Reimbursement Update for E&M and Medicine Services

Effective February 1, 2021 Blue Cross Blue Shield of Wyoming is implementing changes to its reimbursement, particularly in the areas of Evaluation and Management and Medicine.

The new reimbursement:

  • incorporates recent CMS changes to E&M code definitions,
  • accomplishes a full conversion of all E&M and Medicine codes to national RBRVS, and
  • recognizes place of service.

Adjusting to a single weight set means increases to some codes and decreases to others.  Overall, our goal with this change is to continue to increase E M reimbursement, as we have for the past two years.  We estimate the reimbursement changes will result in a 5% overall increase in reimbursement for E &M and Medicine

We wish you the best in the coming year!

BCBSWY Mailing Address:
PO Box 2266, Cheyenne, WY
82003 2266

Blue Cross Blue Shield of Wyoming is an independent licensee of the Blue Cross and Blue Shield Association

Share

Related Posts
Cervical Cancer Screening Codes & Provider Directory Tool
Cervical Cancer Screening Codes As the year kicks into gear, it is important to remember the benefit of women receiving cervical cancer screenings early,…
Availity Webinar, Advanced Claim Editing & Coding Advice
Availity Webinar Reminder As a reminder, BCBSWY is offering training via Availity Essentials for multi-payer appeals. The tool saves Providers time by allowing you…
Telemedicine Services Guidance & Directory Validation Updates
Telemedicine Services Guidance Updated BCBSWY recently updated our list of services that can be covered under telemedicine. To learn more view the Telemedicine update…

Fewer Hassles. Better Service.

Back to Top