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October 2013

Clarification: Medicare Advantage enhanced benefit fee schedule to be updated in November

An article that appeared in the September issue of The Record should have said that the Blue Cross Blue Shield of Michigan Medicare Advantage enhanced benefit fee schedule will be updated in November 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 facility and non-facility locations. The fee schedule will not include incentive amounts.

Physician payments for Medicare Advantage enhanced benefits will be reduced, starting Nov. 6, 2013. The enhanced benefit fee schedule on bcbsm.com/provider/ma will be updated on this date.

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

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