Medicare AdvantageReimbursementHigh impact
MA00.049c, Reimbursement for Certain Evaluation and Management (E/M) Services
Independence Blue Cross·Claims & Billing
Effective date
Mar 2, 2026
We identified it
Jun 19, 2026
Summary
Policy MA00.049c updates coverage and reimbursement positions for certain Evaluation and Management (E/M) services under Medicare Advantage plans. The changes will take effect March 2, 2026, giving practices time to prepare for new billing requirements or payment rates.
Action Required
Before March 2, 2026: Billing team must review the full policy details at the provided URL to understand specific E/M service changes. Update billing software, fee schedules, and encounter forms based on the new coverage and reimbursement positions. Train staff on any new requirements for E/M coding and documentation to ensure compliance with Medicare Advantage plans.