Payment Integrity Policies
Molina Healthcare Medicare and Marketplace Payment Integrity Payment Policies
For Molina Healthcare Active Medicare and Marketplace, Please click the link.
Molina Healthcare Medicare and Marketplace Payment Integrity Payment Policies- Appropriate Level of Care Reimbursement
- Breast Cancer Genetic Testing Tier 1 vs Tier 2
- Critical Care Codes when Discharging Home from the Emergency Department
- Diagnosis Code Coding
- DRG Clinical Validation
- Excludes 1 Note
- High Level Evaluation and Management with Preventive Medicine
- Hospital Routine Supplies Services
- ICD-10 Specificity Coding Policy
- ICD-10 First Listed Diagnosis Coding Policy
- Sepsis
- Split-Night-Sleep-Study
- Newborn and NICU
- Ambulance Modifier
New-Pending Policies
Existing Policies