The Record - for physicians and other health care providers to share with their office staffs
Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
May 2013

Reminder: Medicare Advantage Diagnosis Closure Incentive program replaces assessment form reimbursement

Need access to Health e-Blue?

If your primary care office does not have access to Health e-Blue, apply today. Go to bcbsm.com/provider, then:

  • Click on Provider Secured Services.
  • Under Solutions available through Provider Secured Services, click on Health e-Blue for Blue Care Network patient data and Blue Cross Blue Shield of Michigan Medicare Advantage patient data.
  • Complete all fields on both the Health e-Blue Application and the Use and Protection Agreement and return to the address on the form.

Please be sure to sign in to Health e-Blue at least every six months to maintain your access to the system.

Tips for signing up for Health e-Blue

  • All applications need to be completed and signed by a primary care physician or PCP manager (Pages 5 and 6).
  • The practice name has to match across the application.
  • Provide state license number (can send additional pages if you are out of space).
  • Include any previously created web-DENIS ID to help the Health e-Blue team provide faster service. (Web-DENIS IDs usually start with D or F.)
  • Use your full legal name on the application.

If you have questions, call your BCBSM provider consultant or BCN provider representative.

Blue Cross Blue Shield of Michigan and Blue Care Network have a new primary care physician Medicare Advantage Diagnosis Closure Incentive program for 2013. The new incentive applies to Blues Medicare Advantage patients, including those with BCN Advantage HMO-POSSM, BCN Advantage HMOSM, BCBSM Medicare Plus Blue PPOSM and BCBSM Medicare Plus Blue Group POSSM coverage.

The new Diagnosis Closure Incentive program replaces reimbursement for completing the Physician Assessment Form, effective for dates of service Jan. 1, 2013, or later. The Diagnosis Evaluation reports are now available on Health
e-BlueSM.

For more information about:

See the following document on Health e-Blue:

The Diagnosis Closure Incentive program

2013 Diagnosis Closure Incentive Program in the Resources section

The new Diagnosis Evaluation report on Health e-Blue

Health e-Blue Phase 10.3 Enhancements March 2013 in the Resources section

See the January issue of The Record for details.

Health care providers may use the reports on Health e-Blue to document that diagnosis gaps have been closed. See "Need access to Health e-Blue?" above for instructions on how to apply for enrollment in Health e-Blue.

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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.