2023 News Archive

12/29/23 Notification of Annual Benefit Updates
12/29/23 Review of Rescinded Prior Authorization Exemptions
12/26/23 Appropriate Use of Opioids Program to be Retired January 2024
12/26/23 Utilization Management: Avoid Delays and Denied Claims
12/22/23 CPCP006 Preventive Services Policy Update Effective January 1, 2024
12/21/23 Update to Claim Editing Changes for Facility Emergency Department Services
12/16/23 Reminder: Prior Authorizations via eviCore for Blue Cross Group Medicare Advantage Plans
12/16/23 Electronic Commerce Holiday Schedule Reminder
12/15/23 Blue Cross Group Medicare Advantage Open Access (PPO)℠: 65 Plus Medicare Advantage Plan (PPO) for Texas A&M University System Retirees
12/15/23 Update Your Records: New Medicare Advantage Open Access PPO Members and ID Cards
12/15/23 Prior Authorization Code Changes for Commercial Members Effective April 1, 2024
12/14/23 Reminder: Serving our Blue High Performance Network^® (BlueHPN^®)
12/13/23 Pharmacy Program Updates Quarterly Pharmacy Changes - Part 1: Effective January 1, 2024 updated November 27, 2023
12/13/23 Remind Our Members about Cervical and Breast Cancer Screenings
12/12/23 Monitoring Children Using ADHD Medication
12/11/23 Hospitals Must Provide Medicare Outpatient Observation Notice
12/11/23 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
12/08/23 Prior Authorization Code Changes for Medicare Members, Effective January 1, 2024
12/08/23 BCBSTX’s Approach to Managing GLP-1 Agonist Medications
12/08/23 Annual Review: CPCP024 Evaluation and Management (E/M) Coding – Professional Provider Services Update Effective 12/08/2023
12/07/23 Annual Review: CPCP008 Psychological and Neuropsychological Testing Update Effective 12/07/2023
12/07/23 CPCP033 Telemedicine and Telehealth/Virtual Health Care Services Policy Update Effective 03/08/2024
12/07/23 Care Guidelines for Medicare Advantage Members’ Availability and Access Standards
12/06/23 Oral Oncology Pharmacy Network Transitioned to IntegratedRx™
12/06/23 CPCP020 Drug Testing Clinical Payment and Coding Update Effective 03/07/2024
12/05/23 Prior Authorization Code Changes for Commercial Members
12/05/23 CPCP004 NICU Level of Care Authorization and Reimbursement Policy Update Effective 03/06/2024
12/05/23 CPCP030 Point-of-Care Ultrasound Updated Effective 03/06/2024
11/30/23 TRS is Moving Certain Services to Recommended Clinical Review
11/30/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 12/01/2023
11/29/23 Three New ClaimsXten^TM Rules to be Implemented March 2024
11/29/23 Advisory on Telemedicine and Telehealth Services – Using Place of Service Codes on Commercial Claims
11/17/23 FEP® Updates to Prior Approval Requirements and Benefits
11/17/23 TRS Hospital Claim Analysis as Required by House Bill
11/13/23 Colorectal Cancer Screenings Goal: 80% in Every Community – “Pulling It All Together"
11/10/23 Training Resources for Behavioral Health Care
11/08/23 Pharmacy Program Quarterly Update, Part 1, Changes Effective January 1, 2024
11/01/23 Chronic Kidney Disease Management Strategies for Primary Care Providers
10/31/23 Webinar on Coding for Annual Health Assessments
10/30/23 Encourage Annual Eye Exams for Members with Diabetes
10/27/23 See Updates to Claim Editing Changes for Emergency Department Services
10/26/23 Category Removals from eviCore and other Updates to Prior Authorization Codes for Medicare Advantage Members, Effective Jan. 1, 2024
10/26/23 Musculoskeletal, Cardiology Expansion and other Prior Authorization Code Changes for Commercial Members, Effective Jan. 1, 2024
10/24/23 CPCP027 Inpatient Readmissions Policy Update Effective October 24, 2023
10/24/23 New BlueApprovR^SM Tool Now Expedites Prior Authorization and Recommended Clinical Reviews for Behavioral Health services and more - Attend a Training
