Previous Newsletters

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?

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

July 2014  — Read these articles and more…

  • "Got Shots? Protect Tots!" event planned for August 2-16
  • Introducing electronic provider access for out-of-area members
  • ClaimsXtenTM third quarter 2014 updates
  • Supporting appropriate use of prescribed controlled substance medications