March 4, 2021
We’re updating the Premera Blue Cross Blue Shield of Alaska plan fee schedule for professional services effective for dates of service beginning May 15, 2021.
Here’s what you need to know about this change.
Who does this apply to?
This change impacts contracted providers who are reimbursed under the standard plan fee schedule. It excludes providers who are on the home infusion standard fee schedule.
What’s changing?
We’re updating some of the conversion factors used in the standard fee schedule in Alaska, but the methodology remains the same.
Highlights include:
- We’re implementing the 2020 version of the Resource Based Relative Value Scale (RBRVS). The Relative Value Units (RVUs) reflect the changes recommended by the American Medical Association Specialty Society Relative Value Scale Update Committee.
- We’re moving to the Centers for Medicare & Medicaid Services (CMS) 2020 Clinical Diagnostic Laboratory (CLAB) fee schedule; the 2020 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule; and the 2020 Parenteral and Enteral Nutrition (PEN) fee schedule.
Why is Premera updating the fee schedule?
Premera regularly reviews fee schedules to ensure our members have access to appropriate, high-quality, cost-effective care while getting the most out of their health plan benefits.
For More Information
A fee schedule News Brief was mailed to providers with more detailed information. If you have additional questions about Premera Blue Cross Blue Shield of Alaska fee schedules, email Alaska Provider Network Management & Solutions.