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Blue Review — Provider Newsletter

Our Blue Review provider newsletter is released monthly so that you and your staff have the latest news on claims and billing, federal mandates, medical policies, condition management programs, practice guidelines, formulary/drug list updates, Medicaid, BlueCard, and educational webinars.

 

January 2016  — Read these articles and more…

  • Implementation Reminder: Three New Facility Rules for ClaimsXten™, Effective Feb. 22, 2016
  • Provider Medicare Enrollment Information
  • Reduction in Prior Authorization Requirements

December 2015  — Read these articles and more…

  • Interpreting the PLB Segment on the 835 ERA  
  • Blue Cross Community Centennial Prior Authorization Changes 
  • 2015 Medicaid Medical Record Review Report  

November 2015  — Read these articles and more…

  • Additional Reimbursement Available for Telehealth/Telemedicine Services  
  • In the Know: New Guide Outlines Member ID Card Basics 
  • Comprehensive Diabetes Care  

October 2015  — Read these articles and more…

  • Completing the Transition to ICD-10 
  • Pharmacy Program Updates: Pharmacy Changes Effective October 1, 2015 
  • Special Beginnings® Maternity Program for Healthier Moms and Babies

September 2015  — Read these articles and more…

  • ICD-10: Important Dates and Resource Reminders
  • Health Summary Now Available in iExchange® 
  • Seasonal Flu Vaccines Save Lives and Reduce Unnecessary Hospitalizations

August 2015 Special Edition: ICD-10


July 2015  — Read these articles and more…

  • Pharmacy Program Updates: Pharmacy Changes Effective July 1, 2015
  • ICD-10: Quick Facts and Resource Reminders
  • Important Notice Regarding Billing for Point of Use Convenience Kits

June 2015  — Read these articles and more…

  • 2013 HEDIS® Initiation and Engagement of Alcohol and Other Drug Dependence Results
  • Using ICD-10 in Online Benefit Preauthorization Requests
  • Claim Status No Longer Available through Automated Phone System, Effective July 13, 2015

May 2015  — Read these articles and more…

  • Claim Status Availability to Change in Automated Phone System
  • ICD-10: Be a Part of the Solution
  • Medicaid: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program

April 2015  — Read these articles and more…

  • High-tech Radiology Management Program Change, Effective April 1, 2015
  • Findings from the 2014 Annual HEDIS Audit
  • CMS Reports Preliminary ICD-10 Testing Results – ICD-10 Testing Begins this Month at BCBSNM
  • Now Available! Provider Toolkit: Putting Quality First

March 2015  — Read these articles and more…

  • ID Card Changes for Exchange Members
  • ClaimsXten Updates – 1st Quarter 2015
  • Medicaid Pharmacy Preauthorization Fax Number Change
  • Morphine Equivalent Dose (MED): New Pharmacy Safety Program for Blue Cross Community Centennial Members

February 2015  — Read these articles and more…

  • Reminder: Insulin Formulary Changes and New Prior Authorization Program for 2015
  • Urine Drug Testing Policy, Effective Dec. 15, 2014
  • Legislative Update: Expedited Formulary Exception Process for Exigent Circumstances
  • Free Continuing Education!

January 2015  — Read these articles and more…

  • ATTENTION: Revised Preauthorization Requirements
  • Pharmacy Program Changes Effective Jan. 1, 2015
  • What's New on iExchange: Enhancements and Webinars
  • Are you ready for an increase in Medicaid prior authorizations?

To request a PDF version of the Blue Review newsletter, call Network Services at 800-567-8540 or 505-837-8800.