Reimbursement Policy Update: Multiple Procedure Payment Reduction for Endoscopies

We have delayed our previously announced implementation of a Pay Percent Multiple Endoscopy Rule section within our ClaimsXten Editing Rules reimbursement policy.

This rule, when implemented, will align our approach to the processing of certain claims for endoscopy services with that of the Centers for Medicare & Medicaid Services (CMS) Multiple Procedure Payment Reduction (MPPR) guidelines.

We will provide at least 30 days’ advance notice prior to our future implementation of this rule.