Reimbursement Update
Blue Cross Blue Shield of Wyoming is committed to providing you with updates on upcoming policy and reimbursement changes. The following reimbursement policy reminders have been communicated in recent provider updates:
- Effective, 9/1/24, BCBSWY is updating our ASC rates and rules. ASC rates can be found in the Availity portal under the BCBSWY resources payer space.
- Effective 9/1/2024, infusion pumps (E0779, E0780, and E0781) will be reimbursed as a monthly rental instead of a daily payment. For services after 9/1/2024, if the amount that BCBSWY has paid for the pump exceeds our purchase allowance, we will deny additional claims. Services prior to 9/1/2024 may be considered in this calculation.
- Effective 10/1/2024, BCBSWY will implement a 5% reduction in allowed for traditional radiology services, excluding oncology.
Medical policy updates are now available.
To view upcoming policy changes please visit: Medical Policy Updates – Blue Cross Blue Shield of Wyoming (bcbswy.com)
Prevent rejection when submitting medical records through Availity
Reminder, medical records submitted through Availity need to include a claim’s adjustment form or other documentation stating why the medical records are being submitted. If there is no claim adjustment form, the medical records will be rejected and will need to be resubmitted with documentation.
Provider Directory Validation Reminder
You can find the Provider Directory Validation guide under the Provider Resources section on the right rail of the website. Providers can use the Directory Validation tool on the Availity Portal to find NPI and tax ID combinations.
The No Surprises Act (NSA) requires you confirm this information every 90 days.
Early Closure – Wed. July 24
In celebration of Cheyenne Day, BCBSWY will be closing at noon next Wednesday, July 24th.