| Article Title |
Quarter/Year |
Page |
Predetermination Process for the Respiratory Syncytial Virus  |
7th/2010 |
1 |
| American Imaging Management to launch new, improved provider homepage |
7th/2010 |
3,4 |
| New code auditing tool will improve overall claims management performance |
7th/2010 |
4 |
| Calling us for claim status? |
7th/2010 |
4-5 |
| Be prepared: Know the facts about ANSI 5010 and ICD-10 |
7th/2010 |
6-8 |
| Correction: Billing with National Drug Codes (NDCs) |
7th/2010 |
8 |
| Place of Service: Office versus Outpatient |
7th/2010 |
8,9 |
| Modifier 22: BCBSTX to review surgical claims |
7th/2010 |
9 |
| iEXCHANGE - pended cases |
7th/2010 |
9 |
| Useful information when billing for a Rapid Desensitization Procedure |
7th/2010 |
10 |
| Preauthorization and the Interactive Voice Response (IVR) phone system |
7th/2010 |
10,11 |
| Electronic claims with NPI-related errors |
7th/2010 |
11 |
| Technical and professional components |
7th/2010 |
12,13 |
| AIM RQI reminder |
7th/2010 |
13 |
| Surgical procedures performed in the physician's office |
7th/2010 |
13 |
| Quest Diagnostic, Inc., is new, exclusive HMO and preferred statewide PPO/POS clinical reference lab provider |
7th/2010 |
13,14 |
| BlueChoice Solutions Large Employer Groups List |
7th/2010 |
14 |
| Improvements to the medical records process for BlueCard claims |
7th/2010 |
15 |
| Fee schedule updates |
7th/2010 |
15 |
| Pass-through billing |
7th/2010 |
15,16 |
| Contracted physicians and other professional providers must file claims |
7th/2010 |
16 |
| No additional medical records needed |
7th/2010 |
17 |
| Importance of obtaining preauthorizations for initial stay and add-on days |
7th/2010 |
17 |
| Urgent versus standard predeterminations |
7th/2010 |
17 |
| Avoidance of delay in claims pending COB information |
7th/2010 |
18 |
| QVT (quantity versus time) limits |
7th/2010 |
18 |
| Provider Billing for non-covered services |
7th/2010 |
18 |
| Predetermination Process for the Respiratory Syncytial Virus |
6th/2010 |
2,3 |
| Hospital Acquired Conditions' and 'Never Events' |
6th/2010 |
3 |
| Useful information when billing for a Rapid Desensitization Procedure |
6th/2010 |
4 |
| Supervision of Physician Assistant, Advance Practice Nurse or Certified Registered Nurse First Assistant |
6th/2010 |
5 |
| Clear Claim ConnectionTM available to BCBSTX physicians and other professional providers |
6th/2010 |
6,7 |
| Technical and professional components |
6th/2010 |
7 |
| AIM RQI reminder |
6th/2010 |
7 |
| Surgical procedures performed in the physician's office |
6th/2010 |
7 |
| Fee schedule updates |
6th/2010 |
9 |
| BlueChoice Solutions Large Employer Groups List |
6th/2010 |
9 |
| Improvements to the medical records process for BlueCard claims |
6th/2010 |
9 |
| Claims Pass-through billing |
6th/2010 |
9,10 |
| Contracted physicians and other professional providers must file claims |
6th/2010 |
10 |
| No additional medical records needed |
6th/2010 |
11 |
| Importance of obtaining preauthorization's for initial stay and add-on days |
6th/2010 |
11 |
| Urgent versus standard predeterminations |
6th/2010 |
11 |
| Avoidance of delay in claims pending COB information |
6th/2010 |
12 |
| Billing for non-covered services |
6th/2010 |
12 |
| When requesting claims status, the Web trumps the telephone |
5th/2010 |
1 |
| Electronic Refund Management tool is an excellent alternative to submitting a paper refund request |
