Important Notice Regarding Billing for Point of Use Convenience Kits

Jul. 01, 2015

Blue Cross and Blue Shield of Montana (BCBSMT) periodically reviews claims submitted by providers to help ensure that benefits provided are for services that are included in our member’s benefit plan and meet BCBSMT’s guidelines. Some providers are submitting claims for point of use convenience kits that are used in the administration of injectable medicines. These prepackaged kits contain not only the injectable medicine, but also non-drug components including, but not limited to, alcohol prep pads, cotton balls, band aids, disposable sterile medical gloves, povidone-iodine swabs, adhesive bandages and gauze.

Typically, the cost of convenience kits exceeds the cost of its components when purchased individually. Non-drug components included in the kits are inclusive of the practice expense for the procedure performed for which no additional compensation is warranted. Effective Oct. 1, 2015 reimbursement for these point of use convenience kits will be reduced. Services should be provided in the most cost effective manner and in the least costly setting required for the appropriate treatment of the member.

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