Maximum Units of Service Florida Blue March 2017
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- Cornelius McCoy
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1 Maximum Units of Service Florida Blue March 2017 Effective July 2009, Florida Blue began using automated prepayment edits to help prevent inappropriate payments. As the submitted claim is processed, the procedures will be analyzed to determine if they comply with established units of services. Established units of service are defined as the maximum units of service under most circumstances that a provider would report for a code, for a single member, on a single date of service. These maximum units of service should not be interpreted as utilization guidelines. Providers should continue to report only services that are medically reasonable and necessary. Below is the most recently updated list containing the procedure code with the associated maximum unit of service. Inclusion of a procedure code on this list does not guarantee payment
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PROCEDURE CODES. The following chart lists the codes most commonly billed by EPSDT Health and IDEA-Related Services providers:
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PROCEDURE CODES. The following chart lists the codes most commonly billed by EPSDT Health and IDEA-Related Services providers:
PROCEDURE CODES Louisiana Medicaid follows the current American Medical Association s Current Procedural Terminology (CPT) coding and guidelines. If nationally approved changes occur to CPT codes at a
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