BCBS Nebraska Tightens MA Appeals and Cuts Radiology and Lab Reimbursement
BCBS Nebraska is updating the Medicare Advantage (MA) provider appeals process.
The Centers for Medicare & Medicaid Services has found a system issue related to the 2026 Medicare Physician Fee Schedule conversion factors.
Medicare Administrative Contractors will receive an automatic adjustment for affected claims processed between Jan. 1 and Feb. 26, 2026. The correct conversion factor updates include a 0.75 percent conversion factor increase for qualifying Alternative Payment Model (APM) participants and a 0.25 percent increase for nonqualifying APM participants.
Most corrections are projected to be completed by early May.
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BCBS Nebraska is updating the Medicare Advantage (MA) provider appeals process.
The Centers for Medicare & Medicaid Services (CMS) says it will continue to deny claims for duplicate laboratory services unless the tests are deemed...
The College of American Pathologists (CAP) submitted comments to the proposed 2027 Medicare Physician Fee Schedule (PFS), addressing proposals that...