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Mutual News Q4 2022 Newsletter

Medical Mutual of Ohio·OH·Mutual News Newsletter
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Medical Mutual has delayed the implementation of a new Diabetes Testing Supplies Reimbursement Policy from December 1, 2022 to Q1 2023, and will update their 835 institutional claim reports in January 2023 to show individual revenue line pricing instead of allocated totals for better provider reconciliation.

Action Required

Action needed
By January 2023: Billing team should prepare for updated 835 reports that will show individual revenue line pricing for institutional claims instead of allocated totals. Review reconciliation processes to take advantage of new revenue line-level pricing details and CARC/RARC remarks. Monitor for the rescheduled Diabetes Testing Supplies Reimbursement Policy implementation in Q1 2023.

Affected Billing Codes

J44.0
J44.1
J44.9
99377
99378