2024 News and Updates

02/26/2024 Earn Continuing Education Credit: Webinar on Social Determinants of Mental Health Care

02/23/2024 Annual Review: CPCP022 Pneumatic Compression Devices – Outpatient Use Updated

02/21/2024 Annual Review: CPCP038 Outpatient Services Prior to an Inpatient Admission Updated

02/20/2024 Pharmacy Program Quarterly Update: Changes Effective Apr. 1, 2024 – Part 1

02/20/2024 30-Day Facility Readmission Reviews for Medicare Advantage Members

02/14/2024 CPCP028 Non-Reimbursable, Experimental, Investigational and/or Unproven Services (EIU) Update- Effective 05/15/2024

02/14/2024 Recommended Clinical Review Procedure Code List Changes for Commercial Members Effective May 15, 2024

02/09/2024 Closing Gaps in Colon Care

02/09/2024 Avoiding Inappropriate Use of Antipsychotic Medication in Anxiety Disorders 

02/08/2024 Follow-up Care for Mental Health

02/01/2024 Fighting Fraud, Waste and Abuse 

01/30/2024 Changes to Claim Inquiry Resolution – High-Dollar, Pre-Pay Reviews Only

01/29/2024 Medicare Advantage HEDIS Records Collection through June 2024

01/29/2024 Reminder: BCBSTX Prior Authorization Exemption Communication Method Preference

01/26/2024 HealthSelect of Texas® In-Area Participants PCP Referral Requirement for In-Network Benefits

01/26/2024 Introducing Smart RxAssist via HealthSmartRx®

01/25/2024 Annual Review: CPCP016 Chiropractic Care Services Updated

01/24/2024 Annual Review: CPCP015 Multiple Surgical Procedures-Professional Provider Services Updated

01/22/2024 Continuing Education Credit Webinar on Pediatric Behavioral Health 

01/22/2024 NDC Billing Tool on Our Provider Website is Being Retired

01/19/2023 Annual Review: CPCP014 Global Surgical Package – Professional Providers Updated

01/19/2023 Annual Review: CPCP040 Physical Medicine and Rehabilitation Services Updated

01/18/2024 CPCP023 Modifier Reference Policy Update– Effective 04/19/2023

01/18/2024 Annual Review: CPCP013 Increased Procedural Services (Modifier 22) Updated

01/18/2024 Annual Review: CPCP009 Co-Surgeon/Team Surgeon Modifiers Updated

01/17/2024 Pharmacy Program Quarterly Update, Part 2, Changes Effective January 1, 2024

01/17/2024 Coding Webinars: Major Depressive Disorder and Annual Wellness Visits

01/16/2024 Annual HEDIS/QRS Reports

01/12/2024 Supporting Healthy Hearts

01/12/2024 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and QHP Enrollee Experience Survey (EES)

01/11/2024 Prior Authorization Code Updates for Medicare Advantage Members Effective April 1, 2024

01/09/2024 ClaimsXten™ Quarterly Update Effective April 15, 2024  

01/08/2024 Update to Prior Authorization Code Changes for Commercial Members Effective April 1, 2024

01/08/2024 Managing Antidepressant Medication

01/03/2024 Federal Employee Program (FEP®) HEDIS® Medical Records Collection February - April 2024