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Mutual News May 2023 Bulletin

Medical Mutual of Ohio·OH·Mutual News Bulletin
Effective date
Jun 15, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Medical Mutual is implementing a new Consultation Codes Reimbursement Policy effective August 15, 2023, and revising their Observation Status Reimbursement Policy effective June 15, 2023. Both policies will affect how these services are reimbursed.

Action Required

Action needed
By June 15, 2023: Billing team must review the revised Observation Status Reimbursement Policy (RP-202004) at MedMutual.com/Provider under Policies and Standards > Corporate Reimbursement Policies. By August 15, 2023: Review and implement requirements from the new Consultation Codes Reimbursement Policy (RP-202302). Update billing procedures and staff training accordingly to ensure compliance with both policy changes.