decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 12 (December)
Empire BC/BS bundles developmental testing into well visits
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Article Overview
This article summarizes an Empire BlueCross BlueShield reimbursement policy update that affects how developmental testing is handled in relation to well visits. It is relevant to coders, billers, and practice staff who manage preventive service claims and payer-specific bundling rules, and it highlights the general timing, scope, and claims-impacting nature of the policy change.
Why This Topic Matters
Payer-specific bundling changes can alter reimbursement and claims workflow for preventive care encounters. Understanding the scope of this update helps billing teams recognize when separate payment may not be available and when payer policy timing may affect claims already in process.
What You Will Learn
- What payer policy change is being described
- How the update affects preventive visit billing workflow
- Why claims timing matters for the policy impact
- What type of service is involved in the reimbursement update
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Pediatric office staff
- Revenue cycle staff
Codes Discussed
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