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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 phase of Provider Secured Services and web-DENIS retirement announced On Sept. 15, 2022, Blue Cross Blue Shield of Michigan and Blue Care Network will conduct the second phase of retiring Provider Secured Services and web-DENIS, which will include the removal of the Internet Claims Submission Tool and some additional applications. Read more: 2023 ICD-10-CM and PCS code updates available Fiscal year 2023 ICD-10-CM and ICD-10-PCS code updates, which will be effective with dates of service on and after Oct. 1, 2022, are now available. Read more: September 2022 issue of The Record Reminder: Private duty nursing services will require prior authorization Agencies will need to get prior authorization before providing private duty nursing services for dates of service on or after Oct. 1, 2022. We’ll begin accepting prior authorization requests for these services through the e-referral system on Sept. 1. Read more: September 2022 issue of The Record Benefit Explainer includes new payability limitation Benefit Explainer users may have started seeing a new payability limitation regarding the National Provider Identifier, beginning Aug. 1, 2022. The new limitation can appear as a stand-alone rule or as a combination rule with another limitation. Read more: September 2022 issue of The Record New lab program for Blue Cross commercial and Medicare Plus Blue now live Blue Cross has instituted a new laboratory benefits management program supported by Avalon Healthcare Solutions, an independent company. This program uses enhanced editing to promote correct coding and assist with accurate claim payment. Read more: September 2022 issue of The Record Submit requests for commercial inpatient rehabilitation admissions and extensions through e-referral, starting Jan. 1, 2023 Beginning Jan. 1, 2023, we’ll require inpatient rehabilitation, or IPR, providers located in Michigan to submit prior authorization requests through the e-referral system and not by fax. This applies to requests for our Blue Cross and Blue Care Network commercial members for initial admissions and additional days (extensions). Read more: Crisis services provide support for members with urgent behavioral health concerns Blue Cross and Blue Care Network recently launched new mobile crisis and crisis stabilization services to help commercial members under age 65 experiencing a mental health or substance use crisis get prompt and appropriate behavioral health treatment. Read more: 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. |