Payer Updates: Blue Cross Complete

Payer Updates

Sent on behalf of Brenda R. Lever, Director, Provider Network Management, Blue Cross Complete of Michigan

Effective September 1, 2020, Blue Cross Complete will implement two policy updates. The updates are as follows:

Modifier 25 policy update – Blue Cross Complete will pay a reduced reimbursement of certain evaluation and management procedures billed with CPT modifier 25 when services occur within the minor procedure global surgery timeframes as defined by the Centers for Medicare and Medicaid Services.

MTR policy update – In alignment with the Centers for Medicare and Medicaid Services reimbursement policy on Multiple Therapy Procedures, Blue Cross Complete will reduce reimbursement for multiple therapy services provided on a single service date, for the same individual, by the same provider (as identified by their NPI).

If you have any questions regarding these updates, contact Blue Cross Complete Provider Inquiry at 1-888-312-5713 or your Blue Cross Complete provider account executive.

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