2020 News Archive

12-31-20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 2
12-31-20 BCBSTX Federal Employee Program Annual Medical Record Data Collection for Quality Reporting
12-30-20 Two Clinical Payment and Coding Policy Updates - 12/30/2020
12-29-20 Clinical Payment and Coding Policy Update — 12/29/2020
12-29-20 Preventive Services Clinical Payment and Coding Policy Update
12-29-20 Infusion Site of Care Drugs Prior Authorization Update
12-24-20 Update to Prior Authorization Codes for Commercial Members
12-23-20 COVID-19 Fee Schedule/Reimbursement Update
12-21-20 Tiered Payment Rate Modifiers for ABA Effective April 1, 2021
12-21-20 COVID-19 Vaccines and Coverage
12-16-20 Office Based Professional Providers – Credentialing
12-16-20 Obtain BCBSTX Patient ID Numbers for Government Program Members via Availity®
12-16-20 Clinical Payment and Coding Policy Update – 12/16/2020
12-14-20 Clinical Payment and Coding Policy Update – 12/14/2020
12-14-20 Clinical Payment and Coding Policy Update - 12/14/2020
12-10-20 Prior Authorization Has a New Home: Utilization Management
12-07-20 Delayed New Electronic Duplicate Claim Rejections for Commercial Claims
12-02-20 Clinical Payment and Coding Policy Update – 12/02/2020
12-01-20 Provider Information on COVID-19 Coverage
12-01-20 Register Now: Addressing Concerns of Vaccine-Hesitant Parents Webinar
11-25-20 Financial Liability for Experimental, Investigational & Unproven Services
11-25-20 Updates on our Prior Authorization Expansion to AIM®
11-23-20 Medicare adds benefit for members with inherited ovarian or breast cancer
11-23-20 Billing information on free bamlanivimab
11-23-20 COVID-19 Initiative Dates
11-23-20 BCBSTX Making It Easier to Transfer Members to Post-Acute Care
11-20-20 New Electronic Duplicate Claim Rejections for Commercial Claims
11-19-20 Depression and Diabetes
11-19-20 Magellan's Webinar Series: Improve patient outcomes
11-19-20 Clinical Payment and Coding Policy Update - 11/19/2020
11-16-20 View BCBSTX Member ID Cards via Availity^®
11-12-20 Telemedicine and Telehealth Clinical Payment and Coding Policy Update Including Change to Code Q3014
11-09-20 Billing for Psychological and Neuropsychological Testing
11-06-20 Check Multiple Patient’s Eligibility and Benefits via Availity®
11-06-20 Encourage Regular Pre- and Post-Natal Care
11-06-20 Hospital Discharge Summaries Both Empowers and Informs
11-06-20 Benefits of Collaborating with Eye Care Providers
11-05-20 Clinical Payment and Coding Policy Update - 11/05/2020
11-04-20 Submit Electronic Claims via Availity® at No Cost!
11-04-20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 1
11-04-20 Screening and Treatment of Depression
11-03-20 Clinical Payment and Coding Policy Update - 11/03/2020
10-30-20 Update to Prior Authorizations – Jan.1, 2021
10-29-20 Going Green! Review Website for Disclosure Updates
10-27-20 Coordination of Care CME/CEU Webinar
10-20-20 Availity® Claim Status Tool Available for All Members
10-20-20 2020 Annual HEDIS^®/Quality Rating System Reports
10-16-20 Are You Using Shared Decision-Making Aids?
10-15-20 TRS Behavioral Health Prior Authorization Forms
10-13-20 New Prior Authorization Lists for Blue Cross Medicare Advantage℠ January 1, 2021
10-12-20 Blue High Performance Network^SM (BlueHPN)^SM to launch in January 2021
10-08-20 Submitting Predetermination of Benefits Update
10-08-20 Availity^® Provider Portal Offerings
10-07-20 Clinical Payment and Coding Policy Update
10-07-20 Clinical Payment and Coding Policy Updates
10-06-20 Revision to Non-Reimbursable Experimental, Investigational and/or Unproven Services Policy
10-02-20 Telemedicine and Telehealth Clinical Payment and Coding Policy Update
10-01-20 Provider Finder^® Upgraded!
