IHCP to mass adjust/reprocess claims for covered codes from the 2015 Annual HCPCS update

The Indiana Health Coverage Programs (IHCP) has identified a claims processing issue that affects newly covered codes from the 2015 Annual Healthcare Common Procedure Coding System (HCPCS) update, as announced in IHCP Bulletin BT201501. Fee-for-service claims for these newly covered codes that processed from January 1, 2015 through April 23, 2015 may have paid incorrectly or may have inappropriately denied. The claims processing system has been corrected. Claims processed during the indicated time frame that paid incorrectly or denied for the EOB codes indicated have been mass adjusted (if paid) or mass reprocessed (if denied). The adjusted and reprocessed claims should have begun appearing on providers’ Remittance Advices (RAs) dated June 23, 2015, with internal control numbers (ICN) that begin with 56 (mass adjusted) or 80 (mass reprocessed). For claims that were underpaid, the net difference will be paid and reflected on the RA.