Effective January 1, 2018, benefits will be available for up to 30 days of inpatient skilled nursing facility (SNF) care per benefit year for Standard Option Members who are not enrolled in Medicare Part A. Hospital and Blue Cross and Blue Shield of Texas (BCBSTX) staff must be proactive in identifying members for whom a SNF stay is an appropriate level of care in the continuum toward ...
Blue Cross and Blue Shield of Texas (BCBSTX) implemented changes in the maximum allowable fee schedule used for Blue Choice PPO SM, Blue Essentials SM, Blue Premier SM, Blue Advantage HMO SM and ParPlan effective October 1, 2017.The changes were disclosed in letters mailed to providers as of 06/30/2017 and also included in the July, August and September 2017 Blue Review newsletters.
Billing Qualified Medicare Beneficiary (QMBs) for Medicare. This link will take you to a new site not affiliated with BCBSTX. It will open in a new window. To return to our website, simply close the new window. ... Provider Training; Print Reimbursement Percentage Update for Modifier 52 (Reduced Services)