10-01-20 Clinical Payment and Coding Policy Update
10-01-20 Telehealth – Future State
09-28-20 Preventive Services Clinical Payment and Coding Policy Update
09-28-20 Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
09-28-20 Prior Authorization Expansion to AIM
09-28-20 Itemized Bills Required for BlueCard^® Facility Claims Over $100k
09-23-20 Introducing the Blue High Performance Network^SM (Blue HPN)^SM
09-21-20 Behavioral Health HEDIS Tip Sheets: FUA and FUM
09-18-20 2020-2021 Preventive Care Guidelines
09-18-20 Childhood Immunization Rates Fall Amidst Pandemic Fears
09-18-20 Clinical Payment and Coding Policy Updates
09-17-20 What You Need to Know About Substance Abuse
09-16-20 Colorectal Cancer Screening at Home
09-14-20 Share Your Medication Assisted Treatment Designation
09-12-20 Provider Finder^® Gets an Upgrade
09-11-20 COPD and Spirometry
09-09-20 Update: Telehealth Visits - Medicare Advantage
09-03-20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020 – Part 2
09-02-20 Verify Prior Authorization Requirements via Availity^®
09-01-20 ERS Mental Health Prior Authorization Forms
09-01-20 In-Home Test Kits for Diabetics
09-01-20 Clinical Payment and Coding Policy Updates
09-01-20 Obtain BCBSTX Patient ID Number Online
08-31-20 Change to HMO Outpatient Clinical Reference Lab Services
08-31-20 Blue Distinction^® Message via the Availity^® Eligibility and Benefits Results
08-26-20 Update COVID 19 FAQs for Medicare Providers
08-25-20 Telehealth Visits - Medicare Advantage
08-24-20 Mental Health Program Changes Reminder
08-19-20 Physical Therapy Benefits to be Contained Within the IVR Phone System as of Sept. 8, 2020
08-14-20 COVID-19: Texas Provider FAQs
08-14-20 Update: COVID-19 Testing and Treatment Coverage
08-14-20 Update: Using Telemedicine and Telehealth in Response to COVID-19
08-14-20 Update: COVID-19 Initiatives Extended
08-10-20 Learn More About TRS-ActiveCare Plans
08-07-20 Clinical Payment and Coding Policy Updates
08-04-20 COVID-19 Preparedness: Oxygen Therapy Update
08-04-20 2019 In-home Colorectal Cancer Screening Testing Quality Improvement Initiative
08-01-20 HealthSelect of Texas^® Out-of-State Behavioral Health Prior Authorizations
07-29-20 Update: Making It Easier to Transfer Members to Post-Acute Care
07-27-20 Update: New Group – Teacher Retirement System (TRS) Training
07-27-20 Submit Predetermination Requests Online via Availity^®
07-27-20 Behavioral Health Measures from HEDIS^®
07-27-20 COVID-19 Preparedness: Update to COVID-19 Lab Codes
07-27-20 Free Webinar and CME: Depression? How Do You Know?
07-24-20 Imaging Studies for Low Back Pain
07-23-20 AIM Prior Authorization Expansion Training
07-22-20 COVID-19 Provider Preparedness Updates
07-15-20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020
07-13-20 Payment Updates for Contracted Providers
07-13-20 Remember to use In-Network Laboratories
07-13-20 Email Address Verification
07-13-20 COVID-19 FAQs for Medicare Providers Update 071320
07-09-20 Clinical Payment and Coding Policy Updates
07-06-20 COVID-19 Preparedness: Update to Testing and Antibody Testing Sections
07-02-20 ClaimsXten^TM Rule Descriptions
07-01-20 Update: Behavioral Health Program Changes for HealthSelect of Texas^® - Sept. 1
07-01-20 COVID-19 Coverage Updates for Medicare Provider
06-30-20 Coronavirus (COVID-19) Provider Information for ERS Participants
06-30-20 Provider Information on COVID-19 Coverage
06-29-20 Procedure Code Updates for Prior Authorization
06-29-20 CPCP018 Revenue Codes Requiring CPT or HCPCS Codes Update
06-26-20 AIM Specialty Health® (AIM) to Perform Utilization Management
06-23-20 CMS Payment Adjustments for Medicare Providers
06-22-20 Federal Agencies Extend Timely Filing and Appeals Deadlines
06-17-20 Claims for Medications with Outer Packaging
06-17-20 Importance of a Great Discharge Summary
06-11-20 Behavioral Health Program Changes Reminder
06-10-20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020 – Part 2
06-08-20 Clinical Payment and Coding Policy Updates
06-05-20 Have You Heard About The New Texas Surprise Billing Law?
