Blue Shield has posted details on its new multiple services payment policy on its secure provider website. The policy, which takes effect July 1, will in some circumstances reduce reimbursement for multiple procedures provided on the same day. (The CPT codes impacted by this new policy are 97001 to 97840.)

There will be three payment tiers (with the first tier being paid at 100 percent). The actual amount of the fee reductions for second and third tiers is available on Blue Shield’s secure provider website. To access information on the payment tiers:

1. Log on to the secure provider website.
2. Click on Announcements under News and Highlights.
3. Select Physical Medicine Multiple Service Payment Policy Effective July 2007.
4. Then click on Payment Policies and Rules and scroll down to Multiple Physical Medical Services Reduction.

CMA has also created a financial impact worksheet to help physicians assess the impact fee schedule changes will have on their practices based on their most commonly billed CPT codes.

Contact: CMA’s reimbursement help line, 888/401-5911 or jblack@cmanet.org.