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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