Please take a moment to read the following important updates.
|Medicare Payments |
No matter what you read on the MSMS or CMS websites or what you
receive in your listserv emails, WPS Medicare - our Medicare carrier - has NOT
released any June payments.
That is not their "official" position but it is reality. This includes EFT payments scheduled for Friday, June 25th.|
Many of our clients may soon be facing a cash flow crunch.
We will continue to keep you up to date as more information is known.
|Professional fee schedule revised effective July 1|
revised BCN professional fee schedule goes into effect July 1. The BCN Behavioral Health Services Fee Schedule is
at this time. |
Consultation codes no
longer reimbursed for commercial BCN members
part of the revised fee schedule update that goes into effect
July 1, 2010, Blue Care Network will no longer reimburse
consultation codes for commercial members. Procedure
codes *99241-*99245 and *99251-*99255 will be
denied as not payable services effective July 1, 2010.
consultation services should be reported with the following
evaluation and management codes: *99201-*99215,
*99221-*99223 and *99304-*99306, as
Follow-up visits by the physician in the facility setting
should be billed as subsequent hospital care visits
for hospital inpatients and subsequent nursing
care visits for patients in nursing facilities.
BCN Provider News, July-August 2010