“S” Newsletters - 2017
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S-5-17 Published 12/1/17
Inside this issue:
- KU Med joins EPO, Solutions network
- Guidelines for paper claims
- Save time, earn incentive checking claims through Availity
- New Directions changes stay reviews
- New Directions publishes criteria
- AIM to manage portion of Tyson plan
- AllianceRx Walgreens Prime
- ResultsRx new formulary
- Pharmaceutical Formulary Update
- Microcurrent Stimulation Therapy considered E/I
- Use of out-of-network third-party providers
- Clarification of 99455 for physicals
- BCBSMA expanding programs
- QBRP Earned Reporting instantly available
- EPO, Solutions information
- BCBSKS thanks Lindemuth, welcomes Falk as provider rep
- Web changes — Medical policy
S-4-17 Published 9/28/17
Inside this issue:
- All QBRP qualifying periods now semi-annual
- Pharmacists to be able to bill MTM
- DME software rules change Oct. 15
- Correctly coding PSA
- Billing vision services appropriately
- Inovalon replaces Verscend
- Choosing Wisely
- Earning incentive for data attestation
- Pilot aims to eliminate inaccuracies
- Coding prolonged direct contact
- Properly billing physicals
- New Anthem ID cards
- Pharmaceutical Formulary Update
- Place of service for telemedicine
- Billing Reminder: MA130
- Refreshing QBRP schedule
- QBRP prerequisites and groups
- QBRP Incentive qualifying periods
- QBRP metrics
- Web changes — Medical policy
S-3-17 Published 8/11/17
Inside this issue:
- Specifying Reimbursement Changes for 2018
S-2-17 Published 6/12/17
Inside this issue:
- Telemedicine or telehealth: What's the difference?
- K-TRACS a valuable tool
- Pharmaceutical Formulary Update
- Provider Pulse aims to help providers understand VA
- VA eliminates OHI requirement
- Pregnancy Care Initiative Program
- Cervical cancer screenings
- Incentive program rewards for controlling diabetes
- Billing reminders, workshops
- BCBSMA, BCBSMN pre-cert changes
- Coordinator seeks to close gaps
- RADV audit
- Data attestation in Provider Portal
- Prime, Walgreens team up
- Filing air ambulance claims correctly
- Rep retires, territories change
- Web changes — Medical policy
S-1-17 Published 3/15/17
Inside this issue:
- Required bi-annual data attestations
- Preventive medicine service or office visit?
- Supplying lab results helps improve quality of care
- Pharmaceutical formulary update
- Advantmed requesting records
- Essential Community Providers
- BCBSKS 2017 quality initiatives
- Choosing Wisely
- Provider data accuracy pays
- Program aims to curb opioid use
- After-hours, TTY not required
- Audits ensure compliance
- Eligible providers list
- 2017 workshop schedule
- Out-of-network Solutions request
- Modifiers updated for DME/HME
- Billing reminders
- Availity training programs
- Web updates — medical policy
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