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
Important Notice: Please Use Cover Sheet for Appeals Submitted via Availity
We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…
Important Notice: Please Use Cover Sheet for Appeals Submitted via Availity
We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…
Claim Edit Enhancements Effective July 1, 2026
Updates to several claim edits (DPs) will take effect July 1 to align with CMS guidance and current clinical recommendations. Gastrointestinal Pathogen Panels Non‑Covered…

Fewer Hassles. Better Service.

ACA – Online Event Registration Form

Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?
Medicare - Event Registration
Medicare - Online Event Registration Form
Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?