Medicare AdvantageAdministrativeMedium impact
MA00.037n, Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
Independence Blue Cross·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
This is a Medicare Advantage policy update regarding billing for professional office-based services performed within facility settings or on facility campuses, effective January 1, 2026. The policy appears to address billing distinctions for services provided in office settings located within or on hospital/facility grounds.
Action Required
Before January 1, 2026: Review complete policy document at the provided URL to understand specific billing requirements for office-based services performed within facility settings. Billing team should identify which practice locations are considered 'within a facility or on a facility campus' and ensure proper billing protocols are established for these locations.