Policy Updates Reimbursement PoliciesCommercialMay 31, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility)

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Material Adverse Change (MAC)

 

In the February 2021 issue of Provider News, we announced a new reimbursement policy titled Treatment Rooms with Office Evaluation and Management Services which states that Empire BlueCross BlueShield (“Empire”) does not allow reimbursement for office evaluation and management services when reported with revenue code 761.

 

Beginning with dates of service on or after September 1, 2022, Empire will expand the current policy to include two additional revenue codes (760 and 769).

 

For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.


2749-0622-PN-NY

PUBLICATIONS: June 2022 Newsletter