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January 2021
Update: Oncology management program for Blue Cross fully insured commercial members doesn’t include codes S0353, S0354We wrote in the September edition of The Record that Blue Cross Blue Shield of Michigan expanded its medical oncology management program to include all fully insured commercial members starting Dec. 1, 2020. The program is administered by AIM Specialty Health®. However, because of an update to the program, providers can’t bill or receive the enhanced reimbursement for codes S0353 or S0354 for Blue Cross commercial fully insured members. This change doesn’t apply to Medicare Plus Blue℠, Blue Care Network commercial and BCN Advantage℠ members or to UAW Retiree Medical Benefits Trust non-Medicare members. For those members, providers can bill and be reimbursed for codes S0353 and S0354. The Oncology management program: Frequently asked questions for providers document has been updated to reflect this change. Look in the section titled “About enhanced reimbursement.” Find the FAQ at ereferrals.bcbsm.com on the Blue Cross AIM-Managed Procedures page. |
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