Find Your Representative. Your member's website and contact form are available around the clock. Identify your member and let your opinion be heard.
Policy: BlueCross Blue Shield of Rhode Island covers interim billing for payment of services provided by an acute rehabilitation/skilled nursing facility, hospice or home health agency. Interim billing is covered for acute care hospitals only if the hospital is covered at a per diem rate.
hospital requests in writing (email is sufficient) IME and DGME payments, the MAC shall â¢ Establish interim IME and DGME rates for the hospital in accordance with the regulations governing interim rate reviews at 42 CFR 412.116(c) and 42 CFR 413.60 and 42 CFR 413.64(a) through (e).