| Regence BlueCross BlueShield of Oregon utilizes Medicare’s National Correct Coding Initiative (NCCI) as the basis for it’s clinical edits. NCCI identifies pairs of services that normally should not be billed by the same physician for the same patient on the same day. NCCI also promotes uniformity among the contractors that process Medicare claims in interpreting Medicare payment policies. CMS has made the NCCI edits available on their Website.
Regence BCBSO has identified code pair edits to be used as a supplement to Medicare's NCCI. These code pair edits were developed using nationally accepted, logical and predictable coding principles. In arriving at these supplemental coding edits, Regence BCBSO Correct Code Editor (CCE), the following were taken into consideration:
1. CPT manual, including code definitions and associated text
2. CPT Assistant
3. Centers for Medicare & Medicaid Services (CMS)
4. The CMS Federal Register
5. Medicare Part B News
6. HCPCS manual
Provide feedback or get clarification about the Regence BCBSO CCE code pairs.
Note: Please do not use the above e-mail link for claims questions. Claims questions should be referred to customer service at:
Portland: 1 (800) 722-5086 or (503) 225-6619
Salem: 1 (800) 228-0978 or (503) 371-3249
Supplement
to CCI Version 13.2
For dates of service beginning July 1, 2007 |
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Supplement
to CCI Version 13.1
For dates of service beginning April 1, 2007 |
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Supplement
to CCI Version 13.0
For dates of service beginning January 1, 2007 |
|
Supplement
to CCI Version 12.3
For dates of service beginning October 1, 2006 |
|
Supplement
to CCI Version 12.2
For dates of service beginning July 1, 2006 |
|
Supplement
to CCI Version 12.1
For dates of service beginning April 1, 2006 |
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Supplement
to CCI Version 11.3
For dates of service beginning October 1, 2005 |
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Supplement
to CCI Version 11.2
For dates of service beginning July 1, 2005 |
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Supplement
to CCI Version 11.1
For dates of service beginning April 1, 2005 |
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Please note: Regence BCBSO CCE documents
are Portable Document Format (PDF). The documents are
very large, over 100 pages in some instances. The following
tips will assist you to locate and print relevant information.
It is recommended you do not print the entire document,
but rather select the pages you wish to be printed.
Finding text:
You can use the Find command to find a complete word,
part of a word, or a phrase in the current PDF document.
Acrobat Reader looks for the word by reading every word
on every page in the file, including text in form fields.
To find a word using Find command:
- Choose Edit > Find OR click the binoculars icon
in the toolbar.
- Enter the text to find in the box.
- Select any of the find options, and then click Find.
Acrobat Reader finds the first occurrence of the word.
Printing sections of PDF documents:
You can specify a range of pages to print in the Print
dialog box. In addition, you can specify nonadjacent
pages (such as 1, 3, and 9) or a particular page area
to print before you open the Print dialog box.
To print a PDF document:
- To select nonadjacent pages or to specify a print
area, do either of the following before you open the
Print dialog box:
- To select pages to print, click thumbnails in
the Thumbnails palette. You can Ctrl-click (Windows)
or Command-click (Mac OS) thumbnails to select nonadjacent
pages.
- To select an area on a page to print, select
the graphics select tool and drag on the page to
select the area you want to print.
- Use File > Page Setup to set general printing
options. The available options will vary with different
printers and drivers. See your printer driver documentation
for details.
- Choose File > Print
- Specify the printer, paper range, number of copies,
and other options, and click OK.
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