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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: Blue Cross and BCN follow CMS guidelines for use of JW modifier to indicate drug waste As a reminder, Blue Cross and BCN commercial follow the Centers for Medicare & Medicaid Services’ standard billing guidelines for the use of the JW modifier to identify unused drugs or biologicals from single-use vials or single-use packages that are appropriately discarded. Read more: Recommendations for submitting authorization requests for medical oncology drugs to AIM We’ve outlined recommendations for submitting authorization requests for medical oncology drugs to AIM Specialty Health®, an independent company, to ensure a more efficient authorization review process. These recommendations apply to all Blue Cross commercial, Medicare Plus Blue℠, BCN commercial and BCN Advantage℠ members whose plans require authorization of medical oncology drugs by AIM. Read more: April 2020 ereferrals.bcbsm.com message. Providers in East, Mid and Southeast regions 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: Lunch and learn webinars focus on risk adjustment, coding Physicians and coders are invited to register for webinars that can improve your coding processes. You can also watch previously hosted sessions on our provider training website, such as Coding for Cancer and Neoplasms. Read more: Clinical editing appeal submission reminders To help expedite your clinical editing appeal response, we’ve put together some helpful tips. Read more: Clinical editing billing tips in the January–February 2021 BCN Provider News Additional information can be found in the Appealing a BCN clinical editing denial PDF: Here’s how to find the document:
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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. |