Massachusetts Blue Cross Blue Shield Changes the Rules for MAC Anesthesia
January 17, 2024ACE Auditors are your helpline heroes
February 15, 2024Massachusetts Blue Cross Blue Shield announced on January 24, 2024, that it is postponing a change to the rules for Monitored Anesthesia Care (MAC) Anesthesia for gastrointestinal endoscopic, bronchoscopic, or interventional pain procedures.
The change, previously shared with our clients and ACE Alert subscribers on January 17, 2024, was to be effective January 1, 2024. Specifically, it states,
“The use of monitored anesthesia care is considered NOT MEDICALLY NECESSARY for gastrointestinal endoscopic, bronchoscopic, or interventional pain procedures in patients at low to average risk of complications related to the use of moderate sedation.
The use of monitored anesthesia care for routine screening and diagnostic colonoscopy in ASA Class I patients is NOT MEDICALLY NECESSARY.”
The January 24 announcement says after careful review, Massachusetts BCBS has decided to postpone the claim edits that enforce this medical policy until further notice. Massachusetts BCBS will notify parties 90 days in advance of any future enforcement of the policy.
Read the new Massachusetts Blue Cross Blue Shield announcement regarding the MAC anesthesia policy.
BCBS Medically Necessary definition.
BCBS MAC Policy, January 1, 2024.
See you at ASA ADVANCE
The HANK/ACE Team will be at ASA ADVANCE this week, and we hope to see you there!
Deena Gauthier, CPC, CDEO, CPMA, CANPC, CGSC, will present “What’s New in Anesthesia and Pain Management” at 9:15 a.m. this Friday, January 26! Deena also will be participating in roundtables throughout the conference. You won’t want to miss her.
Come hang out and chat with the HANK/ACE team at Booth #527.
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Act fast to get your discounted HANK/ACE Anesthesia 2024 Update! The special $59 price ends January 31.
This presentation is worth 1 AAPC CEU.
Don’t miss out on important coding and compliance tips to help improve your practice in 2024 and avoid claim denials.
Presented by our anesthesia coding and compliance experts, topics include the Physician Fee Schedule, No Surprises Billing Act, and 2024 CPT/ASA/ICD-10-CM changes to anesthesia.You can purchase your Anesthesia 2024 Update here.
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