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CommercialReimbursementMedium impact

Reimbursement Policies

EmblemHealth·Provider News
Effective date
Jun 15, 2024
We identified it
Jun 20, 2026
Days to comply
—

Summary

EmblemHealth and ConnectiCare are implementing new reimbursement policies effective June 15, 2024, including compression garments following CMS guidelines, updates to E&M services with Medicare G2211 coverage starting January 1, 2024, and new Lab Benefit Management policies for homocysteine testing. Multiple existing policies for anesthesia billing, preventive care, and various lab tests are also being updated.

Action Required

Action needed
By June 15, 2024: Billing team must update systems to reflect new EmblemHealth and ConnectiCare reimbursement policies for compression garments following CMS guidelines when prescribed by physicians and provided by DME suppliers. Update billing software to include Medicare coverage for G2211 E&M services effective January 1, 2024. Review and implement new Lab Benefit Management policy for homocysteine metabolism testing. Access revision histories for specific changes to anesthesia billing, preventive care, and multiple lab testing policies.

Affected Billing Codes

G2211

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