BlueCross BlueShield of Tennessee applies code bundling rules to evaluate the accuracy and adherence of medical claims to accepted national standards. These rules are based on code bundling guidelines such as:
National Correct Coding Initiative (NCCI)
American Medical Association
Centers for Medicare and Medicaid Services
American Academy of Orthopaedic Surgeons (AAOS)
American College of Obstetricians and Gynecologists (ACOG)
BlueCross BlueShield of Tennessee clinical expertise
BlueCross BlueShield of Tennessee uses a clinical editing database. The clinical editing rationale supporting this database is provided here to assist you in understanding the rationale behind certain code pairs in the database.
Data for 2008 Q3, July 1st to September 30th, are now available.
2008
Summary of Changes for 3rd Quarter
Summary of Changes for 2nd Quarter
Summary of Changes for 1st Quarter
2007
Summary of Changes for 4th Quarter
Summary of Changes for 3rd Quarter
Summary of Changes for 2nd Quarter
Summary of Changes for 1st Quarter
2006
Summary of Changes for 4th Quarter
Summary of Changes for 3nd Quarter
2005:
Summary of Changes for 4th Quarter
Summary of Changes for 3nd Quarter
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