Medicare AdvantageAdministrativeMedium impact
MA00.037m, 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
Nov 26, 2025
We identified it
Jun 19, 2026
Summary
This is a Medicare Advantage policy reissue for billing professional office-based services performed within facility settings or on facility campuses. The policy appears to be a restatement of existing billing guidelines rather than introducing new changes, with an effective date of November 26, 2025.
Action Required
By November 26, 2025: Billing team should review the complete policy document at the provided URL to understand any updated guidance for billing professional services performed in office-based settings within facilities or on facility campuses. Ensure billing practices align with any revised Medicare Advantage requirements for place of service coding and facility-based professional services.