Log In
Medicare Reimbursement Policy Updates for January 1, 2024
Reimbursement Policy | Revision |
|---|---|
| Add On Codes (PDF) | Labor epidural language added. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Drug and Biologicals (PDF) | Added coding guidance to Reimbursement Guidelines for reimbursement of administration fees. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Evaluation and Management (PDF) | Removed language regarding codes 99381 – 99397. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Nonpayment for Serious Adverse Events (PDF) | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Opioid Treatment Program Reimbursement (PDF) | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Pricing and Adjudication Principles (PDF) | Bullets added for CMS rationale for reimbursement and reimbursement for denied or non-covered codes. Medical Director Approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Reduced and Discontinued Services (PDF) | New policy developed. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
| Supply and Equipment (PDF) | Lymphedema Gradient Compression Garments added. No change to policy intent. |
| Telehealth (PDF) | Removed language regarding codes 99381-99397. Medical Director approved. Notification on 11/1/2023 for effective date 1/1/2024. |
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語
© 2024 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.