5th/2010 |
1,2 |
| Claims EFT, ERA and EPS: Beyond the Basics, Part 2 |
5th/2010 |
2-4 |
| 'Hospital Acquired Conditions' and 'Never Events' |
5th/2010 |
4,5 |
| Copayments, coinsurance and some benefits change for HealthSelect plan |
5th/2010 |
5 |
| Electronic claims with NPI-related errors set to reject Aug. 1, 2010 |
5th/2010 |
5,6 |
| Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant |
5th/2010 |
6,7 |
| Clear Claim ConnectionTM available to BCBSTX physicians and other professional providers |
5th/2010 |
7,8 |
| Technical and professional components |
5th/2010 |
8 |
| Surgical procedures performed in the physician's office |
5th/2010 |
8 |
| AIM RQI reminder |
5th/2010 |
8,9 |
| Quest Diagnostic, Inc., is new, exclusive HMO and preferred statewide PPO/POS clinical reference lab |
5th/2010 |
9 |
| Improvements to the medical records process for BlueCard claims |
5th/2010 |
10 |
| BlueChoice Solutions Large Employer Groups List |
5th/2010 |
10 |
| Fee schedule updates |
5th/2010 |
10 |
| Pass-through billing |
5th/2010 |
10,11 |
| Contracted physicians and other professional providers must file claims |
5th/2010 |
11 |
| Urgent versus standard predeterminations |
5th/2010 |
12 |
| No additional medical records needed |
5th/2010 |
12 |
| Urgent versus standard predeterminations |
5th/2010 |
12 |
| Importance of obtaining preauthorizations for initial stay and add-on days |
5th/2010 |
12,13 |
| Avoidance of delay in claims pending COB information |
5th/2010 |
13 |
| Billing for non-covered services |
5th/2010 |
13 |
| Appropriate billing when a patient has reached a benefit max |
4th/2010 |
2 |
| Check reissue request for providers |
4th/2010 |
5 |
| Hospital room rate notification |
4th/2010 |
5 |
| Significant edits related to ClaimCheck denials |
4th/2010 |
5,6 |
| The principles of medical-record documentation |
4th/2010 |
6-8 |
| EFT, ERA, and EPS: Beyond the Basics, Part 1 |
4th/2010 |
8-10 |
| Electronic claims with NPI-related errors set to reject August 1, 2010 |
4th/2010 |
10 |
| Interactive Voice response (IVR) System |
4th/2010 |
10 |
| Electronic claims with NPI-related errors set to reject August 1, 2010 |
4th/2010 |
10 |
| Supervision of Physician Assistant, Advanced Practice Nurse, or Certified Registered Nurse First Assistant |
4th/2010 |
10,11 |
| Clear Claim ConnectionTM available to BCBSTX providers |
4th/2010 |
11,12 |
| AIM RQI reminder |
4th/2010 |
12 |
| BlueChoice Solutions large employer groups list |
4th/2010 |
13,14 |
| Fee schedule updates |
4th/2010 |
14 |
| Improvements to the medical records process for BlueCard claims |
4th/2010 |
14 |
| Pass-through billing |
4th/2010 |
14 |
| Contracted providers must file claims |
4th/2010 |
14,15 |
| Importance of obtaining pre-authorizations for initial stay and add-on days |
4th/2010 |
16 |
| No additional medical records needed |
4th/2010 |
16 |
| Avoidance of delay in claims pending COB information |
4th/2010 |
16,17 |
| Billing for non-covered services |
4th/2010 |
17 |
| Physical, occupational and speech therapy services billed with an Evaluation & Management Code (E&M) |
4th/2010 |
N/A |
| Outpatient Preauthorization Requirement Updates |
3rd/2010 |
1 |
| Billing with National Drug Codes (NDCs) |
3rd/2010 |
1-3 |
| Clear Claim ConnectionTM available to BCBSTX providers |
3rd/2010 |
4 |
| EFT, ERA, and EPS Survey Results |
