SECTION 5: BILLING AND REIMBURSEMENT GUIDELINES
Speech therapy services for a given date of service must be billed on a single claim form. Each applicable code (CPT, HCPCS, etc.) must be listed once per date of service with the …
BSC8.02 Speech Therapy - Blue Shield of California
Jan 11, 2008 · This policy includes criteria for coverage approval for both rehabilitative speech therapy and habilitative speech therapy. Note: For speech therapy related to gender …
Filing Claims -Billing Requirements -PPO Manual - Blue Cross …
This section provides an overview of Blue Cross and Blue Shield of Texas related to coordination of benefits and appropriate claims submission information.
Subject: Speech Therapy Services - Florida Blue
Jan 1, 2012 · Reimbursement for evaluation for a prescription for speech generating augmentative and alternative communication devices (92607, 92608) is limited to one …
Supplement to current edition (May 2021) of the Blue Book ℠ …
Covered speech therapy services should be billed using UB-04 Revenue Code 044X. The itemization must be submitted on the claim.
REIMBURSEMENT POLICY - Blue Cross MN
Speech Therapy: Speech therapists, physicians, or clinicians should use CPT codes 92507-92508 or 97129-97130 for their speech therapy services. For speech evaluations use codes 92521 …
Speech Therapy - Blue Cross and Blue Shield of Illinois …
Speech therapy must be prescribed by a licensed physician and provided by, or under the supervision of, a Registered Speech Therapist to be in benefit. Speech therapists guide the …
Blue Cross Blue Shield Speech Therapy Reimbursement …
Documentation and Reimbursement for Speech-language Pathologists Nancy B. Swigert,2018 Although it is the least noticed by patients effective documentation is one of the most critical …
MEDICAL POLICY - BCN ONLY - SPEECH AND SWALLOWING …
Aug 17, 2016 · Many people receive behavioral intervention, or voice therapy, from a speech language pathologist (SLP). Voice therapy involves teaching good vocal hygiene, …
Subscriber Claim Form - Blue Cross Blue Shield of …
services you are submitting for reimbursement. To view processed claims, sign in to your MyBlue account. If you don't have a MyBlue account, register for one at bluecrossma.org.
Physical Therapy, Occupational Therapy, Speech Therapy, and …
There is no calendar year deductible under Basic Option. Note: When billed by a skilled nursing facility, nursing home, extended care facility, or residential treatment center, we pay benefits …
REIMBURSEMENT POLICY Speech Therapy (ST) Evaluation and …
This policy addresses coverage and coding for Speech Therapy (ST) services. Definitions ST involves the evaluation and treatment of patients with speech, language, cognitive …
Reimbursement During Credentialing - Providers
Professional health care providers can be reimbursed for claims at network allowable charges and member benefit options during the credentialing process, and the claims are paid directly to …
Blue Cross Blue Shield Speech Therapy Reimbursement (book)
Documentation and Reimbursement for Speech Language Pathologists Principles and Practice is the perfect text for speech language pathology students to learn these vital skills but it will also …
BSC8.02 Speech Therapy - Blue Shield of California
Jan 11, 2008 · Speech therapy is the treatment of communication impairment, including delay in speech development, and swallowing disorder. Speech therapy services facilitate the …
Physical Therapy, Occupational Therapy, Speech Therapy, and …
See Section 5(c) for our payment levels for rehabilitative therapies billed for by the outpatient department of a hospital.
BCN coordinates services - BCBSM
– Speech therapy for congenital abnormalities, learning disabilities, deviant swallow or tongue thrust and feeding therapy for food aversions – Voice therapy For a more complete list, check …
Physical Therapy, Occupational Therapy, Speech Therapy, and …
Jan 1, 2024 · 2024 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus Professionals Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive …
SECTION 5: BILLING AND REIMBURSEMENT GUIDELINES
Blue Cross supports the reimbursement of telehealth delivery in the ambulatory and non-ambulatory settings for the following provider types: Telehealth services (codes, POS and …
Subscriber Claim Form - Blue Cross Blue Shield of …
occupational, physical & speech therapies, anesthesia and chiropractic services. 8. Attach any related claim summaries or Explanation of Medicare Benefit Forms you may have received for …
Medicaid Expansion Provider Manual - BCBSND
Blue Cross Blue Shield of North Dakota (BCBSND) recognizes that, at times, the administrative requirements of managing a patient’s health care can be complex. This Provider Manual …
Medex - Blue Cross Blue Shield of Massachusetts
Healthy Blue Programs At Blue Cross Blue Shield of Massachusetts we offer you Healthy Blue, a group of programs, discounts and savings, resources, and tools to help you get the most you …
BlueCross BlueShield of Tennessee Provider Administration …
