ue Cross and Blue Shield of Illinois (BCBSIL) recently implemented changes to its claims-review process that may reduce reimbursement for certain evaluation and management (E/M) services. BCBSIL began applying an enhanced review process July 1 to professional claims for office, inpatient and outpatient E/M services. If BCBSIL determines that the billed services do not support the submitted E/M level, it may reimburse the claim at a lower level of service.
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