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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. Farewell, web-DENIS. Hello, Availity Essentials The last day to log in to Provider Secured Services and web-DENIS is Dec. 15. Make sure you’re registered and ready to use Blue Cross and BCN’s new provider portal, Availity® Essentials. Beginning Dec. 16, you’ll no longer be able to log in to Provider Secured Services or web-DENIS. Read more: December 2022 issue of The Record How to check for eligibility and benefits on Availity Checking eligibility and benefits on our new provider portal is quick and easy. Read more: December 2022 issue of The Record Health e-Blue℠ data entry due soon The deadline for entering data in Health e-Blue for 2022 gaps in care is midnight Jan. 22, 2023. Data entered after this deadline won’t count for 2022 incentives. The deadline for submitting electronic medical record files is Feb. 3, 2023. Blue Cross and BCN receive high Medicare Star Ratings from CMS again this year The Centers for Medicare & Medicaid Services recently announced its 2023 Medicare Star Ratings — and Blue Cross Blue Shield of Michigan achieved strong results. Both our BCN Advantage℠ HMO plan and our Medicare Plus Blue℠ PPO plan captured 4.5-Star ratings, making our plans once again among the highest-rated in the country. Read more: December 2022 issue of The Record Learn more about patient experience resources Blue Cross Blue Shield of Michigan and Blue Care Network administer the Clinician and Group Consumer Assessment of Healthcare Providers and Systems®, a nationally recognized survey that’s widely used to collect data about patient experiences and monitor provider performance. We’ve added a page on our Provider Resources site to provide more details about the CG-CAHPS survey and our patient experience resources. Read more: December 2022 issue of The Record Lunch and learn webinars focus on risk adjustment, coding Physicians and coders are invited to attend webinars that provide new information on documentation and coding of common and challenging diagnoses. These live, educational lunchtime sessions include an opportunity to ask questions. Read more: December 2022 issue of The Record Get ready for Welcome to Medicare, annual wellness visits for Medicare Plus Blue patients 2023 will bring new and existing Medicare Plus Blue℠ members to your medical practice for their annual wellness visits — which are at no cost to them. These visits play an important role in helping your patients maintain or improve their health. Read more: December 2022 issue of The Record Podcasts give you quick, easy tools for improving the patient experience To help practices improve the patient experience, we’ve developed a podcast series called "Practice Up." The four podcasts included in the series are short and engaging, allowing you to listen at your convenience. Read more: December 2022 issue of The Record Intensive services program for children, adults now available for Blue Cross commercial providers A program that’s been successful for Blue Care Network commercial and BCN Advantage℠ members is now payable for Blue Cross commercial and Medicare Plus Blue℠ members. Our Adult Intensive Services and Child Intensive Services program provides intensive case management services for members with chronic mental illness. Read more: December 2022 issue of The Record Modifier 26 no longer used to support denial of new patient claim On Oct. 10, 2022, a Blue Cross payment policy was updated so that procedure codes previously submitted with a modifier 26 aren’t used to support the denial of a new patient visit. Read more: December 2022 issue of The Record Holiday office closings Blue Cross and BCN offices will be closed Dec. 23 through Dec. 26 and Dec. 30 through Jan. 2.
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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. |