Blue Cross Blue Shield of North Dakota (BCBSND) follows CMS’ Medicare and Medicaid NCCI Facility Procedure to Procedure (PTP), Medically Unlikely Edits (MUE) files and the Outpatient Code Editor (IOCE) NCCI Quarterly Data files. BCBSND implements quarterly file update through the Optum quarterly scheduled edit release. The October Quarterly Files were implemented into the Facility Code editing on Thursday, Oct. 5, 2023, with an effective date of Sunday, Oct. 1, 2023. Please refer to either the Correct Coding Guideline - Commercial or Correct Coding Guidelines - Medicaid Expansion for more information.
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