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 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?

December 2014  — Read these articles and more…

  • Bulk Powder Compounds: Claim Processing Change, Effective Feb. 1, 2015
  • Making Network Work
  • Fighting Fraud: Upcoding Practices on Claims
  • Adult Medicaid Quality Grant Program (AMQG): Diabetes prevention and Disease Management

November 2014  — Read these articles and more…

  • BCBSNM simplifies preauthorization requirements for psychological and neuropsychological testing
  • Fighting health care fraud, one call at a time
  • Benefits Value Advisor program adds member outreach component
  • Medical record submission ‘dos and don’ts’

October 2014  — Read these articles and more…

  • Pharmacy program benefit changes, effective Jan. 1, 2015
  • How providers can impact HEDIS®
  • Revised: Centennial Care copayment changes
  • Medicare vs. commercial risk adjustment

September 2014  — Read these articles and more…

  • Electronic Provider Access now available for out-of-area member pre-service reviews
  • ClaimsXten™ updates
  • Medicaid – Behavioral health managed care fee schedule updates
  • In the Know: Medicare Marketing Guidelines for Providers

August 2014  — Read these articles and more…

  • ClaimsXten™ November 2014 update
  • Notice of fee schedule update
  • Rapid response for your Blue Cross Community CentennialSM pharmacy prior authorization requests
  • Centennial Care copayment changes

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