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Contracting Hospitals

2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | Previous years

Date Topics Subject
2014
7/10/14 BCBSKS Policy Provider payment of premiums for Marketplace Health Plans
07/01/14 Provider Financial Responsibility effective July 1, 2014 Pre-Service Review for BlueCard® Members
06/16/14 Blue Cross and Blue Shield of Kansas City (BCBSKC) Prior Authorization Program effective October 1, 2013
04/25/14 Value Code 02 on UB04 Claim Form Required for Private Room Only Facilities
03/07/14 Electronic Prior Authorization Submission CoverMyMeds
01/28/14 Leasing the BCBSKS Provider Network Group Farmer's Alliance
2013
12/12/13 Electronic Provider Payment Electronic EFT form available 1/1/14
12/10/13 Telemedicine Services Billing Guidelines and Reimbursement
12/02/13 Pre-Service Review Update Electronic Provider Access (EPA) for Pre-Service Review of Out-of-area Blue Members
11/13/13 Federal Employee Program 2014 Benefit Plans and Plan Changes
11/12/13 Affordable Care Act Health Insurance Marketplaces (a.k.a. Exchanges)
10/31/13 Pre-Service Review Electronic Provider Access
10/08/13 Affordable Care Act Mandate Referring Provider required on claims for Native Americans effective January 1, 2014
10/03/13 State of Kansas (SOK) employee health plans 2014 State of Kansas (SOK) Member Plan Designs and Benefit Descriptions
10/01/13 UB-04 Claim Form Field Locator 4 (Type of Bill) Change for Home Health Agencies effective October 1, 2013
09/27/13 UB-04 Claim Form Point of Origin for Admission or Visit Code Required
09/26/13 Affordable Care Act Verisk chosen as Medical Record Retrieval Coordinator for BCBSKS member claims
09/13/13 Blue Distinction Centers Kansas hospitals recognized in 2013
09/12/13 ICD-10 Readiness Provider's Vendor and Clearinghouse
09/10/13 UB04 Claim Form New Patient Discharge Codes effective 10/1/13
09/05/13 Updated Medical Policy Intra-articular Hyaluronan Injections for Osteoarthritis
08/12/13 Updated January 8, 2007 Newsletter Leasing BCBSKS Provider Network
08/09/13 Self-service web tools
Correction to OPL Newsletter published 07/12/13
Other Party Liability (OPL)
07/17/13 Provider Access Availity Web Portal
07/12/13 BCBSKS Electronic Precertification Changes due to InterQual 2013 upgrade
07/12/13 Self-service web tools Other Payer Liability (OPL)
07/10/13 Medicare Duplicate Claims and Pricing Requirement
06/20/13 EDI Edit Change Occurrence Code 55
04/10/13 Explanation of Benefit Reference Based Benefits
04/02/13 Independent Clinical Labs BCBSKS Claims Filing Process
02/26/13 DeNovo NT Natural Tissue Graft by Zimmer BCBSKS considers DeNovo NT Natural Tissue Graft as E/I
02/20/13 National Drug Code (NDC) NDC format change due to HIPAA 5010
02/07/13 Updated Coverage Information Coverage for Breast Pumps and Supplies
2012
12/28/12 Group Update 2013 State of Kansas and Federal Employee Program Member Benefits
12/27/12 Electronic Inpatient Precertification Choosing Episode Day in InterQual
07/27/12 Health Care Reform Preventive Services Women's Preventive Services effective 8/1/12
07/12/12 BCBSKS Electronic Precertification Upgrade of InterQual 2012 version effective July 16, 2012
06/25/12 Healthcare Reform Initiatives Consumer Transparency
06/26/12 BCBSKS Electronic Precertification Upgrade of InterQual 2012 version
04/30/12 BCBSKS Systems Updated Admission Date and Service Coverage Period and POA Indicator
04/18/12 Patient Reason for Visit (PRV) Clarification of HIPAA 5010 Requirement for PRV
04/17/12 Blue National Doctor & Hospital Finder Locating a Contracting BCBSKS Provider
03/22/12 Stacking Codes for Molecular Pathology Lab Pure codes required 1/1/2012
03/21/12 Availity Health Information Network BCBSKS now on Availity Portal
01/25/12 BCBSKS Member Eligibility and Claim Status information on Availity Availity roll-out delayed
01/01/12 Group Update 2012 Federal Employee Program (FEP) Changes
01/01/12 Group Update 2012 State of Kansas Changes
2011
10/10/11 Intraocular Lens (IOL) Correct billing/coding for the IOL
09/12/11 Bone Mineral Density Studies Medical Policy and Claim Filing Procedure
08/26/11 BCBSKS Guideline Clarification CPT Code 96416, Chemotherapy Administration, intravenous
08/22/11 Medicare Mass Adjustment Change in Automatic Crossover for Medicare Mass Adjustments will include FEP
08/01/11 BCBSKS Secure Access Changes in the display of BlueAccess Web pages
07/14/11 Medicare Mass Adjustments Change in Automatic Crossover for Medicare Mass Adjustments
06/30/11 Benefit Changes Member Contracts Effective 7/1/2011
05/17/11 Therapy Services Therapy Services
04/28/11 Medical Policy Guideline IG-MLD for Spinal Stenosis
04/22/11 HIPAA 5010 BCBSKS Testing HIPAA 5010
01/14/11 Inquiries Authenticating a Provider
01/14/11 Claim Processing Blue Cross and Blue Shield of Kansas Claims Secondary to Medicare
01/05/11 Claim Processing Category III Codes
2010
12/30/10 Policy Guideline Limited Patient Waiver
12/21/10 Special Group Updates 2011 Federal Employee Program Changes
12/21/10 Special Group Updates 2011 State of Kansas Changes
12/13/10 HIPAA 5010 HIPAA 5010 Requirements - UB04 Change
12/06/10 Health Care Decision Tool National Consumer Cost Tool
12/06/10 Boeing Network New Boeing Benefits Administrator
11/23/10 Claim Denials Medical Records Request
11/19/10 Health Care Reform Preventive Services
10/15/10 Boeing Network Boeing Network Clarification
10/11/10 Medical Policies and Precertification/ Pre-authorization Medical Policy and Pre-Certification/ Pre-Authorization Router
10/08/10 Medical Policy Guideline Tympanoplasty & Gynecomastia
08/17/10 Secondary to Medicare Claims UPDATE: Part A Crossover Problem
07/26/10 Secondary to Medicare Claims Part A Crossover Problem
07/23/10 BlueCard Medicare Advantage Billing Reminder
07/19/10 Blue Access Secure Services Deleting Provider Profiles
07/12/10 Claim Denials Invalid Identification Numbers
06/28/10 Walmart Walmart: New ID Cards
06/23/10 Point of Origin & Condition Code Changes UB04 Claim Filing
05/21/10 HIPAA 5010 HIPAA 5010 Requirements
04/28/10 HCPCS Codes

