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Reimbursement Policy Update for June 30, 2022

Reimbursement Guidelines

Reason for Update

Facility Billing Guidelines (PDF)

Clarification added (CMS Acute Hospital Care at Home). Service Descriptions for Reimbursement Guidance: Hospital at Home services are not eligible for reimbursement. If these services are provided, Blue Cross NC requires they be submitted with Revenue code 161 and Occurrence Span Code 82. Effective date 6/30/2022.