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.
Additional Resources:
June 2022 — Read these articles and more...
- COVID-19 Information for Providers
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022
- Education Information Required for Directory
- ClaimsXtenTM Quarterly Update Reminder
- Current Procedural Terminology Codes Updated for Prior Authorization Effective July 1, 2022
- BCBSNM to Recommend Preferred Drugs through Enhanced Prior Authorization
- Behavioral Health Collaboration Requests
- Closing Gaps in Diabetes Care
- Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 2022 NM Annual NDC Drug Fee Schedule Impact and Timeline
- Availity® Essentials Claim Status Tool Update
- New ‘Message This Payer’ Option Coming via Availity Essentials
- Current Procedural Terminology Codes Updated for Prior Authorization for Medicare programs, Effective July 1, 2022
- Closing Gaps in Care for Group Medicare Advantage Members
- Submit Multiple Clinical Claim Appeal Requests Online
May 2022 — Read these articles and more...
- COVID-19 Information for Providers
- Avalon Training Reminder
- Quality Measures: Prenatal and Postpartum Care
- Q3 2022 Medicare Prior Authorization Code List Update
- Gender Surgery Code Advisory
- Follow-Up Care for Substance Abuse Disorders
- Q2 2022 Prescription Changes
- Credentialing Requirement for Facility-Based Providers
April 2022 — Read these articles and more...
- COVID-19 Information for Providers
- Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization
- Free BH Webinars and Continuing Education Credit
- Supporting Mental Health
- Closing Gaps in Colon Care
- ClaimsXten™ Quarterly Update Reminder
- It’s Time — Verify Your Directory Details
- CMS-Required Training for Dual-Special Needs Plans
- Required Cultural Competency Training Available Online
March 2022 — Read these articles and more...
- COVID-19 Information for Providers
- New Laboratory Management Program to Begin May 1, 2022
- Differential Diagnoses of Depression: Free Webinar and Continuing Education Credit
- 6x15 — Six Well-Child & Immunization Visits in the First 15 Months of Life
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2022 — Part 1
- Delivering Quality Care: Supporting Healthy Hearts
- Delivering Quality Care: Imaging Studies for Low Back Pain
- Reminder: Claim Editing Enhancements Coming April 1
- EXL Health Is Reviewing Complex Claims
- Reminder: Blue Cross Community CentennialSM Prior Authorization Update for MSK Therapies (Rehab) Effective March 13, 2022, and Training Webinars
- It’s Time — Verify Your Directory Details
- Verify and Update Your Information Online via Availity® Provider Data Management
- All Contracted Providers Will Now Display in Provider Finder®
- New Medicare Advantage Flex (PPO) Plan — Questions and Answers for Providers
- Closing Gaps in Care for Group Medicare Advantage Members
- CMS Required Training for Dual Special Needs Plans
- Required Cultural Competency Training Available Online
February 2022 — Read these articles and more...
- COVID-19 Information for Providers
- Update — New Laboratory Policies and Laboratory Management Program Delayed
- Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
- 2021 Annual HEDIS® Medical Record Review Begins February 2022
- Availity® Tools to Support Providers in 2022
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 — Part 2
- Cervical and Breast Cancer Screenings
- Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar
- ClaimsXtenTM Quarterly Update Reminder
- Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Commercial and Medicaid Members
- Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare Members
- Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) — 2020 Program Summary
- CMS Required Training for Dual Special Needs Plans
- Required Cultural Competency Training Available Online
- FEP Annual Medical Record Data Collection for Quality Reporting — HEDIS® Measurement Year (MY) 2021
January 2022 — Read these articles and more...
- COVID-19 Information for Providers
- Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization, Jan. 1, 2022
- Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 — Part 1
- Rural Health Clinics and Federally Qualified Health Centers May Meet Quality Measure
- Webinar on Avoiding Antibiotics Overuse
- Claim Editing Enhancements Coming April 1, 2022
- Summary of 2022 FEP Benefit Changes
- COVID 19 Vaccine Billing for Medicare Advantage Members
- New Flexible Medicare Advantage PPO Plan
- Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- Hospitals Must Provide Medicare Outpatient Observation Notice (MOON)
- CMS Required Training for Dual Special Needs Plans
- Required Cultural Competency Training Available Online