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Reimbursement Update for E&M and Medicine Services

Blue Cross Blue Shield of Wyoming·WY·Reimbursement
Effective date
Feb 1, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of Wyoming is implementing reimbursement changes for Evaluation and Management (E&M) and Medicine services effective February 1, 2021, incorporating CMS changes and converting to national RBRVS rates. The changes are estimated to result in a 5% overall increase in reimbursement for E&M and Medicine services.

Action Required

Action needed
By February 1, 2021: Billing team should monitor reimbursement patterns for E&M and Medicine services from Blue Cross Blue Shield of Wyoming to verify the expected 5% increase is being received. Review fee schedules and update practice financial projections to account for reimbursement changes that may include both increases and decreases to individual codes.