Summary
BCBSRI now requires all services performed by the same provider on the same date to be billed on a single claim. Split billing across multiple claims is prohibited and will result in pre-pay/post-pay audits and recoveries.
Get alerts when payers change rules like this one
We check Blue Cross Blue Shield of Rhode Island and other payers every day and email you when a change matches your specialty and state.
Get Blue Cross Blue Shield of Rhode Island alertsPolicy Monitoring is free. No card required.
What to do
immediately · 4 steps
01Billing team must update workflows to ensure all services by the same provider on the same date are submitted on a single claim.
02Update billing software to flag potential split billing scenarios.
03Train staff to identify procedures with 0-, 10-, or 90-day global periods that must be billed with E&M services using modifier 25 on the same claim.
04Review current claims processes to prevent inappropriate fragmentation that could trigger audits and recoveries.
Codes mentioned
9920199202992039920499205992119921299213992149921592002920049201292014
Original notice
Split billing
bcbsri.com · Always check the source before changing claims.
Related changes
See all Blue Cross Blue Shield of Rhode Island changes →Tips and documentation standards for interactive complexity and psychotherapy with E/M servicesHighEffective Jul 1, 2026 · Behavioral HealthCoding and medical record documentation reminders for behavioral health claimsMediumEffective Jul 1, 2023 · Behavioral HealthPayment Policy UpdatesHighEffective Jul 1, 2024 · Physician / FacilityPayment policy updatesHighEffective Jul 1, 2024 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list