Additional Code-auditing Software Scheduled for Implementation as of April 30, 2017
Blue Cross Blue Shield of Montana (BCBSMT) will be implementing an additional code-auditing software system, effective April 30, 2017.* This software will enhance auditing of professional and outpatient facility claims for correct coding according to Healthcare Common Procedure Coding System (HCPCS), Current Procedural Terminology (CPT®) and Centers for Medicare & Medicaid Services (CMS) guidelines. Upon implementation, providers may use the Claim Inquiry Resolution tool, available on through the eRM tool on the BCBSMT Secured Provider Portal, to research specific claim edits. For additional information, watch the Blue Review, as well as the News and Updates section of our Provider website.
*The above notice does not apply to government programs claims.
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