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Payment Policies

All Gateway Products Payment Policies:

April 2015 Hot and Cold Packs- Payment Policy

Medicare Payment Policies:

July 2016 Facility Emergency Department Payment Policy
Feb 2016 Cataract Removal Reimbursement Policy * NOTE - effective 1/1/17 this policy has been retired.  The New Policy can be found here       
  -Cataract Removal Questionnaire
Dec 2015 Readmission for DRG Based Providers- Payment Policy

PA Medicaid Payment Policies:

Sept 2017 REVISED Observation Policy October 15, 2017 Effective Date    
Sept 2017 Maximum Units of Service - Claims Payment Policy
July 2016 Durable Medical Equipment (DME) – Maximum Units of Service - Payment Policy
Apr 2016 Medical Policy - Oncotype DX
Nov 2015 Observation Frequently Asked Questions
Sept 2015 Remicade- Medical Pharmacy Prior Authorization Policy
July 2015 Facility Emergency Department Payment Policy
June 2015 Intravenous Immunoglobulin (IVIG)- Medical Pharmacy Prior Authorization Policy
June 2015 Durable Medical Equipment (DME) - Medical Prior Authorization Policy
May 2015 Inpatient vs Observation- Payment Policy
    ****REVISED Observation Policy Effective October 15,2017****


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