• Home
  • "S" Newsletters - 2019

"S" Newsletters - 2019

Body

S-4-19 Published 10/21/2019

Inside this issue:

  • Pharmacists may bill MTM services
  • Physicals required for employment
  • FEP covers tobacco-use cessation
  • Telemed billed with POS 02, GT
  • Substance abuse facilities recognized
  • Re-enrollment needed for ASK email
  • Prenatal, postpartum record requests
  • Prior authorization for radiology
  • Network Pricing Group e-claims
  • Curbing opioid+benzodiazepine use
  • Pharmaceutical Formulary Update
  • CPT allows initial, discharge code
  • Blue Cross to cover Cologuard
  • Flu testing not always required
  • Immunization reimbursement
  • Inovalon retrieving medical records
  • Pharmacy, Labs, DME, HIT filing Blue claims
  • Web changes — Medical policy

S-3-19 Published 04/08/2019

Inside this issue:

  • Important screenings key to your patients’ health
  • Clinical Care Coordinator seeks to close gaps in care
  • Coding fundus photography
  • Using name on ID card for claim
  • Refer to contracting providers
  • Behavioral health, other workshops
  • Avoid overprescribing antibiotics
  • 2019 QBRP — HEDIS measures
  • Blue plans’ programs require preauthorization
  • Pharmaceutical Formulary Update
  • Submitting electronic prior auth
  • Faxing prior authorization
  • Pharmacy, labs, DME, HIT filing Blue claims
  • Provider portal
  • Highmark adjusting MA claims
  • Web changes — Medical policy

S-2-19 Published 02/07/2019

Inside this issue:

  • Med-Trans agreement in place for local members’ peace of mind

S-1-19 Published 01/15/2019

Inside this issue:

  • Drug Prior Auth forms, policies on Prime site, off bcbsks.com Feb. 1
  • Web Changes — Medical Policy

- Back -