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May 2023

Reminder: Outpatient services provided during inpatient admission should be reported with inpatient claim

Blue Cross Blue Shield of Michigan continues to expand its claim editing process to further support payment policy.  

Beginning in May 2023, Blue Cross payment policy requires that outpatient services provided during an inpatient admission be reported with the inpatient claim if there is a similar diagnosis.

Claims submitted for outpatient services during an inpatient admission may be denied if they’re billed separately.

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