AdministrativeCommercialOctober 1, 2018

Health Services must be reported in accordance to Coded Service Identifier guidelines

Providers must report all Health Services in accordance with the Coded Service Identifier(s) reporting guidelines and instructions. BCBSGa audits that result in identification of Health Services that are not reported in accordance with the Coded Service Identifier(s) guidelines and instructions, will be subject to recovery through remittance adjustment or other recovery action as may be set forth in the provider manual(s). All appropriate modifiers must be submitted in accordance with industry standard billing guidelines, if applicable.

PUBLICATIONS: October 2018 BCBSGa Provider Newsletter