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This newsletter includes short summaries, reminders and updates for Blue Cross and BCN providers. Please visit The Record or BCN Provider News for complete newsletter editions.
We’ve created billing tips for COVID-19 diagnosis codes There have been many changes announced during the COVID‑19 pandemic. To make billing easier for you, we’ve created two documents for you to reference.
For more information, see Page 31 of the July–August 2020 BCN Provider News or the July 2020 issue of The Record. Update on temporary changes due to COVID-19 Blue Cross Blue Shield of Michigan and Blue Care Network have made many temporary changes to support providers and protect members during the COVID-19 pandemic. To view a summary of temporary actions taken, see the Temporary changes due to the COVID-19 pandemic document on our public website at bcbsm.com/coronavirus and through Provider Secured Services. For more information, see Page 1 of the July–August 2020 BCN Provider News or the July 2020 issue of The Record. Blue Cross and BCN waiving cost share for MA members Blue Cross and BCN are waiving cost share for their Medicare Advantage individual and fully insured group members for certain in-person and virtual services. Members won’t be liable for any copays, coinsurance or deductibles for the following network services from May 1 - Dec. 31, 2020:
For more information, see Page 11 of the July–August 2020 BCN Provider News or the July 2020 issue of The Record. Clinical editing appeals reminders One of the ways to avoid delays in the clinical editing appeals process is by filling out the Clinical Editing Appeal Form completely and accurately. This includes making sure it is legible, completing all the required fields, using correct EX codes and providing supporting documentation if necessary. For more information and other clinical editing tips, please see these resources:
Holiday office closings Blue Cross and BCN offices will be closed July 3 (Independence Day). We invite you to join PGIP as a physician organization Our Physician Group Incentive Program offers incentives to participating practitioners, physician organizations and organized systems of care for improving health care delivery. We’re pleased to announce that we’ll accept applications for PGIP from new POs from Aug. 1 - 31, 2020. For more information, see the July 2020 issue of The Record. Changes to Michigan’s auto no-fault insurance law may increase need for coordination of benefits Effective with auto insurance policies issued or renewed after July 1, 2020, individuals will no longer be required to carry unlimited personal injury protection, or PIP, with their auto insurance. These changes may lead to more instances where providers need to coordinate benefits for their patients. For more information, see Page 32 of the July–August 2020 BCN Provider News or the July 2020 issue of The Record. Reminder: Providers must submit authorization requests to TurningPoint for musculoskeletal surgical procedures for certain members You need to submit authorization requests for all surgical procedures related to musculoskeletal conditions to TurningPoint, starting June 1, 2020, for dates of service on or after July 1, 2020. This is effective for BCN commercial, BCN Advantage and Medicare Plus Blue members. For more information, see Page 37 of the July–August 2020 BCN Provider News or the July 2020 issue of The Record. We’re making some changes to the e-referral system We’re making improvements to the e-referral system to make it easier for you to submit authorization requests. The changes will be effective by late July. Changes include:
Help connect your patients to behavioral health resources with PCP toolkit To help you coordinate behavioral health care, Blue Cross has partnered with New Directions to create a PCP toolkit. Using this toolkit, you can help patients address mental health and substance use issues, with resources that include:
For more information, see the May 2020 issue of The Record. | |
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |