Wiki Payer reducing payment for E&M billed with other procedures on the same day.

[ksimpson]

A few weeks back I was doing some research and stumbled across a provider newsletter (bc/bs ??) that indicated that payment for E&M's would be reduced by 50% for the office visit when performed with other procedures. Now I can't find it. Has anyone seen/heard/experienced this yet ? If so can you advise who the payer is so I can continue on with my research.

 

[cmcgarry]

It's Horizon BCBS. I found an article about it here on the National web site; my manager had also forwarded me an e-mail from a colleage of hers who had seen the newsletter. I'll look for the article again on this site.



Here's the link directly to the article: http://news.aapc.com/index.php/2010/03/modifier-payment-policy-changes-on-the-horizon/

 

[ksimpson]

Thank-you

Thank-you . Back to my researching.