Nonpayment for Serious Adverse Events |
Clarifying statements added to Reimbursement Guidelines section “All providers, including, but not limited to inpatient psychiatric hospitals, critical access hospitals, or other facilities granted CMS exemption status, are subject to POA, HAC, and Never Event editing.” and “Blue Cross Blue Shield North Carolina (Blue Cross NC) will not reimburse claim lines containing diagnoses or procedures with “N” or “U” POA indicators. The presence of “N” or “U” indicate a condition was hospital acquired and therefore not eligible for reimbursement.“ POA indicators added to Billing and Coding section. |