10/24/23 Fee Schedules Update Effective February 1, 2024
10/23/23 Medicare Advantage Members Transitioning to BCBSTX Kidney Care Program
10/19/23 See New Enhancements for Behavioral Health Prior Authorizations Effective Nov. 6, 2023
10/18/23 CPCP006 Preventive Services Policy Update Effective November 1, 2023
10/18/23 Reminder: Fee schedule updates
10/18/23 New CPT Codes for COVID-19 Vaccines and Vaccine Administration
10/18/23 Provider Information on COVID-19 Coverage
10/16/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Updated Effective 01/15/2024
10/16/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 12/01/2023
10/16/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 10/01/2023
10/11/23 Behavioral Health Mid-Level Fee Schedule Increase - Medicare Advantage Effective Jan. 01, 2023
10/09/23 Join Us for a Webinar on Coding for Vascular Disease
10/09/23 Coordinating Care after Hospital Discharges to Help Reduce the Chances of Readmissions
10/06/23 Medicare Advantage Behavioral Health Services Update Effective Jan. 01, 2023
10/05/23 Language Line Supporting Cultural Competence
10/05/23 Update: Reimbursement Change for Inpatient DRG Claims When Patients Are Transferred Early
10/04/23 Introducing Claim Reconsideration Requests via Availity^® Essentials
10/04/23 Pharmacy Program Quarterly Update, Part 2, Changes Effective October 1, 2023
9/29/23 CPCP028 Non-Reimbursable, Experimental, Investigational and/or Unproven Services Effective 12/01/2023 Revised
9/28/23 CPCP028 Non-Reimbursable, Experimental, Investigational and/or Unproven Services Update 10/01/2023
9/28/23 Overcoming Barriers to Colorectal Cancer Screenings
9/28/23 Survey Assesses Medicare Advantage Members’ Health Outcomes
9/28/23 CPCP006 Preventive Services Policy Update Effective October 1, 2023
9/28/23 2024 Expansion Blue Cross Medicare Advantage
9/28/23 Supporting Quality Care During Breast Cancer Awareness Month
9/20/23 MyBlue Health^SM Network Expansion
9/07/23 New Location in Availity® to Access Prior Authorization Exemption Communications as of Sept.7, 2023
9/07/23 Update: Ground and Air Ambulance Overpayment Error
9/05/23 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
9/01/23 Notifications for Prior Authorization Exemptions for Jan. 1 to June 30, 2023 Review Period
9/01/23 New BlueApprovR^SM Tool Expedites Prior Authorization and Recommended Clinical Review for some Medical Surgical services — Attend a Training
8/31/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 12/01/2023
8/29/23 Updates to Clinical Practice and Preventive Care Guidelines
8/23/23 BlueCard^® Program Reminder
8/21/23 Physician Performance Insight Reports are Now Available!
8/17/23 Removal of Select Medication List
8/15/23 Reimbursement Change for Inpatient DRG Claims When Patients Are Transferred Early
8/11/23 Submitting Claims for Infertility Services
8/08/23 Reminder - Notice of Prior Authorization Exemptions Rescission
8/03/23 See New Enhancements for Behavioral Health Prior Authorizations
8/02/23 Shared Decision-Making Aids Can Help Guide Care Choices
7/31/23 Future Blue Cross Blue Shield Association Provider Performance Program
7/31/23 Pharmacy Program Quarterly Update, Part 1, Changes Effective October 1, 2023
7/28/23 Reporting On-Demand via Availity^® Essentials is Now Named Provider Claim Summary
7/24/23 Update to Prior Authorization Codes for Medicare Members, Effective Oct. 1, 2023
7/24/23 Claim Editing Changes for Emergency Department Services Coming Nov. 1, 2023
7/24/23 Revised CPCP003 and New CPCP042 for Emergency Department Evaluation and Management Services Coding for Facility and Professional Services, Effective 10/25/2023
7/21/23 Designating Prior Authorization Requests as “Urgent”
7/21/23 Reminder – Physician Performance Insight (PPI) Reports are Coming Soon!
