2021 News Archive

12/30/21 Blue Cross Medicare Advantage^SM Prior Authorization Code Update Effective April 1, 2022
12/30/21 CPCP006 Preventive Services Policy Update 01/01/2022
12/28/21 Update: New Lab Policies and Laboratory Management Program Delayed
12/28/21 Prior Authorization Code Update Effective 4/1/22 for Commercial Members
12/28/21 Claim Editing Enhancements Coming April 1, 2022
12/27/21 CPCP027 Inpatient Readmissions Update
12/22/21 New Look Ahead for Provider Website
12/22/21 CPCP018 Outpatient Facility and Hospital Claims: Revenue Codes Requiring CPT, HCPCS and/or NDC Codes Update
12/17/21 2022 Federal Employee Program® Prior Authorization and Benefit Updates
12/17/21 CPCP003 Emergency Department Evaluation and Management (E/M) Services Coding – Facility Services
12/17/21 Availity® Tools to Support Providers in 2022
12/16/21 Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
12/14/21 Medicare Advantage Provider Manual Supplements Update!
12/13/21 Webinar on Avoiding Antibiotics Overuse
12/09/21 Provider Information on COVID-19 Coverage
12/08/21 Rural Health Clinics and Federally Qualified Health Centers May Meet Quality Measure
12/08/21 Hospitals Must Provide Medicare Outpatient Observation Notice
12/08/21 Update: Blue Cross Medicare Advantage Annual Health Assessment (AHA) Incentive
11/25/21 COVID-19 Vaccine Billing for Medicare Advantage Members
11-25-21 New Flexible Medicare Advantage PPO Plan
11/24/21 CPCP005 Coordinated Home Care /Private Duty Nursing Policy
11/23/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
11/22/21 CPCP011 Applied Behavioral Analysis
11/22/21 CPCP036 Paravertebral Facet Injection Procedure Coding & Billing Policy
11/19/21 Revision to Prior Authorization Codes for Commercial Members
11/19/21 New Information on Member ID Cards
11/18/21 Machine Readable Files
11/18/21 Surprise Billing Provisions of No Surprises Act
11/17/21 Provider Directory Information Verification
11/17/21 Referral Submission Tips
11/17/21 The Magellan Connection: Partnering with PCPs
11/15/21 Coronavirus (COVID-19) Provider Information for ERS Participants
11/12/21 2022 Blue Cross Medicare Advantage Expansion Service Areas
11/12/21 Single Sign-On Access to AIM Specialty Health® via Availity®
11/11/21 View Withdrawn Claim Descriptions via the Availity® Claim Status Tool
11/10/21 Annual HEDIS/QRS Reports
11/09/21 CPCP017 Wasted/Discarded Drugs and Biologicals Policy Update
11/09/21 Magellan's Webinar Series: Improve patient outcomes with these quality measures
11/08/21 Fighting Fraud, Waste and/or Abuse
11/06/21 CPCP020 Drug Testing Policy Revised Inactive Date - Postponed
11/05/21 Encourage Early and Timely Intervention for Pre-and Post-Partum Care
11/04/21 Preventive and Follow Up Colonoscopies
11/03/21 Continuity of Care Changes
11/02/21 Webinar on Avoiding Antibiotics Overuse
10/29/21 Hospital Discharge Summaries Empower Members and Inform Providers
10/29/21 Coordinated Home Care & Home Infusion Therapy Prior Authorizations Reminders
10/28/21 Covid-19 Initiative Dates
10/28/21 Health Benefits of Collaborating with Eye Care Professionals
10/26/21 CPCP009 Co-Surgeon/Team Surgeon Modifiers
10/26/21 Depression Disorder Prescribing
10/25/21 Consolidated Appropriations Act & Transparency in Coverage Final Rule
10/21/21 Coronavirus (COVID-19) Provider Information for ERS Participants
10/19/21 Catch Up on Vaccines for All Ages
10/18/21 Introducing Electronic Clinical Claim Appeal Requests via Availity®
10/12/21 CPCP029 Medical Record Documentation Guidelines
10/11/21 Claim Editing Enhancements Coming Jan. 10, 2022
10/07/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 - Part 2
10/07/21 Avoiding Antibiotics for Acute Bronchitis
10/07/21 CPCP035 Unlisted/Not Otherwise Classified Coding Policy
10/04/21 New Prior Authorization Lists for Blue Cross Medicare AdvantageSM January 1, 2022
10/01/21 BCBSTX Making It Easier to Transfer Members to Post-Acute Care
09/30/21 CPCP006 Preventive Services Policy Updates
09/29/21 Update to Prior Authorization Codes for Commercial Members
09/29/21 New Laboratory Program Coming Jan. 1
09/27/21 CPCP010 Anesthesia Clinical Payment and Coding Policy Update
09/27/21 Update: Replacement for CHANTIX® Smoking Cessation Product Recall
09/21/21 Initiating and Engaging Patients in Treatment for Alcohol and Drug Dependence
09/17/21 CPCP026 Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding
09/17/21 CPCP019 Home Infusion
09/16/21 2022 Telemedicine and Telehealth Services
