standards > Corporate Reimbursement Policies. By August 12, 2024: Review updated policy RP-202406 (Emergency Department Evaluation and Management Services). Update billing workflows and system rules based on any changes found in these policies.

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