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Provider Bulletins

The bulletins posted on this website were originally sent by email or mail to applicable participating facility and ancillary providers (e.g., hospitals, ambulatory surgical centers [ASCs], and durable medical equipment [DME] providers). Provider bulletins convey important information related to billing requirements, correlation tables, fee schedules, and other billing-related topics.

If you need a copy of a bulletin that was posted prior to 2007, please contact your Network Coordinator or Hospital/Ancillary Services Coordinator. Use our Network Coordinator Locator Tool to identify your coordinator and his or her telephone number. Inquiries can also be submitted to your coordinator directly using this tool.

Bulletin # Publication date Subject Recipients
16-2011 11/30/2011

PDF icon ASC Fee Schedule Changes (PA/DE)

PDF icon ASC Fee Schedule Changes (NJ)

Participating ASCs in Pennsylvania and Delaware

Participating ASCs in New Jersey
15-2011 11/29/2011

PDF icon 1st Quarter 2012 Billing Updates (PA/DE)

PDF icon 1st Quarter 2012 Billing Updates (NJ)

Participating hospitals and select ASCs in Pennsylvania and Delaware

Participating hospitals in New Jersey
14-2011 11/17/2011

PDF icon Updated notification requirement for NICU admissions (PA/DE)

PDF icon Updated notification requirement for NICU admissions (NJ)

Participating hospitals in Pennsylvania and Delaware

Participating hospitals in New Jersey
13-2011 10/31/2011

PDF icon Intraoperative Neurophysiological Monitoring (PA/DE)

PDF icon Intraoperative Neurophysiological Monitoring (NJ)

Participating hospitals in Pennsylvania and Delaware

Participating hospitals in New Jersey
12-2011 10/28/2011

PDF icon Standard Outpatient Implantable Device List and Fee Schedule (PA/DE)

PDF icon Standard Outpatient Implantable Device List and Fee Schedule (NJ)

Participating hospitals and select ASCs in Pennsylvania and Delaware

Participating hospitals in New Jersey
11-2011 9/27/2011

PDF icon New ICD-9 codes and DRG Grouper impacts

PDF icon New ICD-9 codes and DRG Grouper impacts

Participating hospitals in Pennsylvania and Delaware

Participating hospitals in New Jersey
10-2011 9/1/2011

PDF icon 4th quarter 2011 billing updates

PDF icon 4th quarter 2011 billing updates

Participating hospitals and select ASCs in Pennsylvania and Delaware

Participating hospitals in New Jersey
09-2011 8/31/2011

PDF icon Inpatient Hospital Readmission Policy FAQ

PDF icon Inpatient Hospital Readmission Policy FAQ

Participating hospitals in Pennsylvania and Delaware

Participating hospitals in New Jersey
08-2011 8/2/2011

PDF icon New Policy on Inpatient Hospital Readmissions

PDF icon New Policy on Inpatient Hospital Readmissions

Participating hospitals in Pennsylvania and Delaware

Participating hospitals in New Jersey
07-2011 6/10/2011

PDF icon ASC fee schedule update

Participating ASCs in Pennsylvania and Delaware
06-2011 6/1/2011

PDF icon 3rd Quarter 2011 Billing Updates

PDF icon 3rd Quarter 2011 Billing Updates

Participating hospitals and select ASCs in Pennsylvania and Delaware

Participating hospitals in New Jersey
05-2011 5/27/2011

PDF icon ASC fee schedule changes

Participating freestanding ASCs in Pennsylvania and Delaware
03-2011 3/2/2011

PDF icon 2nd Quarter 2011 Billing Updates

PDF icon 2nd Quarter 2011 Billing Updates

Participating hospitals and select ASCs in Pennsylvania and Delaware

Participating hospitals in New Jersey
02-2011 2/24/2011

PDF icon Change to invoices for certain implantable devices

Participating hospitals in Pennsylvania and Delaware
01-2011 2/01/2011

PDF icon Outpatient pharmacy/injectable billing errors

Participating hospitals in New Jersey