CareSourceHigh ImpactBilling Codes

[Georgia] Claims Editing - Add-On Codes, E/M and Special Services

Published May 9, 2026

AI Summary

CareSource Georgia has implemented new claims editing rules for add-on codes, evaluation and management (E/M) services, and special services. This affects how claims will be processed and may result in denials if billing guidelines are not followed properly.

Action Required

Immediately: Billing team must review the full policy document at the provided URL to understand specific claims editing rules for add-on codes, E/M services, and special services. Update billing procedures and staff training to ensure compliance with new editing criteria to prevent claim denials.

Plan Types

Medicaid

States

GA

Specialties

all-specialties