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May 2016

Reminder: ClaimsXten tracking outpatient facility quantity reporting

Effective April 25, 2016, ClaimsXten began determining the clinically recommended daily quantity allowance for specific outpatient facility services.

Quantity reporting is the total number of times a specific procedure code is considered to be clinically appropriate to perform on a single date of service for the same patient.

When reporting services with a quantity greater than one, make sure the total charge reflects the total number of times a service was performed. If a procedure is billed for more than the clinically recommended daily allowance, the charge will be divided by the quantity billed and processed accordingly.

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