3rd/2010 |
11 |
| Multiple surgery pricing per session methodology |
3rd/2010 |
12 |
| Electronic claims with NPI-related errors set to reject August 1, 2010 |
3rd/2010 |
13 |
| Physical, occupational and speech therapy services billed with an Evaluation & Management Code (E&M) |
3rd/2010 |
13 |
| AIM RQI reminder |
3rd/2010 |
14 |
| Fee schedule updates |
3rd/2010 |
15,16 |
| Pass-through billing |
3rd/2010 |
16 |
| Reminder - Contracted providers must file claims |
3rd/2010 |
16 |
| Improvements to the medical records process for BlueCard claims |
3rd/2010 |
16 |
| Avoidance of delay in claims pending COB information |
3rd/2010 |
18 |
| Billing for non-covered services |
3rd/2010 |
18 |
| Importance of obtaining preauthorizations for initial stay and add-on days |
3rd/2010 |
18 |
| To new users of EFT, ERA and EPS |
2nd/2010 |
2 |
| PCS to EPS: 30-day transition reminder |
2nd/2010 |
3 |
| Electronic transactions - 2010 holiday schedule reminder |
2nd/2010 |
3,4 |
| Changes affect Walmart associates in 2010 |
2nd/2010 |
4,5 |
| Pharmacy updates: pharmacy compounding |
2nd/2010 |
5-8 |
| Attention specialty care physicians…Need to see if a referral has been issued to you? |
2nd/2010 |
10,11 |
| Electronic submissions can help expedite secondary claim payments |
2nd/2010 |
11,12 |
| Evidence-based measures evaluation |
2nd/2010 |
13 |
| Change to claims run-out period for U.S. Virgin Islands Extended to April 16, 2010 |
2nd/2010 |
14 |
| AIM RQI Reminder |
2nd/2010 |
15 |
| Outpatient Clinical Reference Laboratory for HMO Blue Texas |
2nd/2010 |
15,16 |
| BlueChoice Solutions Large Employer Groups List |
2nd/2010 |
16 |
| Fee schedule updates |
2nd/2010 |
16,17 |
| Improvements to the medical records process for BlueCard claims |
2nd/2010 |
17 |
| Pass-through billing |
2nd/2010 |
17 |
| Medical Policy Disclosure |
2nd/2010 |
17,18 |
| Draft medical policy review |
2nd/2010 |
18 |
| Importance of obtaining preauthorizations for initial stay and add-on days |
2nd/2010 |
19 |
Availity's new claims research tool offers
speed, accuracy |
1st/2010 |
1 |
| Reminder! New plan years have begun, verify member ID cards |
1st/2010 |
2 |
| Special note about Walmart patients and their ID cards |
1st/2010 |
2 |
| Important provider information on new wellness initiatives for federal employees under the Service Benefit Plan |
1st/2010 |
3-5 |
| Medical offices are gaining the paperless advantage |
1st/2010 |
5 |
| Texas amends age limit for autism spectrum disorder benefits |
1st/2010 |
5,6 |
| Are you using paper claims to bill unlisted procedure codes for drugs and injections? |
1st/2010 |
6,7 |
| La Cruz Azul and U.S. Virgin Island claims run-out period |
1st/2010 |
10,11 |
| Upcoming changes regarding specialty medications |
1st/2010 |
13 |
| AIM ProviderPortal enhancement |
1st/2010 |
14 |
| Are you billing for services performed on yourself or a family member? |
1st/2010 |
14 |
| New HRA benefit for Kohler employees |
1st/2010 |
14 |
| Step Therapy and Prior Authorization programs |
1st/2010 |
14,15 |
| Medical policy disclosure |
1st/2010 |
15 |
| Draft medical policy review |
1st/2010 |
15 |
| Urgent versus standard predeterminations |
1st/2010 |
15,16 |
| No additional medical records needed |
1st/2010 |
16 |
| Importance of obtaining preauthorizations for initial stay and add-on days |
1st/2010 |
16 |
| QVT (quantity versus time) limits |