7/20/23 Free Tools & Resources Available via Availity^® Essentials
7/19/23 Colorectal Cancer Screening Options and Statistics: Get the Conversation Started Today
7/18/23 Reminder: Prior Authorization Exemption Communication Method Preference
7/18/23 Introducing Smart RxAssist via HealthSmartRx^®
7/17/23 2022 Executive Summary and 2023 Goals
7/17/23 CPCP031 Trauma Activation - Facility Services Updated Effective 10/18/2023
7/11/23 Provider Depression Disorder Prescribing
7/10/23 Update to Prior Authorization Codes for Commercial Members, Effective Oct. 1, 2023 7/07/23 Pharmacy Program Quarterly Update, Part 2, Changes Effective July 1, 2023
7/06/23 Webinar on Coding for Morbid and Severe Obesity
7/05/23 In-Home Test Kits for Colorectal Cancer Screening
6/30/23 Antidepressant Medical Management
6/30/23 CPCP014 Global Surgical Package – Professional Providers Updated Effective 10/01/2023
6/29/23 Update to Prior Authorization Exemption Clinical Guidelines
6/29/23 Reminder - Notice of Prior Authorization Exemptions Renewal Review
6/29/23 CPCP006 Preventive Services Policy Updated Effective 07/01/2023
6/27/23 CPCP021 Laboratory Panel Billing Updated Effective 09/28/2023
6/22/23 Physician Performance Insight (PPI) Reports - Coming Soon!
6/14/23 Medicare Advantage Annual Wellness Visits: Webinar and Resources
6/13/23 More Access for Medicare Patients and Providers
6/07/23 New Availity^®Eligibility & Benefits Experience
6/06/23 Provider Rights and Responsibilities
6/06/23 Member Rights and Responsibilities
6/06/23 New Clinical Payment and Coding Policy CPCP041 Sepsis Policy Effective 09/06/2023
6/05/23 Catch Up on Routine Vaccines and Well-Child Visits
6/02/23 ClaimsXten^TM Announces Software Version Upgrade
6/01/23 Additional Changes to Prior Authorization Codes for Commercial Members, Effective July 1
6/01/23 Update of CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update for 04/01/2023 & 07/01/2023
6/01/23 CPCP011 Applied Behavioral Analysis Updated Effective 09/01/2023
5/31/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 09/01/2023
5/31/23 CPCP001 Observation Services Policy Updated Effective 09/01/2023
5/30/23 Notice of Prior Authorization Exemptions Renewal Review
5/25/23 Additional Changes to Prior Authorization Codes for Medicare Members, Effective July 1, 2023
5/22/23 New Clinical Payment and Coding Policy CPCP039 Outpatient Facility Service(s) Overlapping During an Inpatient Stay Effective 09/01/2023
5/22/23 Earn Continuing Education Credit: Webinar on Avoiding Inappropriate Antibiotic Use
5/17/23 Annual Review: CPCP026 Therapeutic Prophylactic Diagnostic Injection Infusio
5/17/23 CPCP0012 Hernia Repair Updated Effective 08/18/2023
5/16/23 The Need for Better, Improved Continuity and Coordination of Care
5/15/23 Medical Policy Updates
5/15/23 CPCP0013 Increased Procedural Services (Modifier 22) Effective 08/15/2023
5/15/23 CPCP034 Unbundling Policy – Professional Providers Effective 08/15/2023
5/10/23 More Outpatient Surgery Codes With Increased Reimbursement When Performed in Ambulatory Surgery Center
5/10/23 Medical Records Reminder for Out-of-Area Medicare Advantage Members
5/10/23 ClaimsXten™ Quarterly Update Effective August 21, 2023
5/09/23 Language Line Supporting Cultural Competence
5/09/23 Colon Cancer Screenings Goal: 80% In Every Community
5/04/23 Medicare Advantage Annual Wellness Visit: Webinar and Resources
5/04/23 Update to Prior Authorization Codes for Medicare Members, Effective July 1, 2023
5/02/23 Helping Our Members Manage Diabetes
4/28/23 Pharmacy Program Quarterly Update, Part 1, Changes
Effective July 1, 2023
4/18/23 Annual Review: CPCP024 Evaluation and Management Coding – Professional Provider Services Effective 04/20/2023
4/17/23 How to Correctly Use Our Claim Review Form
4/17/23 New CPCP038 Outpatient Services Prior to an Inpatient Admission, Three-day Payment Policy Effective 08/01/2023
