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Blue Review - Subject Archive

Subject Archive: Provider

The links below take you to the appropriate edition of Blue Review.
We have included a page number to assist you in finding the article.

 

Article Title Quarter/Year Page
Surgical procedures performed in the physician's office  7th/2010
13
AIM RQI reminder  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
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
Medical Policy disclosure  7th/2010
16
Draft medical policy review  7th/2010
16
Importance of obtaining preauthorizations for initial stay and add-on days  7th/2010
17
Provider Billing for non-covered services  7th/2010
18
Avoidance of delay in claims pending COB information  7th/2010
18
QVT (quantity versus time) limits  7th/2010
18
Are utilization management decisions financially influenced?  7th/2010
19
You Hold the Key to an Enhanced Online Experience  6th/2010
1
HealthSelect participants now have access to a new tobacco cessation program  6th/2010
2
Hospital Acquired Conditions' and 'Never Events'  6th/2010
3
Preauthorization and the Interactive Voice Response (IVR) phone system  6th/2010
4
Supervision of Physician Assistant, Advance Practice Nurse or Certified Registered Nurse First Assistant  6th/2010
5
Clotting factor management initiative  6th/2010
5,6
Technical and professional components  6th/2010
7
AIM RQI reminder  6th/2010
7
Surgical procedures performed in the physician's office  6th/2010
7
BlueChoice Solutions Large Employer Groups List  6th/2010
9
Fee schedule updates  6th/2010
9
Claims Pass-through billing  6th/2010
9,10
Contracted physicians and other professional providers must file claims  6th/2010
10
Medical policy disclosure  6th/2010
10
Draft medical policy review  6th/2010
10,11
Importance of obtaining preauthorization's for initial stay and add-on days  6th/2010
11
Billing for non-covered services  6th/2010
12
Avoidance of delay in claims pending COB information  6th/2010
12
Are utilization management decisions financially influenced?  6th/2010
13
Hospital Acquired Conditions'and 'Never Events'  5th/2010
4,5
Supervision of Physician Assistant, Advanced Practice Nurse or Certified Registered Nurse First Assistant  5th/2010
6,7
New clotting factor management initiative  5th/2010
7
Surgical procedures performed in the physician's office  5th/2010
8
Technical and professional components  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 provider  5th/2010
9
Fee schedule updates  5th/2010
10
BlueChoice Solutions Large Employer Groups List  5th/2010
10
Pass-through billing  5th/2010
10,11
Medical policy disclosure  5th/2010
11
Contracted physicians and other professional providers must file claims  5th/2010
11
Draft medical policy review  5th/2010
11,12
Billing for non-covered services  5th/2010
13
Avoidance of delay in claims pending COB information  5th/2010
13
Are utilization management decisions financially influenced?  5th/2010
14
Blue Care Connection works with physicians through Physician Collaboration  4th/2010
1
New Online Resource Available for Maternity Program  4th/2010
1
Appropriate billing when a patient has reached a benefit max  4th/2010
2
Share the wealth by sharing the Blue Review newsletter  4th/2010
4,5
Check reissue request for providers  4th/2010
5
Hospital room rate notification  4th/2010
5
The principles of medical-record documentation  4th/2010
6-8
Interactive Voice response (IVR) System  4th/2010
10
Supervision of Physician Assistant, Advanced Practice Nurse, or Certified Registered Nurse First Assistant  4th/2010
10,11
New clotting factor management initiative  4th/2010
11
Quest Diagnostics, Inc is new, exclusive HMO and preferred statewide PPO/POS clinical reference lab provider  4th/2010
12,13
Fee schedule updates  4th/2010
14
Pass-through billing  4th/2010
14
Contracted providers must file claims  4th/2010
14,15
Billing for non-covered services  4th/2010
17
Are utilization management decisions financially influenced?  4th/2010
17,18
Enterprise Interactive Voice Response System enhancement now available  3rd/2010
3,4
BCBSTX offers a new solution for credentialing  3rd/2010
5,6
Quest Diagnostics, Inc is new exclusive HMO and preferred statewide PPO/POS clinical reference lab provider  3rd/2010
14,15
Fee schedule updates  3rd/2010
15,16
Pass-through billing  3rd/2010
16
Reminder - Contracted providers must file claims  3rd/2010
16
Billing for non-covered services  3rd/2010
18
Are utilization management decisions financially influenced?  3rd/2010
19
New Be Smart. Be Well. topic launches with redesigned site  2nd/2010
4
BCBSTX Special Investigations Department reviews allergy testing and treatment services  2nd/2010
8-10
New clotting factor management initiative  2nd/2010
13
Outpatient Clinical Reference Laboratory for HMO Blue Texas  2nd/2010
15,16
Pass-through billing  2nd/2010
17
Contracted providers must file claims  2nd/2010
17
Medical Policy Disclosure  2nd/2010
17,18
Draft medical policy review  2nd/2010
18
Preferred drug list  2nd/2010
18
Avoidance of delay in claims pending COB information  2nd/2010
19
Nonliability and hold harmless reminders: billing for non-covered services  2nd/2010
19
QVT (quantity versus time) limits  2nd/2010
20
BCBSTX Medicare Part D formulary changes for 2010  1st/2010
7-10
Medicare Part D pharmacy updates: dose optimization  1st/2010
11-13
Avoidance of delay in claims pending COB information  1st/2010
16
Nonliability and hold harmless reminders: billing for non-covered services  1st/2010
16,17
Pass-through billing  1st/2010
20
Reminder - Contracted providers must file claims  1st/2010
21
More than health care, Seasons of Life program is health caring  3rd/2009
2,3
Paperless transactions are gaining popularity  3rd/2009
3
Say goodbye to your paper provider claim summary  3rd/2009
3
Medicare Advantage mandatory provider FWA training  3rd/2009
4,5
Coordination of benefits  3rd/2009
5,6
BlueEdge product portfolio  3rd/2009
6,7
Claim appeal/reconsideration review process  3rd/2009
9,10
Fee schedule updates effective in August  3rd/2009
14,15
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
Outpatient clinical reference laboratory for HMO Blue Texas  3rd/2009
17,18
Pass-through billing  3rd/2009
18
Reminder - Contracted providers must file claims  3rd/2009
18
When a patient loses coverage  2nd/2009
1,2
Care Comparison tool supports transparency initiative  2nd/2009
4
Fee schedule updates effective in August  2nd/2009
5
No network changes planned for BlueChoice Solutions  2nd/2009
5
Blue Care Connection program for the management of diabetes  2nd/2009
6
New process for using out-of-network providers  2nd/2009
6,7
Professional charges for services performed by a physician in a hospital setting  2nd/2009
13
Pass-through billing  2nd/2009
13
Outpatient clinical reference laboratory for HMO Blue Texas  2nd/2009
16
Billing for non-covered services  2nd/2009
17
Reminder - Contracted providers must file claims  2nd/2009
17
Billing for allied professionals  2nd/2009
17