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September 2013

Medicare Advantage enhanced benefit fee schedule to be updated in October

The Blue Cross Blue Shield of Michigan Medicare Advantage enhanced benefit fee schedule will be updated in October to show BCBSM allowed amounts for both facility and non-facility locations.

These changes will affect health care providers’ payments for enhanced benefit services related to physician services performed in a facility location. The fee schedule will not include incentive amounts.

Physician payments for MA enhanced benefits will be reduced, starting Oct. 6, 2013. The enhanced benefit fee schedule on our provider website, bcbsm.com/provider/ma, will be updated on this date.

For more information, see the Aug. 6, 2013, web-DENIS message.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
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