“S” Newsletters - 2016

S-6-16 Published 12/02/16

Inside this issue:

• Therapeutic options lower cost
• At-risk FEP members to receive free heart monitors
• 2017 workshop schedule
• Prior authorization for BCBSMN patients
• Essential Community Providers
• Anesthesia billing changes
• Vitals provider directory coming in January
• AT evaluation codes for 2017
• Medical records signature requirements
• SOK, CVS Caremark to implement program
• Pharmaceutical formulary update
• Wesley collecting Zika samples
• Web updates — medical policy

S-5-16 Published 10/20/16

Inside this issue:

• Premiums limited from third parties
• BCBSNE changes preauthorization
• Billing modifiers
• Licensed Dieticians must be part of a group

S-4-16 Published 9/19/16

Inside this issue:

• Verisk now Verscend, requesting records
• KDHE offering no-cost Zika testing
• Pharmaceutical Formulary Update
• Solutions Out-of-Network request form
• Billing reminders
• Keeping current PA, APRN collaborating physician info
• Diagnostic imaging procedures documentation interpretations
• No 25 modifier for E&M, chemo
• CPT for initial hospital care
• Quality initiatives in support of URAC Accreditations
• Choosing Wisely
• Imaging for low back pain
• Filing Blue claims correctly
• BCBSKS network guide
• Clinical Care Coordinator
• Web changes — medical policy

S-3-16 Published 8/22/16

Inside this issue:

• Provider data accuracy pays
• Optimizing QBRP
• QBRP refresh schedule
• QBRP prerequisites and groups for providers
• QBRP metrics breakdown
• QBRP qualifying periods for certain incentives
• Avoid prescribing antibiotics for upper respiratory infections
• Quick tips: Using KHIE for Group B providers
• Using the provider portal
• BCBSKS contacting members to see PCP
• Web changes — medical policy

S-2-16 Published 6/1/16

Inside this issue:

• Balloon sinuplasty to follow multiple surgery rules
• Imaging acute rhinosinusitis (sinus x-ray)
• InterQual users must upgrade browser
• Pharmaceutical formulary update
• CPTA/COTA guidelines
• Correctly billing kinesio taping
• Essential Community Providers
• Web changes — medical policy
• Verisk continuing to collect medical records, data

S-1-16 Published 3/30/16

Inside this issue:

• Claims upgrades, improvements
• Altegra gathering records for annual audit requirement
• Verisk continuing to collect medical data
• Customer Service asks for two ID limit
• Choosing Wisely: Avoid early imaging for back pain
• April 27 is National Walk@Lunch Day
• Updating Medicare participation status
• Billing reminders
• ‘Kits’ not covered under prescription drug benefit
• Pharmaceutical Formulary Update
• Oncology drug pre-certification
• Behavioral health workshops, expedited appeals
• BCBSKS thanks Fresquez-Gray, welcomes Kloxin
• Availity adds Payer Spaces
• Web updates — medical policy

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