June 2014

Here’s an update on how we’re processing behavioral health claims
In previous Record articles and web-DENIS messages, we told you about the American Medical Association’s release of new procedures codes, effective Jan. 1, 2013. Since then, we’ve made some system changes to support AMA requirements.
Read more.

Inside this issue for you

• Have you subscribed to BCN Provider News?
• Keep these coding tips in mind to improve medical record documentation
• CPT codes added
• Blues highlight medical, benefit policy changes

See all the articles in this issue, grouped by category, below. Click on the headlines to read the articles you’re interested in or to print them. If you need to print all the articles in this issue, click here.

• PGIP primary care physicians who perform well on HEDIS^® quality measures can earn new fee uplift
• Notice: PGIP specialist fee uplifts
• Reminder: Statewide summer training
• Upper Peninsula training classes set for August
• Changes to emergency room benefits coming to Michigan Conference of Teamsters Welfare Fund group
• MESSA removes compounded hormones from commercial drug coverage
• BCBSM updating refill requirements for DME/P&O, medical supplies
• We’re clarifying documentation requirements for physician office infusion therapy

• BCBSM updating refill requirements for DME/P&O, medical supplies

• Here’s an update on how we’re processing behavioral health claims
• Have you subscribed to BCN Provider News?
• Keep these coding tips in mind to improve medical record documentation
• CPT codes added
• Blues highlight medical, benefit policy changes
• Navigating the electronic Record

• All prescriptions for hospice patients require prior authorization
• Medicare Advantage PPO lab network saves money for members
• Do you have a Medicare Advantage claim from 2012 or before that you think was processed incorrectly?

• Upper Peninsula training classes set for August
• Reminder: Registration for annual hospital forum in Frankenmuth
• Changes to emergency room benefits coming to Michigan Conference of Teamsters Welfare Fund group
• MESSA removes compounded hormones from commercial drug coverage

• MESSA removes compounded hormones from commercial drug coverage
• We’re clarifying documentation requirements for physician office infusion therapy

	Countdown to local system retirement
	3 months
All claims filed on the local system must be submitted and received by Sept. 15, 2014, in order to be processed. BCBSM will not offer any special handling or filing extensions. For more details, please see the March 2014 Record article.

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 2013 American Medical Association. All rights reserved.