Payments > Insurance Payments
BLUE CROSS BLUE SHIELD
PMRNC:
--- Quote ---my medical psychologists' board has found out that blue cross is not accepting the add on codes. basically, he is to use e/m code only.
--- End quote ---
We've not had any problem with BCBS over new codes at all. In fact our BCBS announced in a letter that the old codes would be denied. If I were you, I would request an agent to guide you to documentation to show they are not accepting the new codes and I would find out what THEY intend to do about it since it is mandatory to use as of 1/1/2013. Lowering your reimbursement and only accepting DELETED or OLD codes would be completely unacceptable to me.
rdmoore2003:
blue cross is not having my medical psychologist use old codes. we are new to the e/m codes and yes we do have documentation that shows that they will not cover a "medication visit w/therapy" Documentation shows that he must do 1 or the other per day.
PMRNC:
--- Quote ---blue cross is not having my medical psychologist use old codes. we are new to the e/m codes and yes we do have documentation that shows that they will not cover a "medication visit w/therapy" Documentation shows that he must do 1 or the other per day.
--- End quote ---
Ahhh ok, that's a bit different than saying they won't cover the new codes.
rdmoore2003:
--- Quote from: PMRNC on January 18, 2013, 04:18:26 PM ---
--- Quote ---blue cross is not having my medical psychologist use old codes. we are new to the e/m codes and yes we do have documentation that shows that they will not cover a "medication visit w/therapy" Documentation shows that he must do 1 or the other per day.
--- End quote ---
Ahhh ok, that's a bit different than saying they won't cover the new codes.
--- End quote ---
BLUE CROSS IS NOT COVERING THE NEW CODES AS 90863, 90833, 90836 ETC FOR MEDICAL PSYCHOLOGISTS
PMRNC:
--- Quote ---BLUE CROSS IS NOT COVERING THE NEW CODES AS 90863, 90833, 90836 ETC FOR MEDICAL PSYCHOLOGISTS
--- End quote ---
Right, it's a scope of licensure denial of services for that scope of license of that provider. I just was clarifying that it was NOT an issue of the carrier NOT acknowledging the new codes over the old.
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