New HCPCS Codes Effective April 1, 2010

03/10/10 BlueCard Calling BlueCard® for Eligibility and/or Pre-Certification/Prior Authorization
01/19/10 Mental Health Parity 10-02 Mental Health Parity
01/18/10 Federal Employee Program Prior Authorization 10-01 FEP Requires Prior Authorization for IMRT
2009
12/21/09 2010 Special Groups update
09-16 Federal Employee Program (FEP) and State of Kansas Employee (SOK) Groups
12/14/09 Walmart Behavioral Health Services 09-15 Walmart Associates To Obtain Pre-authorization from New Directions
11/23/09 Updated: Secondary to Medicare Claims 09-14 Blue Cross Claims Secondary To Medicare: Update
11/16/09 Boeing CAP Network
Newsletter replaced. Refer to Contracting Hospitals October 15, 2010 newsletter.
09-13 Boeing to Utilize CAP Network
11/16/09 BlueCard 09-12 BlueCard Provider Appeals
08/10/09 Medical Policies 09-11 Providers Are Encouraged To Review Online Medical Policies And Sign Up For ListServ
06/30/09 BlueCard International 09-10 Acquisition by Triple-S of La Cruz Azul's Managed Care Portfolio
06/16/09 Member Questionnaire 09-09 Other Party Liability
05/26/09 Billing 09-08 Accident Claim Guidelines
04/23/09 State of Kansas 09-07 Claim Adjustment Timeliness
04/22/09 Blue Select & Premier Blue 09-06 Blue Select & Premier Blue Discontinued
02/25/09 FEP Newborn Claims 09-05 FEP
02/02/09 Secondary to Medicare Claims 09-04 New Warning Edits
01/29/09 Mental Health Prior Authorization 09-03 New Direction
01/19/09 Premier Blue 09-02 Premier Blue Discontinued
01/09/09 2009 Special Groups Update 09-01 Federal Employee Program (FEP) and State of Kansas Employee Group
2008
10/10/08 Enhanced Claim Status and Eligibility Inquiry Process 10-10 Enhanced Claim Status and Eligibility Inquiry Process
09/15/08 ID Cards 08-11 New Id Cards Arriving This Fall
08/20/2008 Value Blue 08-10 Cooperation makes low-cost insurance available to 330 Kansans
04/17/2008 Telephone Numbers 08-09 Telephone Directory
04/17/2008 NPI

08-08 National Provider Identifier – Implementation Complete May 23, 2008

03/26/2008 Telehealth, HCPCS Q3014 08-07 Originating Site Telemedicine Services
03/26/2008 Drug, Pharmacy, Maximum Allowable Payment 08-06 HCPCS Q4098 – New Code and MAP Effective April 1, 2008
02/11/2008 Maximum Allowable Payment (MAP) 08-05 Update to the 2008 BCBSKS Outpatient Maximum Allowable Payment (MAP) Listing – HCPCS Q9965
01/29/2008 NPI 08-04 National Provider Identifier – Final Implementation on May 23, 2008
01/29/2008 IRS 08-03 INTERNAL REVENUE SERVICE FORM 1099
01/17/2008 Medicare Advantage (MA) 08-02 Medicare Advantage Private Fee-For-Service Terms and Conditions
01/17/2008 Present on Admission (POA), Inpatient Claims 08-01 Present on Admission (POA) Indicator Required By Blue Cross and Blue Shield of Kansas