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Accurate coding enables BCBSIL to determine the benefit level that is warranted in accordance with the member's benefit certificate.
Thissection is to be used as a supplementary guide when coding for services rendered.
The rate for clinician administered drug procedure codes included in a quarterly HCPCS update and approved to be added as Medicaid benefits by HHSC may be effective as of the CMS effective date.
Claims submitted to the Texas Medicaid Healthcare Partnership (TMHP) will deny until the rate is implemented, but affected claims will be reprocessed back to the CMS effective date.
The Centers for Medicare & Medicaid Services is pleased to announce the release of 2017 Guidelines for Participation [PDF, 81KB] in Public Meetings for all new Public Requests for revisions to the Healthcare Common Procedure Coding System (HCPCS).
Please refer to this document for instructions and useful information to attend any of the public meetings including deadlines for registration as a participant or as a primary speaker.
MCOs and providers can refer to the Texas Medicaid Provider Procedures Manual or the CSHCN Services Program Provider Manual for current benefit information.The Centers for Medicare & Medicaid Services is pleased to announce the release of the May 16, 2017 HCPCS Public Meeting Agenda for Drugs and Biologics.Additional Public Meeting Agendas for both May 17, 2017 and May 18, 2017 will be published soon.In addition to coverage of reimbursement, CPT, HCPCS, and inpatient coding, this course offers complete coverage of the ICD-10-CM diagnosis coding system.No other course on the market so thoroughly prepares you for all coding systems in one course!