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Payer Guidelines

Commercial Payers

Aetna Polices and Guidelines

Empire Blue Cross Blue Shield Medical Policies and Clinical UM Guidelines

Excellus Medical Guidelines

MPV Health Care Policy Updates - Monthly Updates

Access to current MVP Medical Coverage Policies require a username and password.

Government Payers

Medicare

1995 E&M Documentation Guidelines

1997 E&M Documentation Guidelines

Advance Beneficiary Notice (ABN)

Coverage Determinations

"Incident to"

Locum Tenens

Medicare Learning Network

MLN Provider Compliance

Internet Only Manuals

Teaching Physician Services - Pages 156-177

  • Exception for E/M Services Furnished in Certain Primary Care Centers - Pages 162-164
  • Teaching Physician Services - Surgical Procedures - Pages 164-166

Medicaid

New York State Medicaid - Home

Ambulatory Payment Groups (APGs)

eMedNY

Locum Tenes

Medicaid Updates - New York State Department of Health

Supervising/Teaching Physicians as of April 2008