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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. Next phases of Provider Secured Services and web-DENIS retirement announced On Oct. 25, Blue Cross Blue Shield of Michigan and Blue Care Network will enter the third phase of retirement for Provider Secured Services and web-DENIS. This phase includes the removal of:
Read more: Landmark Health high-intensity in-home care program expands Jan. 1 Blue Cross and BCN will expand the high-intensity in-home care program by Landmark Health to include Medicare Advantage members with multiple chronic conditions who live in any county in Michigan’s Lower Peninsula, effective Jan. 1. Read more: New family building and maternity support solution for commercial members Blue Cross and BCN are working with Maven, an independent company, to provide a family building and maternity solution that supports all backgrounds, lifestyles and phases of starting or growing a family and helps improve clinical outcomes for parents and babies. This will be available starting Jan. 1, 2023. Read more: October 2022 issue of The Record Remind your eligible patients to get mammograms every two years October is Breast Cancer Awareness Month. One in eight women in the United States will be diagnosed with breast cancer in her lifetime, making it the second most common cancer in women. You play an integral role in early detection by recommending regular screenings to your patients. Read more: Blue Cross and BCN commercial will use Audaire Health to capture clinical outcomes on select therapies Blue Cross and Blue Care Network will use the Audaire Health™ provider portal to track and capture clinical outcomes for all Blue Cross and BCN commercial members for select gene and cellular therapies, starting Oct. 1, 2022. Read more: October 2022 issue of The Record Reminder: Medicare wellness visit and E&M code payable when billed on the same date of service Effective Jan. 1, 2022, an evaluation and management procedure code — including a code for an annual physical examination — is payable for BCN Advantage members on the same date of service as a Medicare wellness visit without submitting an appeal. Read more: Sept. 6, 2022 Provider Alert Other helpful resources can be found in the Clinical Quality section on our provider portal:
e-referral training tools updated We recently updated the e-referral User Guide and Quick Guide. They are dated September 2022. Updates reflect the changes when using the new provider portal and how to submit an extension on an Inpatient Authorization. Read more: Sept. 21, 2022 Provider Alert Blue Cross, BCN covering additional vaccine Blue Cross and Blue Care Network have added Priorix® to our list of vaccines covered under the pharmacy benefit, starting Aug. 2, 2022. Read more: October 2022 issue of The Record TurningPoint to review site of care for select hip and knee surgeries starting Jan. 2 TurningPoint Healthcare Solutions, LLC, will review the site of care for select hip and knee surgeries as part of each prior authorization determination for Blue Cross commercial groups and members, starting Jan. 2, 2023. Read more: October 2022 issue of The Record Reminder: Providers have a new email box to reach provider consultants Blue Cross and BCN want to make it easier and simpler for you to reach a provider consultant when you need to escalate a provider inquiry. To this end, providers in the East, Mid and Southeast regions now have a new email box to use: petcontactus@bcbsm.com. Read more:
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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. |