06-04-20 Credentialing Process Simplified for COVID-19
06-03-20 Blue Cross Medicare Advantage Prior Authorization Updates effective Sept. 1, 2020
06-02-20 Prior Authorization Code Changes for Administrative Services Only Members
05/29/20 Clinical Payment and Coding Policy Updates
05/26/20 In-home Colorectal Cancer Screening Test for Eligible Members
05/22/20 Billing and Documentation Information Requirements Reminder
05/22/20 eviCore^® Prior Authorization Code Changes Effective April 20, 2020
05/22/20 Learn to Use the eviCore Web Portal
05/21/20 Register for our COVID-19 Webinar
05/19/20 COVID-19 Preparedness Updates to Coverage, Claims and Testing
05/19/20 Resources for Providers/Members
05/14/20 New Annual Wellness Visit Resources for Medicare Providers
05/13/20 Changes to Contacting Electronic Commerce Services
05/13/20 New Group – Teacher Retirement System (TRS) Effective Sept. 1, 2020
05/12/20 Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
05/09/20 Clinical Payment and Coding Policy Updates
05/06/20 BlueCard Alert^®: Prime Healthcare Member Required Authorizations for Care
04/28/20 Making It Easier to Access Chest CT Scans
04/28/20 COVID-19: Thank You to Health Care Providers
04/27/20 Join ParPlan
04/22/20 Billing for Point-of-Use Convenience Kits
04/20/20 2 Clinical Payment and Coding Policy Updates
04/20/20 Alert: iExchange^® Deactivation Extended
04/17/20 Check Eligibility and Benefits: Don't skip this step!
04/16/20 COVID-19: Texas Provider FAQs
04/15/20 Behavioral Health Program Changes for HealthSelect of Texas^® - Sept.1
04/13/20 Quarterly Pharmacy Changes Effective July 1, 2020 – Part 1
04/13/20 Survey: COVID-19 Telehealth/Telemedicine Capabilities
04/08/20 Blue Cross Medicare Advantage Orientation Training Webinar
04-08-20 Credentialing Process Simplified for COVID-19
04/07/20 3 Clinical Payment and Coding Policy Updates
04-06-20 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
04/02/20 BCBSTX Waives Customer Cost-Sharing for COVID-19 Treatment
04/02/20 iExchange^® Ends 04/15/2020 - Use Availity^® Authorizations & Referrals
04/01/20 Updated: Using Telemedicine and Telehealth in Response to COVID-19
03/31/20 Preventive Services Clinical Payment and Coding Policy Update
03/27/20 Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
03/27/20 COVID-19 Preparedness Updates to Claim Submissions and Telemedicine and Telehealth
03/23/20 Telemedicine Cost-Sharing for Fully Insured Members
03/20/20 Using Telemedicine and Telehealth in Response to COVID-19
03/20/20 Quarterly Pharmacy Changes Effective April 1, 2020 – Part 2
03/20/20 Using the Online tool to search for Doctors and Hospitals
03/18/20 ACOs Results Prove the Future is Value-Based Care
03/18/20 Clinical Payment and Coding Policy – Inpatient Readmissions
03/17/20 Clarification: New BCBSTX 837 Commercial Claim Validation Edits Effective April 1, 2020
03/11/20 2019 Executive Summary and 2020 Goals
03/10/20 Clinical Payment and Coding Policy Updates
02/27/20 New BCBSTX 837 Commercial Claim Validation Edits Effective April 1, 2020
02/21/20 CAHPS^® Survey: We All Play a Role
02/21/20 Get the Conversation Started on Colorectal Cancer
02/20/20 Three New ClaimsXten™ Rules to be Implemented June 2020
02/19/20 Behavioral Health Program Changes for Some Provider Networks
02/19/20 Thanks for Responding to the HHS-RADV Initial Validation Audit!
02/18/20 Resolved: Electronic Payment and Remittance Delivery Delay
02/17/20 New Authorizations & Referrals Tool via Availity Provider Portal: Revised Launch Date of Feb. 17, 2020
02/17/20 Change to Prior Authorizations for HealthSelect of Texas Effective March 1, 2020
02/17/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020 – Part 1
02/14/20 Electronic Payment and Remittance Delivery Delay
02/07/20 Update: eviCore Ultrasound Submission Process
01/30/20 Drug Testing Clinical Payment and Coding Policy
01/30/20 Implementation Delay: Authorizations & Referrals via Availity® Provider Portal
01/24/20 Reminder: Fee Schedule Update March 1, 2020
01/23/20 Prior Authorization Changes for Certain BCBSIL Members in Texas
01/20/20 Two New ClaimsXten Rules to be Implemented in 2020
01/17/20 HMO Plans- PCP Selection and Referral Requirements
01/09/20 Reminder MyBlue HealthSM Network Effective 1/1/2020
01/08/20 Clinical Payment and Coding Policies – Preventive Services Policy
01/08/20 Updates to Behavioral Health Clinical Practice Guidelines for 2019-2020
01/07/20 Reminder: New Online Enrollment Process for 835 EFT and ERA through the Availity Provider Portal
01/03/20 Availity® Authorization Tool via Availity® and the Deactivation of iExchange
01/01/20 Annual Medical Record Data Collection for Quality Reporting Begins Feb. 1, 2020

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