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

  1. #1
    Join Date
    Apr 2007

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

    AAPC: Back to School
    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.

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    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/...n-the-horizon/
    Last edited by cmcgarry; 03-19-2010 at 01:07 PM. Reason: Adding link to news article
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Join Date
    Apr 2007

    Smile Thank-you

    Thank-you . Back to my researching.

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