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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

November 2016

Update: Sleep Studies Payment Policy


Harvard Pilgrim recently updated the Sleep Studies Payment Policy to include the following reminders:

  • When the professional component of a diagnostic test is performed, the interpretation (modifier 26) of the test should be the place of service or setting where the member received the technical component of the service.
  • For G0399 (Home sleep study test with type III portable monitor, unattended), when billing for professional component, submit with the place of service of home “12.”

For more information, please refer to the updated Sleep Studies Payment Policy.

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PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator