Blue Shield to significantly cut reimbursement of E/M services billed with modifier 25 and will no longer pay consult codes Blue Shield of California recently notified physicians of two upcoming changes to the payor’s policies. Effective July 14, 2024, Blue Shield will no longer reimburse for face-to-face consultation services (CPT codes 99242-99245 or 99252-99255). Additionally, the notice states it is changing its Global Surgical Period Payment Policy, which will significantly reduce reimbursement for evaluation and management (E/M) services billed with modifier 25. Consultation Codes Blue Shield is the latest payor to announce it will no longer reimburse consultation services. Consultation services, including telehealth consults, previously represented by CPT codes 99242-99245 and 99252-99255 ... May 28, 2024 Blue Shield, CMA, Coding Blue Shield, CMA, Consultaton Codes 0 0 Comment Read More »
Blue Shield of California and CMA collaborate to build health care model of the future June 12, 2018 Blue Shield, General 0 0 Comment Read More »
How Kaiser, Blue Shield will seek to limit opioid overdoses With research indicating that the risk for fatal overdose dramatically increases when people take higher doses of opioids, two of California's major health players - an HMO and an insurance company - are launching efforts aimed at getting doctors to prescribe the painkillers in smaller amounts. Read More... May 10, 2016 Blue Shield, Insurance, Public Health 0 0 Comment Read More »
