Prices
Outpatient and Emergency Care Reimbursement Reform
Day Case DRG Shadow Billing 2024
Mandatory tariff
- Mandatory tariff v2012_ADSCC Laboratory Services and USCLS Description Correction - "NEW"
- Mandatory tariff v2012_ADOC Service Codes Update "NEW"
- Mandatory tariff v2012_Inpatient Mental Health Relative Weights Update "NEW"
- Mandatory tariff v2012_Lymphedema and Lipidemia Update "NEW"
- Mandatory tariff v2012_IFHAS 2025 Update_August 01, 2025 "NEW"
- Mandatory tariff v2012_Postnatal Home Visit May 23, 2025
- Mandatory Tariff v2012_Surgical Sperm Extraction Procedures
- Mandatory Tariff for Lymphedema, Lipidemia and Histotripsy
- Mandatory tariff v2012_Casgevy_Testicular and Ovarian Tissue Cryopreservation
- Mandatory tariff v2012_Transcranial Magnetic Stimulation (TMS)
Adjudication Rules
- Addendum 05 to DOH claims Adjudication Rules_Inpatient Mental Health Relative Weights Update "NEW"
- Addendum 04 to DOH claims Adjudication Rules_Lymphedema and Lipidemia Service Codes "NEW"
- Addendum 03 to DOH claims Adjudication Rules_IFHAS 2025 Update "NEW"
- Addendum 02 to DOH claims Adjudication Rules_Unified Procurement Program for Drugs " New "
- Addendum 01 to DOH claims Adjudication Rules_Surgical Sperm Extraction Procedures " New "
- DOH Claims and Adjudication Rules v2025
Last updated: 04 Sep 2025
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