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Clinical Payment and Coding Policy – Inpatient Readmissions

March 18, 2020

Blue Cross and Blue Shield of Texas (BCBSTX) has added a new Clinical Payment and Coding Policy (CPCP) for Inpatient Readmissions effective 06/20/2020.

Clinical payment and coding policies are based on using healthcare professionals and industry standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.

Refer to Clinical Payment and Coding Policies under Standards and Requirements on the provider website to review the current CPCPs.

If you have any questions or if you need additional information, please contact your BCBSTX Network Management Representative.