09/16/21 Delivering Quality Care - Managing Diabetes
09/15/21 Delivering Quality Care - Breast Cancer Screening
09/15/21 Update: COVID-19 Vaccines and Coverage
09/13/21 MyBlue Health Network Expansion
09/10/21 Change to Some Primary and Secondary Claims Coordination
09/09/21 Facility Based Provider Onboarding Process
09/07/21 Reminder: Medical Oncology Prior Authorization Update
09/07/21 Cancer and Cancer Related Treatments Coding
09/07/21 Training for Pharmacy Medical Oncology Through AIM®
09/06/21 Shared Decision-Making Aids 2021
09/01/21 Free Webinar: A Discussion on Vaccine Process Improvement
08/31/21 CPCP020 Drug Testing Policy Update
08/31/21 CPCP015 Multiple Surgical Procedures-Professional Provider Services
08/25/21 Update: COVID-19 Initiatives Extended
08/25/21 Reinstated Interfacility Transfer without Prior Authorization Accommodation
08/24/21 CPCP037 Lab Management Program
08/23/21 MyBlue Health^SM Expands in 2022
08/20/21 HealthSelect of Texas® Prior Authorization Procedure Code Update
08/20/21 Earn CME/CEU Credit at Free Webinar on Comorbid Conditions
08/19/21 Training for Pharmacy Medical Oncology Through AIM®
08/12/21 Blue Cross Medicare Advantage Annual Health Assessment (AHA) Incentive
08/12/21 CPCP034 Unbundling Policy – Professional Providers
08/11/21 Updates to Clinical Practice and Preventive Care Guidelines
08/11/21 ClaimsXten^TM 4th Quarter 2021 Update
08/11/21 Obesity and Morbid Obesity Documentation and Coding
08/10/21 CPCP021 Laboratory Panel Billing - Update
08/10/21 CPCP032 Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline
08/06/21 New Specialty Pharmacy for Pharmacy Members as of Aug. 1
08/06/21 Pharmacy Members Have a New Mail Order Pharmacy as of Aug. 1
08/04/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 1
08/04/21 Availity® Claim Status Response Enhancement for Blue Cross Medicare Advantage Claims
08/02/21 CPCP001 Observation Services Policy Updated
08/02/21 Additional Update to Prior Authorization Codes for Commercial Members – 10/1/2021
07/29/21 Important Information About Participants Transitioning to HealthSelect of Texas®
07/21/21 Select Medication List to be Updated Nov. 1, 2021
07/16/21 Update Your Information
07/13/21 Adhere to HPV and Shingles Vaccine Guidelines
07/09/21 Prior Authorization Update - Medical Oncology
07/05/21 Colorectal Cancer Screening for Members Age 45 to 75
07/01/21 10/1/2021 Update to Prior Authorization Codes for Commercial Members
07/01/21 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services - Revision
07/01/21 Antidepressant Medication Management
06/30/21 Update to Prior Authorization Codes for Medicare Members
06/29/21 CPCP012 Hernia Repair Updated
06/25/21 CPCP006 Preventive Services Policy Update
06/24/21 Register Now: July - September Indices Training
06/18/21 Free Vaccine Confidence Webinar
06/16/21 Update to Room Rate Notification Form
06/14/21 Update to AIM Prior Authorization Codes for Commercial Members
06/11/21 Closing Gaps in Care for Group Medicare Advantage (MA) Members
06/11/21 Supporting Mental Health
06/10/21 CPCP021 Lab Panel Billing & CPCP030 Point-of-Care Ultrasound Exams Updated
06/10/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 2
06/07/21 Importance of Complete Discharge Summaries
06/06/21 Earn CME/CEU Credit at Free Webinar on Opioid Use
06/02/21 Prior Authorization Update – Code 64640
05/31/21 HMO Plan PCP Selection and Referrals Update
05/31/21 In-Home Test Kits for Colorectal Cancer Screening
05/28/21 Update to Billing information on free bamlanivimab
05/27/21 Update: Professional Provider Fee Schedule via Availity®
05/25/21 SA Modifier and Midlevel Provider Contracting Update
05/24/21 ClaimsXten^TM Update to Procedure Codes
05/24/21 CPCP014 Global Surgical Package Updated
05/24/21 CPCP031 Trauma Activation
05/21/21 CPCP023 Modifier Reference Guideline - Update
05/21/21 Medicare Sequester Suspended Through Dec. 31, 2021
05/21/21 New Resources Added to Wellness Can’t Wait Page
05/20/21 Catch Up Now on Child and Adolescent Vaccinations
05/20/21 Fraud Prevention and Reporting
05/19/21 New Location for Utilization Management on Provider Website
05/14/21 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update
05/13/21 Update to COVID-19 Telehealth Expiration Date for ERS
05/13/21 Free CME Webinar on Depression
05/12/21 Treating Substance Abuse
05/12/21 SA Modifier and Midlevel Provider Contracting Update
05/11/21 CPCP013 Increased Procedural Services Updated
05/08/21 Reminder: Use Availity for EFT and ERA Enrollments
