September 11, 2015
Beginning on or after Dec.14, 2015, BCBSOK will enhance the ClaimsXten code auditing tool by adding incidental edits to our claim processing system for Healthcare Common Procedure Coding System (HCPCS) codes for Compression Device Accessories (such as E0655 through E0673). This new edit will be effective for claims submitted with dates of service on or after the implementation date.
When codes such as E0655 through E0673 are billed for Compression Device Accessories along with code E0676, the all-inclusive code for Compression Devices, the accessories will be denied as inclusive to the device and therefore ineligible for separate payment.
The ClaimsXten tool offers flexible, rules-based claims management with the capability of creating customized rules, as well as the ability to read historical claims data. ClaimsXten can automate claim review, code auditing and payment administration, which we believe results in improved performance of overall claims management.
To help determine how coding combinations on a particular claim may be evaluated during the claim adjudication process, you may continue to utilize Clear Claim ConnectionTM (C3). C3 is a free, online reference tool that mirrors the logic behind BCBSOK’s code-auditing software.
For more details regarding ClaimsXten, including answers to frequently asked questions, refer to the Clear Claim Connection™ page. Information also may be published in upcoming issues of the Blue Review.
ClaimsXten and Clear Claim Connection are trademarks of McKesson Information Solutions, Inc., an independent third party vendor that is solely responsible for its products and services.
CPT copyright 2014 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.