Category: Training

Posted in BCBS Empire NY, NY Providers, Payer Updates, Training

Anthem BCBS: 32BJ fund new TPA and cards

Posted on by KR2Medical Billing

As the new year starts so do the change of theember ID changes and or group numbers.

Is your provider office aware of these changes?

Please note that for any 32BJ members there is a new TPA, group#, member ID, and cards.

Please note the new ID:

Effective Jan 1,2026- new members ID prefix BJVBJ.

Image via Anthem BCBS

For OON probiders- please make sure to submit your claims directly to the TPA- WebTPA.

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Posted in #aetna, #Medicare, #reimbursement, Payer Updates, Payers and CPT reinbursement, Training

Are you leaving revenue on the table?

Posted on by KR2Medical Billing

Aetna update!

Is your practice compliant?

Are you appending proper modifiers to radiology, diagnostic services and surgery services- when billed with the following ICD-10 codes: Z53.01, Z53.09, Z53.1, Z53.20, Z53.21, Z53.29, Z53.8, Z53.9?

As per Aetna- if the following modifiers are not billed on the claims for the above services with above named ICD-10 codes- the claims will be denied.

This change will take affect April 1,2026 and apply to commercial and Medicare plans.

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Posted in #reimbursement, Education, Training

Current facia plane block codes

Posted on by KR2Medical Billing

Is your office compliant- uses the proper codes for facia plane blocks?

Back in 2025 CMS released new and updated facia plane block codes to better represent the work that the anesthesiologists perform to reduce the pain for the patients during procedures (thorasic/lower extremity).

Imaging is included in these codes.

Please note if the EP block is performed in the lumbar region, these codes are not appropriate and the code 64999 should be

used.

Coding:

Images are via ASA website
Image via ASA website

Make sure your office is compliant and uses the proper codes to capture the procedures.

For more information please visit: ASA website

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