05/08/21 Keys to Diabetes Management
05/07/21 Register Now: Discussing HPV with Parents of Adolescents Webinar
05/06/21 Prepayment Reviews on BlueCard Inpatient DRG Claims
05/06/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 1
05/03/21 Professional Provider Fee Schedule via Availity®
04/30/21 Update to Prior Authorization Codes For Commercial Members
04/30/21 Update to Prior Authorization Codes for Medicare and Medicaid Members
04/28/21 Update to Telemedicine Code List
04/17/21 CERiS to Review Complex Claims
04/14/21 Major Depressive Disorder Documentation & Coding Guideline
04/14/21 Access to Resources to Support Quality Care
04/10/21 CPCP023 Modifier Reference Guideline Update
04/09/21 CPCP029 Medical Record Documentation & CPCP008 Psychological & Neuropsychological Testing Update
04/09/21 TXCPCP03 Surgical and Non-Surgical Services Guide
04/08/21 Provider Satisfaction Survey 2021
03/31/21 New Applied Behavior Analysis (ABA) Service Request Forms
03/30/21 CPCP006 Preventive Services Policy Update
03/30/21 Labs for Prompt COVID-19 Testing
03/26/21 CPCP033 Telemedicine and Telehealth Services Update
03/26/21 Update to CPCP028 - Non-Reimbursable Experimental, Investigational and/or Unproven Services
03/23/21 April Trainings for Indices Reporting
03/20/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 2
03/19/21 Caring for the Colon
03/19/21 Cervical Cancer Screening May Save a Life
03/19/21 Hospitals and Routine Services and Supplies
03/19/21 Medical Necessity Review of Observation Services
03/18/21 Reminder: Commercial Plan Appeals Process for 2020 eviCore® Adverse Determinations
03/17/21 Reminder Submit EFT and ERA Enrollments via Availity
03/11/21 COVID-19 Vaccines and Coverage
03/09/21 Register Now: TRS Physician-Directed Health Plans Lunch and Learn
03/05/21 Some Codes Removed from AIM® Prior Authorization
03/05/21 Update: COVID-19 Initiatives Extended
03/05/21 Update: Expired - Making It Easier to Transfer Members to Post-Acute Care
03/04/21 Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM Annual Health Assessment (AHA) Incentive
03/04/21 The CAHPS® Survey: We All Play a Role
03/02/21 Speaking Out About the ‘Silent Killer’
03/01/21 Telemedicine Expansion for 2021
03/01/21 Multiple Procedure Payment Reduction Claims Review
02/26/21 Single Access Point for 835 EFT and ERA Enrollments
02/25/21 Blue Essentials AccessSM and Blue Premier Access^SM Plan Reminder
02/24/21 Register for Indices Training: Learn How it Can Help You Close Care Gaps
02/23/21 COVID-19 Preparedness: Emergency Room Testing and Collection, Lab and Diagnosis Codes Update
02/20/21 Professional Provider Insurance Liability Limits
02/15/21 Overpayment of Multiple Surgical Procedures
02/15/21 CPCP004 NICU Policy – Correction
02/12/21 CPCP033 - Telemedicine and Telehealth Policy Update
02/11/21 Predetermination of Benefits List
02/11/21 Get the Conversation Started on Colorectal Cancer
02/11/21 Prevention is Still Important During the COVID-19 Pandemic
02/09/21 System Issue Sending Incorrect Provider Term Notice to Members
02/09/21 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) - Effective 05/15/2021
02/04/21 CPT Category II Codes Can Help Close Care Gaps
02/04/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 1
02/03/21 Telemedicine FAQs
02/02/21 Terming PFINs No Claims
01/29/21 Updated: Telehealth 2021 - Telehealth Claims
01/29/21 Telehealth Claim Place of Service
01/25/21 Availity System Error and Erroneous PCP Number Assignment for Blue Cross Medicare Advantage HMO^SM
01/22/21 COVID-19 Preparedness: Pharmacy and Testing Before Non-COVID-19 Treatment Update
01/19/21 COVID-19 Preparedness: Testing and Treatment, Telemedicine/Telehealth and Vaccine Update
01/19/21 Contracting and Credentialing Midlevel Providers
01/18/21 Atrial Fibrillation and Diabetes Mellitus - Documentation & Coding Guidance
01/15/21 Updated: Telehealth 2021 - Intensive Outpatient Program (IOP) Telehealth Coverage
01/14/21 Preventive Services Clinical Payment and Coding Policy Update
01/13/21 Blue Cross Medicare Advantage Provider Quick Reference Guide
01/13/21 Medical Record Data Collection for Quality Reporting begins February 1, 2021
01/08/21 Notification of Annual Benefit Updates
01/05/21 Telehealth 2021
01/05/21 Patients in the Qualified Medicare Beneficiary (QMB) Program Should Not Be Billed
01/05/21 Hospitals Must Provide Medicare Outpatient Observation Notice

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2021 News Archive