As a general PDCM guideline, all participants should operate within their scope of practice and clearly document services provided, including information to support the medical necessity of the service. This sample standing agreement may vary based upon organizational structure and can be used as a guide in developing the particular agreement for each practice and/or organization.
For additional information, please refer to the PDCM Payment Policy and billing guidelines for BCBSM Commercial and Medicare Plus Blue PPO Members.
This recorded webinar is an excerpt from an introductory MICMT curriculum and provides a brief description of the BCBSM PDCM billable codes. This is not the BCBSM PDCM video required for billing the codes; it is an additional resource for those wishing to learn more about the code descriptions.