We send this Recap each month to summarize news published on Provider Central. You can click the article headline to view it on Provider Central, the red icon to download a PDF, or the envelope to forward via email.
As a reminder, Blue Cross covers continuous passive motion devices as described in Continuous Passive Motion in the Home Setting medical policy 407. The medical policy describes conditions that must be met for the device to be covered for our commercial and Medicare Advantage members.
The Protecting Medicare and American Farmers from Sequester Cuts Act will reinstate the Medicare payment adjustment known as “sequestration” effective April 1, 2022.
As a reminder, we only reimburse E/M services in a facility setting when billed with professional revenue codes. In Q2 2022, we will have the ability to process claims in accordance with our payment policy both pre- and post-payment
Please ensure that eligible patients have access to COVID-19 therapies as soon as possible. Supply limitations are not a barrier for treatment, according to the Massachusetts Department of Public Health.
Blue Cross Blue Shield of Massachusetts announced that members can now visit a preferred pharmacy or use mail order to get authorized COVID-19 at-home tests for $0.
Provider directories are important to helping patients find the care they need. Therefore, it’s important you keep your directory information accurate and up to date. Please take the time now to review your directory information.
Starting March 14, 2022, non-participating (non-contracted) providers will no longer be able to obtain claim status by calling Provider Service.
News Alerts
Our secure website also includes News Alerts specific to your type and specialty. Below we listed all News Alerts published this month. These may or may not apply to your provider type. To read News Alerts specific to your provider type and specialty, log on to bluecrossma.com/provider and click News. Look for the red exclamation point.