COVID-19 PROVIDER INFORMATION FOR ERS PARTICIPANTS
2022 NEWS AND UPDATES:
- 06/24/22 CPCP006 Preventive Services Policy Update Effective July 1, 2022
- 06/23/22 New Online Option to Confirm Medical Record Receipt Status
- 06/22/22 Language Line Supporting Cultural Competence
- 06/21/22 Annual Notice of Provider and Member Rights and Responsibilities
- 06/21/22 PEAQSM Provider Performance Insights (PPIs) Available in August 2022
- 06/16/22 Clinical Record Submission Update for Online Prior Authorization Requests
- 06/16/22 CT Contrast Shortage
- 06/15/22 Flex and Open Access for Medicare Patients and Providers
- 06/13/22 Importance of a Great Discharge Summary
- 06/13/22 Pricing Information to Display Starting in July
- 06/10/22 Reminder: Help Close Gaps in Care for Group Medicare Advantage Members
- 06/08/22 Upcoming CMS Risk Adjustment Data Validation (RADV) Medical Records Request
- 06/07/22 Provider Satisfaction Survey 2022
- 06/06/22 In-Home Test Kits for Colorectal Cancer Screening
- 06/06/22 Catch Up on Routine Vaccines and Well-Child Visits
- 05/17/22 Additional Update to Prior Authorization Codes for Medicare Members, Effective July 1
- 05/17/22 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 05/16/22 BCBSTX Provider Record Notification Letters Will No Longer Be Mailed Effective July 1, 2022
- 05/11/22 Managing Diabetes
- 05/06/22 ClaimsXten™ Quarterly Update Effective Aug. 22, 2022
- 05/05/22 Prior Authorization Code Update Effective 8/1/22 for Commercial Members
- 05/05/22 Alert: Availity® Essentials Claim Status Tool Update
- 05/04/22 Submit Multiple Clinical Claim Appeal Requests Online
- 05/04/22 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 1
- 05/03/22 Education Information Required for Directory
- 05/03/22 Behavioral Health Collaboration Requests
- 05/02/22 Annual Review: CPCP032 Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Policy – Effective 05/03/2022
- 05/02/22 CPCP012 Hernia Repair Updated Effective 08/04/2022
- 04/29/22 Annual Review: CPCP033 Telemedicine and Telehealth Services Update
- 04/29/22 Fee Schedule Update for Procedure Codes 97151 and 97152
- 04/29/22 Reimbursement Increase for Outpatient Surgery Services When Performed at an Ambulatory Surgery Center
- 04/29/22 BCBSTX to Recommend Preferred Drugs through Enhanced Prior Authorization
- 04/28/22 PCP and Referral Requirements
- 04/28/22 PEAQ Updated Methodology and FAQ
- 04/27/22 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 8/1/22
- 04/21/22 CPT Category II Codes Can Help Close Care Gaps
- 04/21/22 Patient Appointment Access Standards
- 04/20/22 Update to Prior Authorization Codes for Medicare Advantage Members, Effective July 1, 2022
- 04/19/22 Supporting Care During and After Pregnancy
- 04/14/22 CPCP023 Modifier Reference Policy Effective 07/15/2022
- 04/13/22 CPCP021 Laboratory Panel Billing Effective 04/14/2022 Updated
- 04/08/22 Annual Review: CPCP034 Unbundling Policy – Professional Providers
- 04/05/22 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2022 – Part 2
- 04/04/22 Follow-Up Care for Substance Abuse Disorders
- 03/30/22 Medicare Advantage Annual Health Assessment Incentive FAQs – 2022
- 03/30/22 Coding for Breast Augmentation and Removal for Gender Affirming Surgery
- 03/28/22 CPCP006 Preventive Services Policy Update Effective April 1, 2022
- 03/25/22 Update: New BCBSTX Lab Policies and Laboratory Management Program with Avalon Postponed
- 03/23/22 Advisory on Telemedicine Telehealth Services – Place of Service (POS) Codes
- 03/16/22 Updated: Surprise Billing Provisions of No Surprises Act
- 03/15/22 Change Coming to FEP Out-of-State Claims Processing
- 03/15/22 Update to Prior Authorization Codes for Medicare Members Effective 04/01/2022
- 03/14/22 Closing Gaps in Colon Care
- 03/11/22 CPCP014 Global Surgical Services – Professional Providers – Effective 06/13/22
- 03/11/22 Free Behavioral Health Webinars and Continuing Education Credit
- 03/11/22 Retinal Eye Exams and CPT II Coding
- 03/10/22 Annual Review: TXCPCP03 Surgical and Non-Surgical Services
- 03/07/22 Supporting Mental Health
- 03/04/22 Annual Review: Minor Updates to 3 Clinical Payment and Coding Policies
- 03/03/22 ClaimsXten™ Quarterly Update Effective June 13, 2022
- 03/02/22 Verify and Update Your Information Online via Availity® Provider Data Management
- 02/26/22 Imaging Studies for Low Back Pain
- 02/25/22 Update to Prior Authorization Codes for Commercial Members
- 02/25/22 2021 Behavioral Health Quality Improvement Program Evaluation Executive Summary
- 02/24/22 All Providers will now Display in Provider Finder®
- 02/23/22 Reminder: Claim Editing Enhancements Coming April 1
- 02/22/22 Medicare Advantage Flex (PPO) Plan FAQ
- 02/21/22 CMS Payment Adjustments for Medicare
- 02/18/22 Differential Diagnoses of Depression
- 02/18/22 Closing Gaps in Care for Group Medicare Advantage Members
- 02/04/22 BCBSTX 2021 Employee Volunteer of the Year
- 02/02/22 Evaluation & Management Coding - Professional Services Update
- 02/01/22 Supporting Healthy Hearts
- 01/31/22 POSTPONED:New Laboratory Management Program & Related Clinical Payment and Coding Policies to Begin on May 1, 2022
- 01/28/22 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2022 – Part 1
- 01/28/22 It’s Time! Verify Your Directory Details
- 01/24/22 Update: Prime Therapeutics LLC Accepting Network Participation Bids Until 4/20/22
- 01/18/22 Prime Therapeutics LLC to Accept Facility Pharmacy Network Participation Bids
- 01/18/22 Surprise Billing Provisions of No Surprises Act
- 01/10/22 Pneumatic Compression Devices – Outpatient Use Update
- 01/10/22 ClaimsXtenTM Quarterly Update Effective April 11, 2022
- 01/10/22 Pharmacy Updates eff 1/1/2022 Part 2
- 01/10/22 Claim Editing Enhancements Coming - Register for a Training Webinar
- 01/10/22 Federal Employee Program Annual Medical Record Data Collection for HEDIS Quality Reporting
- 01/10/22 Annual Medical Record Data Collection for Quality Reporting begins Feb. 1