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November 2013		Print Newsletter (PDF)
	Blues to stop mailing paper remittance advices Dec. 6 Blue Cross Blue Shield of Michigan and Blue Care Network will stop printing and mailing paper remittance advices (also known as vouchers) to Michigan health care providers Dec. 6, 2013, with the exception of BCBSM Local facility remittance advices, which will continue to be mailed. Read more.	Inside this issue for you Changes to Electronic Remittance Advice and Electronic Funds Transfer take effect Jan. 1, 2014 Additional preventive medications available at no copayment beginning Jan. 1

Blues to stop mailing paper remittance advices Dec. 6 Changes to Electronic Remittance Advice and Electronic Funds Transfer take effect Jan. 1, 2014 Additional preventive medications available at no copayment beginning Jan. 1 Keep in mind these coding tips to improve documentation for chronic obstructive pulmonary disease and other associated respiratory conditions New U.P. Blue Referral Form available for Upper Peninsula Blue^SM members There’s been a timeline change for requesting retroactive preauthorization for commercial PPO radiology program Updates to pediatric acute and adult acute criteria become effective Nov. 4, 2013 Blues highlight medical, benefit policy changes Customize your Record subscription Blue Cross to manage DME and P&O claims processing, customer service for auto group customers, URMBT members	Advanced Cardiac Imaging Consortium closing in February 2014 Blues asking hospital administrators for feedback Changes to hospital outpatient surgical procedures reimbursement policy explained CCPS now processes credentialing for all Blues hospital, non-hospital facilities Pulmonary rehabilitation services will no longer need Case Management review Here’s how to verify benefits for outpatient facility services Clarification: Healthcare Common Procedure Coding System codes updated for revenue code chart National drug code processing for specialty drug claims delayed until Nov. 15 New Custom Select Drug List available Jan. 1 BCBSM removes compounded hormones from commercial drug coverage	BCBSM prepares for new CMS-1500 claim form BCBSM wants to hear from office staff in 2013 satisfaction survey Some Physician Group Incentive Program specialty practices eligible for fee uplifts in 2014 National drug code processing for specialty drug claims delayed until Nov. 15 Advanced Cardiac Imaging Consortium closing in February 2014 National drug code processing for specialty drug claims delayed until Nov. 15 CPAP equipment providers must follow compliance rules Sequestration fee reductions for Medicare Advantage professional providers New procedure code added to Medicare Advantage physician office lab list
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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