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"S" Newsletters - 2016

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S-6-16 Published 12/02/16

Inside this issue:

  • Therapeutic options lower cost
  • At-risk FEP members to receive free heart monitors
  • 2017 workshop schedule
  • Prior authorization for BCBSMN patients
  • Essential Community Providers
  • Anesthesia billing changes
  • Vitals provider directory coming in January
  • AT evaluation codes for 2017
  • Medical records signature requirements
  • SOK, CVS Caremark to implement program
  • Pharmaceutical formulary update
  • Wesley collecting Zika samples
  • Web updates — medical policy

S-5-16 Published 10/20/16

Inside this issue:

  • Premiums limited from third parties
  • BCBSNE changes preauthorization
  • Billing modifiers
  • Licensed Dieticians must be part of a group

S-4-16 Published 9/19/16

Inside this issue:

  • Verisk now Verscend, requesting records
  • KDHE offering no-cost Zika testing
  • Pharmaceutical Formulary Update
  • Solutions Out-of-Network request form
  • Billing reminders
  • Keeping current PA, APRN collaborating physician info
  • Diagnostic imaging procedures documentation interpretations
  • No 25 modifier for E&M, chemo
  • CPT for initial hospital care
  • Quality initiatives in support of URAC Accreditations
  • Choosing Wisely
  • Imaging for low back pain
  • Filing Blue claims correctly
  • BCBSKS network guide
  • Clinical Care Coordinator
  • Web changes — medical policy

S-3-16 Published 8/22/16

Inside this issue:

  • Provider data accuracy pays
  • Optimizing QBRP
  • QBRP refresh schedule
  • QBRP prerequisites and groups for providers
  • QBRP metrics breakdown
  • QBRP qualifying periods for certain incentives
  • Avoid prescribing antibiotics for upper respiratory infections
  • Quick tips: Using KHIE for Group B providers
  • Using the provider portal
  • BCBSKS contacting members to see PCP
  • Web changes — medical policy

S-2-16 Published 6/1/16

Inside this issue:

  • Balloon sinuplasty to follow multiple surgery rules
  • Imaging acute rhinosinusitis (sinus x-ray)
  • InterQual users must upgrade browser
  • Pharmaceutical formulary update
  • CPTA/COTA guidelines
  • Correctly billing kinesio taping
  • Essential Community Providers
  • Web changes — medical policy
  • Verisk continuing to collect medical records, data

S-1-16 Published 3/30/16

Inside this issue:

  • Claims upgrades, improvements
  • Altegra gathering records for annual audit requirement
  • Verisk continuing to collect medical data
  • Customer Service asks for two ID limit
  • Choosing Wisely: Avoid early imaging for back pain
  • April 27 is National [email protected] Day
  • Updating Medicare participation status
  • Billing reminders
  • ‘Kits’ not covered under prescription drug benefit
  • Pharmaceutical Formulary Update
  • Oncology drug pre-certification
  • Behavioral health workshops, expedited appeals
  • BCBSKS thanks Fresquez-Gray, welcomes Kloxin
  • Availity adds Payer Spaces
  • Web updates — medical policy

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