BILLING NEWS

Bundling by Tax ID and Specialty Claim Edits Standardization

On August 1, 2017, Blue Cross and Blue Shield of Alabama will implement the first of its industry standardization claim edits. Currently, bundling edits are applied to claims for an individual provider. For claims processed on or after August 1, 2017, bundling edits will be applied to all providers under the same Tax ID with the same Specialty, regardless of date of service. As a reminder, Blue Cross began using the National Correct Coding Initiative (NCCI) for claims processing in 2010 and will continue to use this methodology. NCCI edits are a nationally recognized and widely used standard for editing claims for accurate coding and reporting of services.


INDUSTRY NEWS TAGS: BCBS Alabama


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