Medicare/D-SNP Billing and Coding (NEW)

Policy Update #: POLMEDB&C08102026
Effective Date: 08/10/2026
Current State:
Future State: Sentara Health Plans is committed to providing clear, accessible guidance to support accurate billing and coding practices.
Applicable Plan(s): Medicare
Applicable Policy: 5004
Business Owner: Cost of Care

As we formerly retire existing Medicare payment policies to reduce duplicative guidance, we are introducing a new Payment Policy that will serve as the Medicare payment policy resource for billing and coding guidance for Medicare claims, including Dual Special Needs Plan (D-SNP) claims. 

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Medicare/D-SNP Billing and Coding (New)