Empire Introduces a new reimbursement policy Effective Date 09/01/2020 for services done by Nurse Practitioner and Physician Assistant Providers.
Unless indicate otherwise by state, federal, or CMS contracts and/or requirements; Empire BCBS will reimburse NPs and PAs for services done on DOS 09/01/2020 and thereafter.
The reimbursement is based upon the following:
1. The services performed by NP or PA are in the scope physician’s office
2. The service is considered a physician’s services
3. A payment reduction consistent with CMS reimbursement
The services furnished, should be billed under the NP or PA own NPI number.
Modifier: SA
Please click here to visit the complete new reimbursement policy.
KR2 Medical Billing 