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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.

 

July 2017 Learn more about third-party links — Read these articles and more...

  • BCBSNM Website
  • ClaimsXtenTM Announces Software Version Upgrade
  • Utilization Management Determinations
  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • Appointment Availability and Access Guidelines
  • Receipt of Credentialing Application Notification
  • Benefit Information Accessible in the IVR Phone System
  • Online Enrollment Options in AvailityTM
  • Additional Benefit Categories Contained in IVR Phone System
  • Careful Documentation Paves the Way for Accurate Coding Capture
  • Screening for Hepatitis C
  • Appointment Availability and Access Guidelines for Blue Cross Community Centennial Members
  • Blue Cross and Blue Shield of New Mexico Managed Care Program Blue Cross Community Centennial Changes, Effective May 20, 2017
  • Federal Employee Program Self-Measured Blood Pressure Monitoring
  • Member Rights and Responsibilities

June 2017 Learn more about third-party links — Read these articles and more...

  • BCBSNM Website
  • ClaimsXtenTM Announces Software Version Upgrade
  • Receipt of Credentialing Application Notification
  • Utilization Management Determinations
  • The Importance of Care Coordination
  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • Benefit Information Accessible in the IVR Phone System
  • Online Enrollment Options in AvailityTM
  • Appointment Availability and Access Guidelines
  • Receipt of Credentialing Application Notification
  • Blue Cross and Blue Shield of New Mexico Managed Care Program Blue Cross Community Centennial Changes, Effective May 20, 2017
  • Member Rights and Responsibilities
  • Billing Medicaid Members
  • New Medicare Preauthorization Requirements through eviCore
  • Federal Employee Program Self-Measured Blood Pressure Monitoring

May 2017 Learn more about third-party links — Read these articles and more...

  • BCBSNM Website
  • ClaimsXtenTM Quarterly Updates
  • ClaimsXtenTM Announces Software Version Upgrade
  • Utilization Management Determinations
  • The Importance of Care Coordination
  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • Benefit Information Accessible in the IVR Phone System
  • Online Enrollment Options in AvailityTM
  • Appointment Availability and Access Guidelines
  • Receipt of Credentialing Application Notification
  • Blue Cross and Blue Shield of New Mexico Managed Care Program Blue Cross Community Centennial Changes, Effective May 20, 2017
  • Member Rights and Responsibilities
  • Billing Medicaid Members
  • New Medicare Preauthorization Requirements through eviCore

April 2017 Learn more about third-party links — Read these articles and more...

  • BCBSNM Website
  • ClaimsXtenTM Quarterly Updates
  • Overcoming Barriers to Colorectal Cancer Screening
  • The Importance of Care Coordination
  • Insurers Required by CMS to Conduct ACA Risk Adjustment Program Audit
  • LifeTimes® Member Newsletter Offers Tips on Preventing Heart Attacks and Strokes
  • Appointment Availability and Access Guidelines
  • Provider Claim Summary Paper Mailing Discontinuance: Effective Date Delay
  • Receipt of Credentialing Application Notification
  • Member Rights and Responsibilities
  • Billing Medicaid Members
  • New Medicare Preauthorization Requirements through eviCore

March 2017 Learn more about third-party links — Read these articles and more...

  • ClaimsXtenTM Quarterly Updates
  • Kicking the Habit: Helping to Overcome Opioid Addiction in America
  • How are You Diagnosing Hypertension
  • AvailityTM Claim Research Tool Offers Enhanced Status Results
  • Talking with Health Services Staff
  • Utilization Management Determinations
  • Receipt of Credentialing Application Notification
  • Billing Medicaid Members
  • Member Rights and Responsibilities
  • New Medicare Preauthorization Requirements through eviCore

February 2017 Learn more about third-party links — Read these articles and more...

  • Annual Medical Record Data Collection for Quality Reporting begins February 1, 2017
  • Receipt of Credentialing Application Notification
  • 80% by 2018 Will you commit?
  • Preterm Labor Prevention Program
  • Additional Code-auditing Software Scheduled for Implementation as of April 30, 2017

January 2017 Learn more about third-party links — Read these articles and more...

  • Opiates
  • LARC use in Adolescents 15-19
  • BCBSNM Vision Plan Transitions to EyeMed - Revisions

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