Other Resources

2012 Partners in Health Care Report

The 2012 Partners in Health Care report provides a fresh look at how partnerships among physicians, hospitals and BCBSM are saving lives, improving patient care and reducing health care costs.

• Partners in Health Care Report (PDF)

Master Medical reimbursement on the Michigan Operating System

This handy guide contains answers to frequently asked questions about Master Medical claims, billing and payments on MOS. It also includes instructions to determine if a Master Medical member's contract has been transferred to MOS.

• We're simplifying the Master Medical reimbursement process on MOS (PDF)

Radiology Management Program

Instruction sheets to help ordering physicians and hospital-based servicing providers ensure that outpatient CT/CTA, MRI/MRA, PET scans and certain nuclear imaging procedures have been preauthorized.

• The Hospital's Role in Ensuring RMP Compliance (PDF)
• The Physician's Role in Ensuring Radiology Management Compliance (PDF)

CAREN

A handy guide to CAREN, our automated and interactive telephone system.

• CAREN Facility: Navigating with Ease (PDF)
• CAREN Medicare Advantage: Navigating with Ease (PDF)
• CAREN Professional: Navigating with Ease (PDF)

CAREN Dental

This guide to CAREN is designed especially for our dental providers.

• CAREN Dental (PDF)

MQIC Evidence-Based Clinical Practice Guidelines

The Michigan Quality Improvement Consortium (MQIC) is composed of 13 health plans, physician specialty societies, and other organizations in the State of Michigan, including the Michigan Department of Community Health.

MQIC develops evidence-based clinical practice guidelines which are endorsed by all participating plans, including Blue Cross Blue Shield of Michigan, in order to effect improvement in health status for the citizens of Michigan, and to increase reporting standardization for physicians.

Please refer to mqic.org to access the guidelines, tools physicians may use in their office, and reports which provide MQIC community HEDIS^® and non-HEDIS results for over 100 quality improvement measures.

For more information about MQIC, please contact Tracy Zdeb at tzdeb@bcbsm.com or 313-448-5625.