“S” Newsletters - 2018
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S-6-18 Published 12/31/2018
Inside this issue:
- FEP Blue Focus product requires prior authorization
- Some member ID cards delayed
S-5-18 Published 12/01/2018
Inside this issue:
- Telemedicine Act defines use by providers, patients
- Provider Network Enrollment form now includes telemedicine
- Insulin pump supplies coverage changing
- Pharmaceutical Formulary Update
- Site of Care policy limits certain drug administration
- Solutions coming to a close, EPO taking its place
- Guidelines for Network Pricing Groups members
- Transitioning T-codes to 2019 CPT codes for ABA services
- Pharmacy, Labs, DME filing Blue claims
- Web Changes — Medical Policy
S-4-18 Published 09/27/2018
Inside this issue:
- K-TRACS Valuable Tool in Fight Against Opioid Epidemic
- Predetermination for Cologuard Testing
- Pharmaceutical Formulary Update
- Coding Accidental Injuries
- When to Submit ‘Corrected’ Claim vs. New Claim
- New Coding Corner Dedicated to Best Practices
- Inovalon Continues to Collect Medical Records
- Avoiding Donor Claim Problems
- Billing for Prep of Vials of Non-Venom Antigens
- Be Certain to Include Dates when Submitting Claims for POS 21
- Data Updates can be Sent Anytime via Provider Portal
- What’s New in 2019 Workshops
- Web Changes — Medical Policy
S-3-18 Published 05/30/2018
Inside this issue:
- Opioid Prescriptions to be Limited for Naïve Members
- Reminder: Use Contracting Air Ambulance Providers
- Blue Distinction Fertility Care
- Change for SOK Members Emphasizes Correct Coding
- Psychotherapy Notes vs. Progress Notes — Knowing the Difference
- FEP PIP-QCR Measures
- Latest ID Card, Prefix Important
- Check Policies before Ordering
- Arkansas Blue Cross Prior Approval
- BCBSNE Prior Authorization
- Navigating Availity, BlueAccess to Reach Provider Portal
- Pharmaceutical Formulary Update
- CDC Guidelines for Opioids
- Sildenafil for ED may not be covered
- Web Changes — Medical Policy
S-2-18 Published 03/30/2018
Inside this issue:
- Provider incentive data attestation
- Statin use with cardiovascular disease
- Clarification of SOK hearing benefit
- Billing disposable contact lenses
- Health Advocacy Solutions
- Call for Pending Eligibility message
- Secondary-to-Medicare claims
- Resources for opioid addiction
- Pharmaceutical Formulary Update
- Completing a CAQH application for multiple states
- Troubleshooting browser problems for Availity access
- Correctly coding corrected claims
- Appealing claims for FEP members
- Avoiding claim denial
- Electronic OPL form submission
- Billing APRN, PA services
- Network guide available on web
- Web changes — Medical policy
S-1-18 Published 02/07/2018
Inside this issue:
- Policy Memo No. 12 updated to reflect OB Epidural Guidelines accurately
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