“S” Newsletters - 2019
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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 -