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Professional Publications - Newsletters

"S" Newsletters - 2011

S-11-11 Published 12/05/11

Inside this issue:

  • Reminder
    • HIPAA 5010 Deadline is Looming
    • Availity is Coming to Kansas in 2012
    • Quality-based Reimbursement Program (QBRP) Begins Jan. 1, 2012
  • Updates
    • FEP Benefits for 2012
    • State of Kansas Benefits for 2012
    • Where do Labs, DME and Specialty Pharmacy Providers File Blue Claims?
    • Professional Relations Hotline is now “Provider Network Services”
    • Centralized Network Enrollment
    • Annual Data Verification
    • Credentialing Requirements
    • Web Changes – Medical Policy
  • Pharmaceuticals
    • Formulary Update
    • Prescription Drug Changes for 2012
  • TRICARE
    • HIPAA 4010 Cutoff Date Coming Soon
    • A Closer Look at Balance Billing
    • Secure Provider Website Users Can Now Submit Attachments with Claims
    • Emergency Care vs. Urgent Care – It Pays to Know the Difference
    • Right of First Refusal – Why, How, and Important Points To Remember
  • Workshop Opportunities
    • 2012 Workshops

S-10-11 Published 11/22/11

Inside this issue:

  • Prescription Drug Changes for 2012
  • Triessent ® Specialty Pharmacy Program

S-9-11 Published 9/27/11

Inside this issue:

  • Reminder
    • Kinesio Taping
    • HIPAA 5010
    • Ordering/Referring Provider Name and NPI
    • Medical Records Requests
    • ARNP/APRN Billing Involving Other Blue Plans
    • Get Qualified – Quality-Based Reimbursement Program (QBRP) Begins Jan. 1, 2012
    • Modifier 25 Clarification – 2012 Contract Change
  • Updates
    • Availity® is Coming to Kansas in 2012
    • ICD-10-CM:  Impact Analysis
    • Prolonged Physician Service with Direct (Face-to-Face) Patient Contact
    • Web Changes – Medical Policy
  • Pharmaceuticals
    • Formulary Update
    • Prescription Drug Changes for 2012
  • TRICARE
    • TriWest Offering Online Claims Correspondence / Webmail
  • Workshop Opportunities
    • Last Chance . . . are you registered?

S-8-11 Published 9/01/11

Inside this issue:

  • Updates
  • Professional Provider Quality-Based Reimbursement Program for 2012

S-7-11 Published 7/13/11

Inside this issue:

  • Updates
    • Automatic Crossovers from Medicare for Mass Adjustments
    • Unit Limitation List Revised
    • Have You Noticed the New Feature?
    • Medical Records Requests for ITS Host Claims
    • Financial Interest in Independent Diagnostic Entities
  • TRICARE®
    • Timely Return of the TRICARE® Consult Treatment Reports

S-6-11 Published 5/25/11

Inside this issue:

  • Reminder
    • Ankle Brace and CAM Walker Coding
  • Updates
    • Member Contract Changes Effective July 1, 2011
    • Appendectomy Codes Clarification
    • Dial-up FTP Eliminated
    • Company Claims Two Brand Excellence Awards
    • ProviderCasts: Relevant Information is Just a Click Away
  • Pharmaceuticals
    • Formulary Update
  • TRICARE
    • Memorial Day Gratitude
  • Workshop Opportunities
    • Openings Available

 

S-5-11 Published 4/25/11

Inside this issue:

  • Reminder
    • Claims Secondary to Medicare
  • Updates
    • Zostavax Vaccine Clarification
    • Provider Change of Information
    • Provider Network Enrollment Request Form
    • ICD-10-CM Mapping Tool Now Available
    • ICD-10:  What? When? How? Help!
  • TRICARE
    • TRICARE Specialty Care Referrals

S-4-11 Published 4/25/11

Inside this issue:

  • HIPAA 5010: Blue Cross and Blue Shield of Kansas Testing

S-3-11 Published 4/20/11

Inside this issue:

  • Kansas Patient-Centered Medical Home Initiative

S-2-11 Published 3/7/11

Inside this issue:

  • Reminders
    • Changes are Coming . . .
  • Updates
    • Ankle Brace & CAM Walker Coding
    • Blepharoplasty
    • Foot Care Guidelines
    • Leinwetter Named Medical Director at BCBSKS
    • Measurement of High-Sensitivity C-Reactive Protein
    • OPPORTUNITY IS KNOCKING!
    • Rapid Influenza Virus Diagnostic Testing & Treatment in the Outpatient Setting
    • Secondary Adjustment Processing for CMS Claims
    • Soft Contact Lenses
    • Web Changes – Medical Review
  • Pharmaceuticals
    • Biologic Immunomodulators Step Therapy – Through Preferred Agent (Humira)
    • Direct Renin Inhibitors (DRIs) Added to Antihypertensive Step Therapy/Prior Authorization Program
    • Formulary Update
  • TRICARE
    • TRICARE Provider Seminar Registration
  • Workshop Opportunities
    • EDI Workshops for 2011
    • SAVE THE DATE

S-1-11 Published 1/24/11

Inside this issue:

  • Reminders
    • BCBSKS Claims Secondary to Medicare
    • Policy Change Requiring Referring Provider Name/NPI on Claim
  • Updates
    • Administration & Immunization Reimbursement
    • Authenticating a Provider
    • Autism Rider for SOK Pilot Benefit
    • Diagnosis Code V72.62
    • Modifier 33 – Preventive Service
  • Workshop Opportunities
    • Workshop Change

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