3. Reimbursement Hierarchy for Professional and Home Health Services 4. Anesthesia Billing and Reimbursement Guidelines (Medicare lines of business will follow CMS guidelines) 5. Obstetric …
BCC Telemedicine Quick Reference Guide
Blue Cross Complete of Michigan LLC is an independent licensee of the Blue Cross and Blue Shield Association. All audio/visual telemedicine services, as allowable on the MDHHS …
Applied Behavioral Analysis for Children with Autism …
younger, and who meet criteria outlined in the Texas Medicaid Autism Services Policy. Blue Cross and Blue Shield of Texas (BCBSTX) contracts with a network of ABA providers to offer ABA …
Benefit Booklet - BCBSRI
Administered by Blue Cross & Blue Shield of Rhode Island . LG-COC/SOB-3-2023-BX Healthmate Coast-to-Coast BLUE CROSS & BLUE SHIELD OF RHODE ISLAND BENEFIT …
Clinical Utilization Management Guidelines - Anthem Provider
Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation, an independent licensee of the ... Physical Medicine/Physical Therapy, …
Medex®´ Core Medex Sapphire Medex Bronze 2025 plans …
reimbursement and a $150 weight-loss benefit each year. Peace of mind Enjoy the security of having a Blue Cross Blue Shield of Massachusetts ID card — the most recognized ID card in …
Provider Credentialing and Recredentialing Policy - Blue …
The purpose of this Blue Cross & Blue Shield of Rhode (BCBSRI) Provider Credentialing and ... • Speech and Language Pathology . ... services in a contracted substance use disorder facility …
bcc-new-multiple-therapy-reduction-policy
Blue Cross Complete provides reimbursement only for those services that are furnished in the most appropriate and cost-effective setting for the member’s medical needs and condition. …
SECTION 5: BILLING AND REIMBURSEMENT GUIDELINES
Blue Cross and Blue Shield of Louisiana Professional Provider Office Manual March 2025 5.0-2 Section 5: Billing and Reimbursement Guidelines This section is current as of March 2025. …
Helping you get more out of Medicare That’s the Benefit of …
2025 FEHB MEDICARE & BLUE Blue Cross and Blue Shield Federal Employee Program Helping you get more ... Physical therapy: 1 : $0: copay for up to 25 visits : $0: copay for up to 50 visits …
Managed Blue for Seniors - Blue Cross Blue Shield of …
Medicare-approved outpatient physical,speech/language pathology, and occupational therapy $10 per visit ... Medicare-approved outpatient occupational therapy (professional providers) $10 per …
Reimbursement Policy - Anthem Provider
Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and ... basis for reimbursement by Anthem Blue Cross …
Telehealth FAQs - Blue Cross and Blue Shield of Texas
• Speech therapy (ST) For a list of codes that are eligible for reimbursement, see our provider website. Our self-funded employer group customers make decisions for their employee benefit …
FEP Member News For 2025
Where to get after-hours care 24/7 Nurse Line. Available anytime for free when you need health advice Call . 1-888-258-3432 Telehealth . Available to treat minor injuries
Advantage Blue (EPO) - Blue Cross Blue Shield of …
Short-term rehabilitation therapy—physical, occupational, and speech $10 per visit (up to 24 visits per calendar year for each type) Diagnostic X-rays, lab tests, and other tests Nothing ... Then, …
Title: Cognitive Rehabilitation - BCBSM
performed by a physician, psychologist, or a physical, occupational, or speech therapist. Cognitive rehabilitation must be distinguished from occupational therapy (CPT codes 97535– 97537); …
Blue Cross and Blue Shield Service Benefit Plan
2022 MEDICARE & BLUE . Blue Cross and Blue Shield Service Beneft Plan . WE CAN HELP YOU SAVE ON MEDICAL COSTS - ... reimbursement for paying Medicare Part B premiums . …
New Hampshire Provider News - Anthem
Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products ... Reimbursement policy update: Bundled Services …
Mind and body Reimbursement - Blue Cross Blue Shield of …
Qualified for Mind and Body Reimbursement: • Massage therapy • Hypnosis therapy ... Send completed form: Blue Cross Blue Shield of Massachusetts, Employee Services, P.O. Box 9151, …
Reimbursement Policy - Anthem Provider
Anthem Blue Cross and Blue Shield Healthcare Solutions Medicaid Managed Care Global Surgical Package Page 4 of 5 04/21/2020 Review approved: updated policy language, 2nd …
Medical Policy - Highmark Health Options
Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 an association of independent Blue Cross Blue Shield Plans. Speech Therapy Disclaimer …
COVID-19 update: Guidance for telehealth/telephonic care for …
Anthem Blue Cross and Blue Shield COVID-19 update: Guidance for telehealth/telephonic care for behavioral health services Page 2 of 4 o Routine discharge processes are followed including …
ProviderManual - BCBSAL
Healthcare providers should generally file claims for all Blue Cross and Blue Shield members to the local Blue Plan in the state where the provider is located. However, Blue Cross and Blue …
SECTION 5: BILLING AND REIMBURSEMENT GUIDELINES
Blue Cross and Blue Shield of Louisiana will apply multiple procedure reductions to codes 95851-95852, 97010-97150, 97169-97596, 97611-97799, 98940-98943 and G0283 when billed on the …
