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Facility claims editing update


Starting Oct. 1, 2017, we will be forwarding all Health Care Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) codes to our claim editing vendors. This is not a new edit, but we're applying existing edits to the detail codes that we already require providers to submit with their revenue codes. This is consistent with our billing and claims payment policy in our commercial provider manual and Medicare provider manual.