Questions? We’re here to help. Contact Us

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


Related Posts
Coding Advice: Claims Coding Tips For Faster Approval
Please note the following errors that often lead to claims denial when not properly coded: BCBSWY will deny Column II procedure codes billed with…
Availity: Prior Authorizations Go Live Next Monday
Prior Authorizations are Live on Availity Next Monday, September 18, 2023 You will soon be able to submit prior authorizations through Availity again. This…
Workflow and Updated Prior Authorization Guide Available
Online Prior Authorizations Submissions are unavailable until 9/18. Soon you can experience: More real-time information; Reduced wait times; Auto-approval of some authorizations. We appreciate…

Fewer Hassles. Better Service.