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Blue Cross Blue Shield of Michigan (BCBSM) is changing reimbursement for medication reconciliation coding, effective Jan. 1, 2024.
For claims submitted on or after Jan. 1, 2024, the charge on claims for code *1111F must be at least $35 to receive the full payment of $35. Blue Cross will no longer reimburse amounts greater than the amount charged on the claim. This is a change for Medicare Plus Blue claims.
To qualify for reimbursement, follow these steps:
- When the Medicare Plus Blue or BCN Advantage member is discharged after a hospital stay, perform medication reconciliation by comparing the hospital discharge medications against the member’s current list of medications.
- Submit code *1111F on the claim form with a charge of at least $35.
Please contact your BCBSM representative with questions regarding this change.
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