Reimbursement Policies Available Online

NOTE** Review policies online to determine if the policy applies to both BCBSND Commercial and/or Medicaid Expansion Plans.

Blue Cross Blue Shield of North Dakota (BCBSND) regularly develops and revises coding and reimbursement policies in response to rapidly changing medical technology and updates to the coding sets. Our commitment is to update the provider community as coding and reimbursement policies are adopted and/or revised. Listed are the policy updates for July 2022.
 
The following coding and reimbursement policies have been added or revised:

• Psychiatric and Substance Use Services Guidelines
• Qualified Healthcare Provider’s Allowed Amount Reductions
• Durable Medical Equipment
• Status B Codes
• Multiple Diagnostic Imaging Reduction (MPPR)
• Dialysis Services
• Multiple Procedure Payment Reduction for Medical and Surgical Services
• Correct Coding Guidelines-Medicaid Expansion
• Correct Coding Guidelines
• Inpatient Readmissions
• Hospice Services
• Co-Surgeon & Surgical Team
• Assistant At Surgery