1st/2010 |
17 |
| Preferred drug list |
1st/2010 |
17 |
| PrimeMail utilizers for specialty medications (all groups) |
1st/2010 |
17 |
| AIM RQI reminder |
1st/2010 |
17,18 |
| BlueChoice Solutions large employer group list as of December 2009 |
1st/2010 |
19 |
| Outpatient clinical reference laboratory for HMO Blue Texas |
1st/2010 |
22 |
| Fee schedule updates |
1st/2010 |
19,20 |
| Improvements to the medical records process for BlueCard claims |
1st/2010 |
21 |
| More than health care, Season of Life program is health caring |
3rd/2009 |
1 |
| Special coverage for H1N1 vaccine |
3rd/2009 |
1 |
| Paperless transactions are gaining popularity |
3rd/2009 |
3 |
| Say goodbye to your paper provider claim summary |
3rd/2009 |
3 |
| Coordination of benefits |
3rd/2009 |
5,6 |
| BlueEdge product portfolio |
3rd/2009 |
6,7 |
| Taxonomy codes - definition and claims use |
3rd/2009 |
8,9 |
| Claim appeal/reconsideration review process |
3rd/2009 |
9,10 |
| Medicare-related claims for BlueCard members |
3rd/2009 |
12 |
| Reminder - Contracted providers must file claims |
3rd/2009 |
12 |
| Crossover process saves time and money for Medicare Part A & B electronic claims |
3rd/2009 |
13 |
| Fee schedule updates effective in August |
3rd/2009 |
14,15 |
| Proper speech therapy billing |
3rd/2009 |
15 |
| American Imaging order requests now approved online |
3rd/2009 |
15,16 |
| Urgent care center services billed using CPT code S9088 |
3rd/2009 |
16 |
Billing errors on CMS 1500: submitting a corrected
claims |
3rd/2009 |
16 |
| Reasons for returned paper claims |
3rd/2009 |
17 |
| AIM RQI reminder |
3rd/2009 |
17 |
| Draft medical policy review |
3rd/2009 |
17 |
| Pass-through billing |
3rd/2009 |
18 |
| Reminder - Contracted providers must file claims |
3rd/2009 |
18 |
| When a patient loses coverage |
2nd/2009 |
1,2 |
| Thinking outside the mailbox: Survey examines provider perspective on paperless transactions |
2nd/2009 |
2,3 |
New online tool for managing refunds launches
this month |
2nd/2009 |
3,4 |
| Fee schedule updates effective in August |
2nd/2009 |
5 |
| Improvements to the medical records process for BlueCard claims |
2nd/2009 |
6 |
| NDC number key to proper reimbursement for J-code drugs |
2nd/2009 |
7 |
| Are you billing for compound drugs? |
2nd/2009 |
8 |
| Submitting CPT 99000 with Modifier 59 |
2nd/2009 |
8 |
| Medical record documentation guidelines (predeterminations/claims) |
2nd/2009 |
9 |
| TRS-ActiveCare benefit change for bariatric surgery effective Sept.1 |
2nd/2009 |
11,12 |
| PPIs added to City of Houston step therapy program |
2nd/2009 |
12,13 |
| Professional charges for services performed by a physician in a hospital setting |
2nd/2009 |
13 |
| Pass-through billing |
2nd/2009 |
13 |
| Identifying primary insurance when seeing BCBSTX members over Age 65 |
2nd/2009 |
13 |
| Draft medical policy review |
2nd/2009 |
14 |
| Medical policy disclosure |
2nd/2009 |
14 |
| BlueChoice solutions large employer groups list |
2nd/2009 |
14,15 |
| Updates to procedure codes |
2nd/2009 |
15 |
| AIM RQI reminder |
2nd/2009 |
16 |
| Billing for non-covered services |
2nd/2009 |
17 |
| Reminder - Contracted providers must file claims |
2nd/2009 |
17 |
| Simple rule: include the onset/occurrence date |
2nd/2009 |
18 |
| Billing for allied professionals |
2nd/2009 |
17 |
| Simple rule: include the onset/occurrence date |
2nd/2009 |
18 |