Empire Provider Manual - Anthem Blue Cross
Anthem Blue Cross and Blue Shield . New York Provider Manual . Effective November 1, 2023 . Services provided by Anthem HealthChoice HMO, Inc. and/or Anthem HealthChoice …
Medicare Plus Blue℠ PPO Part B Credit - BCBSM
Medicare Plus Blue. SM. PPO . Part B Credit . Summary of Benefits . To get a complete list of services we cover, call Customer Service and ask for the . Evidence of Coverage (phone …
BSC8.02 Speech Therapy - Blue Shield of California
Jan 11, 2008 · Blue Shield of California Reproduction without authorization from Blue 601 12th Street, Oakland, CA 94607 Shield of California is prohibited Medical Policy An independent …
Summary of Benefits and Coverage: What this Plan Covers
Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Page 1 of 8 . Summary of Benefits and Coverage: What this Plan Covers & …
MEDICAL POLICY - BCN ONLY - SPEECH AND SWALLOWING …
Aug 17, 2016 · Swallowing/feeding therapy is considered a form of speech therapy and may be provi ded by a specialized speech or occupational therapist. The goals of swallowing therapy …
Qualified Medical Expenses - BCBSM
guarantee reimbursement. ... Speech therapy • Stop-smoking programs, including nicotine gum or ... Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of …
Appendix For Section 4 - Blue Shield of California
Blue Shield of California Appendix 4 TOC Page 1 Hospital and Facility Guidelines January 2024 Table of Contents A. Reimbursement for Outpatient Services B. Blue Shield Medicare …
BlueChoice Fast Facts - Florida Blue
Plan from Blue Cross and Blue Shield of Florida, while giving your employees convenient, affordable coverage that shows you care about them and their families. BlueChoice Benefits: • …
HMO Blue New England - Blue Cross Blue Shield of …
Speech,hearing,and language disorder treatment $25 per visit ... Reimbursement for a Blue Cross Blue Shield of Massachusetts designated weight loss program $150 per year,per …
Autism services: Billing guidelines and procedure codes
For Blue Cross commercial, Medicare Plus BlueSM, Blue Care Network commercial and BCN AdvantageSM Revised April 2025 4 Activity/details Code Rate Billing and documentation Line …
Anthem Blue Cross and Blue Shield GA Medical Policy and …
Publish Date 12/8/2020 New CG-REHAB-12 Rehabilitative and Habilitative Services in the Home Setting: Physical Medicine/Physical Therapy, Occupational Therapy and Speech-Language …
Treatment of Speech and Language Disorders - Wellmark
speech therapy services (e.g., speech pathologist, speech-language pathologist, or speech clinician because of the complexity and sophistication of the therapy and the physical condition …
Anthem Fee Reimbursement Effective July 1, 2019
Apr 11, 2019 · Anthem Fee Reimbursement Effective July 1, 2019 Blue Access. Blue Access: Blue Traditional; Blue Traditional Blue Preferred: Blue Preferred Procedure C Description: ...
OUTPATIENT REHABILITATIVE AND HABILITATIVE SERVICES
8600 West Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com REH01 Appropriate.Safe.Affordable © 2017 ©©©© 2022 AIM ...
Blue Care Elect Saver (PPO) - Blue Cross Blue Shield of …
Speech, hearing, and language disorder treatment–speech therapy Nothing after deductible 20% co-insurance after deductible Diagnostic X-rays, lab tests, and other tests, including CT scans, …
Commercial Reimbursement Policy - Anthem
Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In …
HMO Blue Basic - Blue Cross Blue Shield of Massachusetts
Jan 1, 2023 · Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association ... and language disorder treatment—speech therapy $60 …
Blue Care Elect (PPO) - Blue Cross Blue Shield of …
Speech, hearing, and language disorder treatment–speech therapy 10% co-insurance 30% co-insurance Diagnostic X-rays, lab tests, and other tests 10% co-insurance 30% co-insurance ...
Siemens Corporation: Health Reimbursement Medical Plan …
Additionally, you can contact Anthem Blue Cross and Blue Shield at 1-855-869-8137 or UnitedHealthcare at 1-866-221-5901, as applicable. Important Questions Answers Why this …
COVID-19 information from Anthem Blue Cross and Blue …
Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of ... reimbursement? Anthem will …
Subscriber Claim Form - Blue Cross Blue Shield of …
Blue Cross Blue Shield plan. 2. Submit a separate form for each patient. 3. Attach an original itemized bill from your provider (required information and example on the back) ... 92507 1 …
Mental Health and Substance Abuse Benefits - Blue Cross …
• Individual, group and family therapy or counseling; • Psychological and laboratory testing. • SERVICE OR SUPPLY IN-NETWORK OUT-OF-NETWORK Mental Health and Substance …
Behavioral Health Reference Guide - Anthem Blue Cross
Anthem Blue Cross and Blue Shield (Anthem) members enrolled in Hoosier Healthwise, Healthy Indiana ... 90846 Family therapy, without patient 90847 Family therapy, with patient 90849 …
Medical Policy - Highmark Health Options
Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 an association of independent Blue Cross Blue Shield Plans. Speech Therapy Disclaimer …