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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.
Availity transition dates announced We’ve announced the important dates for the Blue Cross Blue Shield of Michigan and Blue Care Network transition to the Availity® provider portal. Read more: Holiday office closings Blue Cross and BCN offices will be closed April 15 (Good Friday). Overweight and obesity diagnoses now payable diagnosis codes Blue Cross is updating its policy to allow overweight and obesity diagnoses to be payable diagnosis codes. This change doesn’t affect existing benefit structures, national coverage determinations or local coverage determinations. Read more: April 2022 issue of The Record National Prescription Drug Take Back Day scheduled for April 30 Let your patients know that the next National Prescription Drug Take Back Day is scheduled for April 30 from 10 a.m. to 2 p.m. These twice-yearly events, coordinated by the U.S. Drug Enforcement Administration, provide a safe, convenient and responsible means of disposing of prescription drugs. Read more: April 2022 issue of The Record New Blue Cross Commercial Provider Manual coming this month The newly designed Blue Cross Commercial Provider Manual will be offered as individual PDF documents and will be available on the Availity® provider portal in late April. You’ll be able to access the manual on Benefit Explainer until further notice. Both versions of the manual will contain identical information. Read more: April 2022 issue of The Record Blue Cross changing practitioner fees July 1 Blue Cross will change practitioner fees for services with dates of service on or after July 1. This change applies to services provided to our Traditional, TRUST and Blue Preferred Plus members, regardless of the customer group. Fee schedules effective July 1 will be available on web-DENIS on April 1. Read more: April 2022 issue of The Record New HEDIS Star measure highlights importance of follow-up care after emergency department visits Many patients with high-risk chronic conditions require important follow-up care after they’re discharged from the emergency department. Often, an emergency department discharge is based on the presumption that patients will continue necessary care with their health care providers. Read more: Transitions of Care HEDIS Star measure focuses on medication management, care coordination for Medicare Advantage patients The Transitions of Care (TRC) HEDIS® Star measure focuses on the percentage of members who had an acute or nonacute inpatient discharge during the measurement year and who had each of the following:
Read more: HEDIS, which stands for Healthcare Effectiveness Data and Information Set, is a registered trademark of the National Committee for Quality Assurance. Outpatient PT, OT services no longer require prior authorization for Medicare Plus Blue Medicare Plus Blue℠ will no longer require prior authorization for outpatient physical and occupational therapy services for dates of service on or after April 1. You can submit retroactive authorization requests to eviCore through July 29 for dates of service prior to April 1. Read more: April 2022 issue of The Record
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Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |