The Record

January 2013		Print Newsletter (PDF)
	BCBSM coverage decisions on 2013 HCPCS codes available online The 2013 Healthcare Common Procedure Coding System codes were released in mid-October. We have begun working to implement these new and revised codes in our claims processing systems. You may begin using these new codes on or after Jan. 1. Read more.	Inside this issue for you Blues highlight medical, benefit policy changes 2013 FEP benefits feature new preventive care benefits and more Customize your Record subscription

Additional practitioner-administered specialty drugs to require prior authorization Online prior authorization training planned You can help patients switch from brand name to generic drugs Submit pharmacy prior authorization requests online Changes made for some psychiatric codes in 2013 Schedule for 2013 training now available Status claim process is the same for BlueCard^® members Submit MIChild CSHCS member claims to Michigan Department of Community Health Reminder: Refer MIChild members within network for preventive services BCBSM MIChild 2012 Consumer Assessment of Healthcare Provider and Systems survey shows patient satisfaction	Hospital outpatient reimbursement, HCPCS payment rules, revenue code information summarized BCBSM extends partial hospitalization programs to include selected outpatient psychiatric centers Inhaled nitric oxide payable for some newborns New Medicare Advantage Diagnosis Gap Closure incentive program for primary care physicians for 2013 New Blues Medicare Advantage Health Assessment requires your action Medicare Advantage Part D benefits change for 2013 Medicare Advantage durable medical equipment coverage changes Medicare Advantage contract numbers include new alpha prefix	BCBSM coverage decisions on 2013 HCPCS codes available online Blues highlight medical, benefit policy changes 2013 FEP benefits feature new preventive care benefits and more Customize your Record subscription Blues introduce mandatory case management pilot program for UAW Retiree Medical Benefits Trust members Patients may require coverage review to receive prescription drug coverage New waiver available for Chrysler mental health, substance abuse out-of-network care GM adds cost-sharing for DME/P&O GM covers optometrist services billed with medical diagnosis
No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM. *CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.

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