AMA Clinical Examples in Radiology - 2011 Bulletin 1
BCBS of Massachusetts to Cease Multiple Procedure Payment Reductions to Professional Component
BCBS of Massachusetts to Cease Multiple Procedure Payment Reductions to Professional Component As a result of efforts by the Massachusetts Radiological Society with support from the American College of Radiology (ACR) and the Radiology Business Management Association (RBMA), effective June 1, 2011, Blue Cross Blue Shield of Massachusetts (BCBSMA) will no longer apply the multiple imaging services payment policy to the professional component. The policy, initially implemented on August 15, 2010, applied a 50 percent payment reduction to the technical and professional components of second and subsequent advanced imaging procedures (eg, computed tomography, magnetic resonance, ultrasound) performed on the...
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Article Overview
This article covers a Blue Cross Blue Shield of Massachusetts policy update tied to radiology imaging reimbursement, professional component payment treatment, and industry advocacy. It is relevant to radiology coders, billing staff, and practice managers who track payer policy changes, Medicare alignment, and CPT-related updates. The discussion centers on the timing of the change, the affected imaging categories, and the broader organizational context surrounding the update.
Why This Topic Matters
Payer policy changes can affect how radiology services are reimbursed and how practices monitor evolving payment rules. Understanding the scope and timing of this update helps coding and billing teams stay aligned with payer requirements and national coding developments.
What You Will Learn
- The scope of a radiology payer policy update
- Which organizations were involved in advocating for the change
- How the change relates broadly to federal payment policy and CPT updates
- The effective timing of the policy revision
Who Should Read This
- Radiology coders
- Medical billing staff
- Practice managers
- Revenue cycle teams
- Radiologists
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