4/13/23 Webinar on Coding for Chronic Kidney Disease
4/12/23 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
4/11/23 Ground and Air Ambulance Overpayment Error
4/06/23 Pharmacy Program Quarterly Update, Part 2, Changes Effective April 1, 2023
4/04/23 Track Care Visits During and After Pregnancy
4/03/23 Update to Prior Authorization Codes for Commercial Members, Effective July 1, 2023
3/31/23 CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 07/01/2023
3/28/23 CPCP006 Preventive Services Policy Update Effective April 1, 2023
3/24/23 Update to CPCP010 Anesthesia Services Effective 06/26/2023
3/24/23 Annual Review: CPCP020 Drug Testing Clinical Payment and Coding Policy Effective 03/27/2023
3/24/23 New CPCP040 Physical Medicine and Rehabilitation Services Effective 06/26/2023
3/24/23 Update to CPCP016 Chiropractic Care Services Effective 06/26/2023
3/24/23 Update to CPCP023 Modifier Reference Effective 06/26/2023
3/24/23 CPCP007 Implant Payment and Coding Policy Retired 03/31/2023
3/15/23 Changes to CPCP027 Inpatient Readmissions Policy Effective 07/01/2023
3/13/23 Screening and Follow-Up Care for Maternal and Mental Health
3/13/23 Caring for Substance Use Disorders
3/13/23 Monitoring Children Using ADHD Medications
3/10/23 AIM Specialty Health Changes Its Name to Carelon Effective March 1, 2023
3/09/23 Medicare Advantage Annual Health Assessment Incentive FAQs – 2023
3/09/23 Notifications for Prior Authorization Exemptions for July 1 to Dec. 31, 2022 Review Period
3/08/23 Annual Review: TXCPCP003 Surgical and Non-Surgical Services Policy Update Effective March 9, 2023
3/07/23 Earn Continuing Education Credit through Webinar on Opioids
3/07/23 Earn Continuing Education Credit through Webinar on Maternal Mental Health
2/28/23 CPCP006 Preventive Services Policy Update Effective March 1, 2023
2/27/23 Pharmacy Program Quarterly Update, Part 2:
Changes Effective Jan. 1, 2023
2/22/23 Prior Authorization and Claim Reconciliation for Neonatal Intensive Care Unit Services Effective 04/16/2023
2/21/23 New for 2023: Specialty Pharmacies Added In-Network
2/21/23 CPCP003 Emergency Department Evaluation and Management (E/M) Services Coding – Facility Services effective 02/22/2023
2/16/23 CPCP022 Pneumatic Compression Devices – Outpatient Use Update – Effective 05/17/2023
2/16/23 Help Close Gaps in Care for Group Medicare Advantage Members
2/15/23 CPCP017 Wasted/Discarded Drugs and Biologicals Policy – Effective 05/16/2023
2/14/23 Pharmacy Program Updates: Quarterly Changes Effective April 1, 2023- Part 1
2/10/23 Verify Your Directory Details Every 90 Days
2/09/23 New Support Program for Members with Kidney Disease
2/08/23 Survey to Assess Medicare Advantage Members’ Experiences
2/03/23 Closing Gaps in Colon Care
2/03/23 Earn Continuing Education Credit through Webinar on Bipolar Disorder
2/02/23 Quality Care: Screening for Depression
2/02/23 Cultural Awareness Webinars: Earn Continuing Education Credit
1/30/23 Prior Authorization Exemption Communication Method Preference
1/30/23 Update to Prior Authorization Codes for Medicare Members, Effective April 1, 2023
1/20/23 How to Identify UT CARE^TM Members
1/17/23 Correction - Prior Authorization Codes for Commercial Members Updated Effective April 1, 2023
1/09/23 2022 Annual HEDIS®/QRS Reports
1/06/23 Predetermination is Changing to Recommended Clinical Review
1/06/23 Supporting Heart Health Equity
1/04/23 Annual Review: CPCP036 Paravertebral Facet Injection Procedure Coding & Billing Policy Update Effective 01/06/2023
1/04/23 Annual Review: CPCP0019 Home Infusion Update Effective 01/05/2023
1/04/23 CPCP026 Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding Update Effective 04/05/2023
1/03/23 ClaimsXten™ Quarterly Update Effective April 17, 2023

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2023 News Archive