Professional Publications - Newsletters

"S" Newsletters - 2004

S-13-04 Published 12/30/04

S-12-04 Published 12/22/04

S-11-04 Published 12/10/04

S-10-04 Published 12/01/04

Section 1: Reminders
- Providers Only Information Line
Section 2: Updates
- Codes 97533 and 97535
- Fluoroscopic Guidance
- Medical Policies Posted to the Web
- Medical Review Articles Posted to the Web
- Phototherapy for Depressive Disorders
- Plan 65 Remits on the Web
- Remittance Advice Enhancements
- Riverside Medical Center Not Contracting
- State Farm Joins BlueCard
Section 3: Pharmaceuticals
- Prime Therapeutics Formulary Update
- Utilization Management Programs for 2005
Section 4: Health and Wellness
- Care Management
- Reference Guide for Preventive Medicine

S-09-04 Published 11/15/04

S-08-04 Published 11/12/04

S-07-04 Published 11/05/04

Modification of Policy on Billing for Services Provided by Physician Assistants and Advanced Registered Nurse Practitioners

S-06-04 Published 8/31/04

Section 1: Code Grace Periods Eliminated
Section 2: Updates
- Additional Medical Policies Posted to the Web
- Allergy Immunotherapy – Sublingual Drops
- C-Reactive Protein
- Digital X-rays and Pictures
- Evaluation and Management Coding
- Genetic Breast Cancer Assay
- HIPAA Standard Claims Transactions
- Identification Numbers Changing
- Varicose Veins
- Wireless Esophageal Monitoring
Section 3: Pharmaceuticals
- Prime Therapeutics Formulary Update
Section 4: Other News
- Coding Workshop
- Online Training
- Sherian Conwell’s Retirement

S-05-04 Published 7/16/04

Services Provided by Physician Assistants (PA) and Advanced Registered Nurse Practitioners (ARNP)

S-04-04 Published 5/25/04

Section 1: Reminders
- Duplicate Claims
- Provider Directory Data
Section 2: Updates
- Claims With More Than Six Lines
- Code Grace Periods Eliminated
- Diagnostic Spinal Ultrasound
- Medical Policies on the Web
- Peer Review Activities for Managed Care Products
- Remittance Advices on the Web
- Ultrasound Measurement of Post-Voiding Residual Urine
Section 3: Pharmaceuticals
- Prime Therapeutics Formulary Update
- Prime Therapeutics Web Site

S-03-04 Published 3/04/04

Section 1: Reminders
- 2003 CPT/HCPCS Code Grace Period
- Authorization to Release Patient Information
- Multiple Surgery
- Patient Dismissal for Premier Blue and Blue Select
- Benefit Information (Providers Only)
- Provider Directory Data
- Remark Codes That Indicate to Resubmit Claims
Section 2: Updates
- 2004 Clinical Lab Codes and Reimbursement Methodology
- Alpha Prefix Project
- Anodyne Therapy
- CPT Category II Codes
- Homocysteine Testing
- Hospital Observation Level of Care
- Low Level Laser Therapy
- Pachymetry
- Photodynamic Therapy
- Secure Messaging
Section 3: Home Medical Equipment
- Deluxe Home Medical Equipment
- Oxygen Coding Reminder
Section 4: Pharmaceuticals
- PrimeMail™ – New Mail Service Pharmacy
- Prior Authorization for Xolair®
Attachments
- Provider Information Change Form
- 2004 Lab Reimbursement Methodology Chart

S-02-04 Published 3/04/04

S-01-04 Published 1/09/04