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Professional Publications - Newsletters

"S" Newsletters - 2003

S-14-03 - Published 11/26/03

  • Section 1: Reminders
    • HIPAA Remittance Advice Guide – Crosswalk
    • 2004 Policy Memos
    • Stereotactic Computer Assisted Volumetric
      (Navigational) Procedure
  • Section 2: Updates
    • InterQual®
    • Pathology Coding
    • FEP Recognizes Physician Assistants
    • Kroger Recognizes Physician Assistants
    • State of Kansas
    • Ordering Provider Requirements
    • 2004 CPT/HCPCS Codes
  • Section 3: BlueCard
    • Wal-Mart Joins BlueCard
  • Section 4: Pharmaceuticals
    • Pharmacy Utilization Management Programs for 2004
      (attachment)

S-13-03 - Published 11/12/03

  • Pharmacy Utilization Management Programs for 2004
    • Prior Authorization for COX-2 Agents
    • Quantity Limits for Drugs Used in Acute Migraine Headache Therapy
    • Quantity Limits for Drugs Treating Erectile Dysfunction

S-12-03 - Published 11/12/03

  • Pharmacy Utilization Management Programs for 2004
    • Prior Authorization for COX-2 Agents
    • Quantity Limits for Drugs Used in Acute Migraine Headache Therapy
    • Quantity Limits for Drugs Treating Erectile Dysfunction

S-11-03 - Published 11/03/03

  • Intranasal Live Influenza Vaccine (FluMist™)

S-10-03 - Published 9/26/03

  • HIPAA Day - October 16, 2003
  • Contingency Plans Post HIPAA Implementation -
    10-15-03
  • No need to file paper claims
  • Remittance Advice

S-09-03 - Published 9/19/03

  • Section 1: Reminders
    • Medical Nutritional Therapy (MNT)
    • Reduction Mammaplasty
    • Blepharoplasty
  • Section 2: Updates
    • Category 1 Vaccine Codes
    • Provider Billing Numbers Required
    • Ineligible Providers Bill Patients
  • Section 3: BlueCard
    • Adjustment Reason Code (ARC) 96-Non-Covered Services
  • Section 4: Pharmaceuticals
    • Prime Therapeutics Formulary Update (Attachment)
  • Section 5: Miscellaneous
    • Advanced CPT Workshops Coming in December

S-08-03 - Published 7/16/03

  • Win With Generics Member Incentive Program
  • Win With Generics Qualifying Drugs

S-07-03 - Published 5/28/03

  • Section 1: Reminders
    • HME Repairs
    • Batteries Not Included
    • Coverage for Contacts, Glasses, and Lenses
  • Section 2: Updates
    • Vertebral Axial Decompression Therapy
    • Cryosurgery & Chemical Peels
    • Genetic Molecular Testing
    • E-mail Protection with Encryption
  • Section 3: BlueCard
    • BlueCard Record Request Guidelines
    • BlueCard Provider Satisfaction Survey Begins in May

S-06-03 - Published 4/24/03

  • Selection Plus Enrollment for The Boeing Company

S-05-03 - Published 3/25/03

BCBSKS Implements HIPAA Transactions and Code Sets

  • Estimated Timeline of Events & Disruption to Services

Internet Services

  • A Quick Overview of Changes to Expect
  • Essential Internet Resources
  • Checking Claims Status on the Web
  • Checking Eligibility on the Web
  • Managed Care Referrals on the Web

Remittance Advice

  • Remark and Adjustment Reason Codes
  • Unbalanced Remittance Advice Lines

Remittance Advice Examples

  • Section I Account Information
  • Section II Billing Information
  • Section III Patient Responsibility
  • Section IV Summary and Explanation Codes
  • Clean Claim Processed Example
  • Bundling Codes Example
  • Bundling, Deductible, and Interest Example
  • Dental Bundling Example
  • Other Party Liability (OPL) Example
  • Void and Repay with Auto-deduction Example
  • Beginning and Ending Balances Example

S-04-03 - Published 3/1/03

  • Referrals To Participating Providers
  • Out-of-State Blue Plan Secondary Insurance
  • E-mail Notification List

S-03-03 - Published 2/20/03

  • BCBSKS Prepares for HIPAA Implementation
  • Blue Cross and Blue Shield Implements HIPAA Transactions and Code Sets
  • Details About Transactions with BCBSKS
  • BCBSKS Privacy Implementation
  • BCBSKS Security Implementation
  • Administration Simplification with HIPAA & www.bcbsks.com

S-02-03 - Published 2/01/03

  • Infusion Therapy
  • Nursing and Drugs Are To Be Billed Separately
  • Total Parenteral Nutrition (TPN)
  • Injectable and Inhalation Medications
  • Enteral Nutrition
  • When All-inclusive “S” Codes Are Not Used

S-01-03 Published 1/27/03

  • Basic Insurance Billing Workshops 2003

S-09-02 Published 1/8/03

Section 1: Reminders

  • Routine Hearing and Vision Screening Content of Medical Visit
  • Low-Level Laser Infrared Therapy
  • Chemical Peels and Cryosurgery
  • MRV vs. MRA

Section 2: Updates

  • Anesthesia Services
  • OB Epidural Anesthesia
  • Via Christi Riverside and Wesley Renew for 2003
  • Newborn Care
  • Cataract Surgery

Section 3: BlueCard

  • Tyson Members Protected By The Blues
  • Northeast Kansas: BlueCard Billing for Border Counties and
  • Multiple Contract Providers

Section 4: www.bcbsks.com

  • Password Challenge
  • Searching For Past Articles
  • Internet Tip: Multiple Profiles

Section 5: Pharmaceuticals

  • Radiological Pharmaceuticals
  • Prescription Drugs Move To Three-Tier Copay Benefit
  • Prime Therapeutics National Formulary Update

Miscellaneous

  • Provider Change Form


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