2009 Provider Reimbursement Changes
Recent Medicare changes and an analysis to our professional provider reimbursement schedule, prompted adjustments to some reimbursement fees.
Adjustments for the following services will be effective December 1, 2009:
- Ostomy codes
- 37205 Trancatheter stent
- 58565 Hysteroscopy, sterilization
- L1843 Knee orthosis
- S0346 Home ECG monitoring
Key Points:
- Adjustments to the provider reimbursement schedule result include increased fees for some codes and decreased fees for others. We expect the net result to be an aggregate increase in reimbursement fees.
- Adjustments to our reimbursements will keep us in line with those paid by other insurers.
- We strive to set fee schedules that are fair, reasonable and competitive. At the same time, we believe our members should not have to pay providers higher fees than those paid by members of other commercial health plans.
Questions
Providers can obtain additional information concerning codes or fee allowances by contacting their designated Provider Relations Representative or Provider Relations Analyst.
Contact information is available in the provider section of www.carefirst.com.
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