Updated Correct Coding Policies

Date: 11/13/20

Thank you for your continued partnership with Trillium Community Health Plan. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of a new correct coding policy Trillium will be implementing effective 02/15/2021.

Policy Number	Policy Name	Policy Description	EX Code	Applicable LOB
CC.PP.011	Correct Coding Overview (Cotiviti 8)	The purpose of this policy is to serve as a reference guide for general coding and claims editing information. Cotiviti 8 is a correct coding edit of ICD-10 diagnosis codes. Source: ICD-10 CM Diagnosis Code Manual	EX Code: wd Diagnosis Code Incorrectly Coded Per ICD10 Manual	Medicaid Medicare

For more detailed information about these policies, please at https://www.trilliumohp.com/providers/resources/clinical-payment-policies2.html.

For questions about this or any of our payment policies, please don’t hesitate to reach out to our Trillium Provider Services team at 1-877-600-5472 (OHP/Medicaid) or 1-844-867-1156 (Medicare).