Bill > S4041

Introduced Session

This bill requires health insurance carriers to use a federal resource-based relative value scale when determining reimbursement values for certain evaluation and management billing codes. Under the bill, a carrier will be required to utilize the resource-based relative value scale used by the federal Centers for Medicare and Medicaid Services when determining the reimbursement value for evaluation and management billing codes appended by modifier 25. As defined under the bill, "resource-based relative value scale" means a payment system used by the federal Centers for Medicare and Medicaid Services that assigns monetary value to medical services and procedures based upon the resources needed by a healthcare provider to effectively deliver or perform the service or procedure. This bill is intended to set a standard for reimbursement values of evaluation and management services performed by healthcare providers.

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Kristin Corrado (R)*, 

Introduced in the Senate, Referred to Senate Commerce Committee (on 06/27/2023)

Official Document