Site of Care & Advanced Claim Editing Update

Site of Care Update
BCBSWY recently updated our list of services for our Site of Care Program regarding infusion drugs. To learn more, please visit BCBSWY.com/providers/site-of-care/.

Advanced Claim Editing
We are sharing coding advice to help Providers prepare for our automated claims review process starting in March. These ongoing tips help ensure your claims are properly coded.

Coding Advice

  • BCBSWY will deny revenue codes when CMS indicates a HCPCS code is required, and they are billed without one.
  • BCBSWY will deny revenue codes when billed with a modifier and no HCPCS code is associated with the line.

If you have questions, please contact Provider Relations for more information.

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